Employer Industry: Healthcare Services

Why consider this job opportunity:
- Eligible for remote work from home in Wisconsin
- Occasional travel to the corporate office in Menasha, WI
- Opportunity to gain experience in various departments including Case Management and Quality
- Supportive work environment that encourages employee engagement and diversity
- Chance to mentor new employees and contribute to their development
- Involvement in meaningful projects that impact member health and wellness

What to Expect (Job Responsibilities):
- Provide operational support for various departments including Case Management and Pharmacy
- Manage outbound member calls for welcome and service recovery opportunities
- Interact with members and providers through calls, faxes, and emails regarding authorizations and inquiries
- Collect member or provider-specific information as required
- Assist in mentoring new employees and participate in non-clinical projects as needed

What is Required (Qualifications):
- High School Diploma
- Minimum of one (1) year of healthcare experience in a clinical or insurance setting
- Ability to apply organizational, regulatory, and credentialing principles
- Strong communication skills for interaction with members and providers
- Willingness to travel occasionally to the corporate office

How to Stand Out (Preferred Qualifications):
- Experience in case management or condition management roles
- Familiarity with HEDIS and Health Risk Assessments
- Proficiency in using electronic medical record systems
- Strong organizational skills and attention to detail
- Previous experience in mentoring or training new employees

#HealthcareServices #RemoteWork #CareerGrowth #Diversity #MemberWellness

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