Experienced professional with health insurance, claims resolution, or benefits administration experience; must interpret plan details, resolve complex issues, coordinate stakeholders, and advocate for members independently.
Quartz Health Solutions: Provides community-based health insurance and plan administration services.
2+ YOE2+ years customer service/healthcare or social work experience; Bachelor’s or Associate’s in social service/public health/psychology or related; EMR experience preferred; knowledge of Medicare/Medicaid; driver\u0002s license and reliable transportation required.
Stateline Family YMCA: Provides fitness, childcare, and youth development programs for the community.
Develop and implement activities for K-5 youth, lead and schedule team members, maintain program records and compliance, build relationships with families and schools.
Elite Sports Clubs: Operates multi-purpose family fitness and tennis clubs.
Experience leading aquatics programs, staffing and training lifeguards and instructors, managing swim lesson and lifeguard services, ensuring pool safety and high-quality member experience.
CenteneNYSE: CNC: Provides government-sponsored and commercial healthcare insurance programs and services.
2+ YOEHigh school diploma or GED and 2–4 years of related experience. Requires member outreach, customer service, administrative care management, documentation, and community resource coordination skills.
Virginia Beach or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Washington or West Virginia or Wisconsin or Wyoming
$19-$32/hrRemoteFull Time
Sentara Health: Operates hospitals and provides health insurance and medical services
1+ YOE1 year healthcare experience; HS/GED preferred. Processes pharmacy prior authorizations, verifies member eligibility, communicates with members/providers/pharmacies, documents PA decisions, and meets required turnaround times.
Child Watch Coordinator (M-F 7:45am-12pm, Occasional 4-8pm and Sat AM Shifts) - Mukwonago
Mukwonago, Wisconsin, United States
$12-$14/hrOnsitePart Time
YMCA of Greater Waukesha County: Providing community fitness, youth development, and childcare services.
1+ YOE1+ year child supervision experience; ability to supervise staff, communicate with members/parents, lift 25 lbs, and perform physical activity with children; CPR/First Aid and Early Childhood certifications desired.
Mallory Rodriguez State Farm: An independent State Farm agent team providing insurance and financial services in Sun Prairie, Wisconsin.
Customer-service and organizational skills; manage customer accounts, assist with policy changes, process claims, coordinate with underwriters; previous insurance experience preferred.
Tyler Wurtz State Farm Agent: An independent insurance agency serving the local community with a focus on customer service and risk management.
Strong organizational, customer service, and communication skills; previous insurance experience preferred; ability to manage customer accounts, process claims, and coordinate with underwriters.
Taylor Schultz State Farm: Local agency providing personal insurance and financial services.
Manage customer accounts, assist with policy changes and inquiries, process claims, coordinate with underwriters; strong organization, communication, and customer service skills; insurance experience preferred.
Elite Sports Clubs: Operates multi-purpose family fitness and tennis clubs.
Lead and mentor housekeeping staff, oversee facility cleanliness and safety, enforce quality standards, coordinate operations, and communicate with members and staff.
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
2+ YOE2+ years healthcare experience with at least 1 year in LTSS or care management, valid driver\u0002s license, ability to perform member assessments, develop and monitor care plans, and coordinate community resources.
Fredericksburg or Arlington or Alexandria or Reston or Sterling or Leesburg or Winchester or Front Royal or Warrenton or Stephens City or Culpeper or Orange or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
RemoteFull Time
Sentara Health: Operates hospitals and provides health insurance and medical services
3+ YOEActive RN required, 3+ years nursing experience, managed care and discharge planning preferred, performs telephonic and face-to-face clinical assessments, develops and coordinates member care plans, strong communication and analytical skills.