Administrative/Financial Assistant
POSITION SUMMARY: Responsible for assisting leadership with daily activities and projects. Handles sensitive corporate data and must always maintain a high level of professionalism and confidentiality. Conveys a positive image of the company. RESPONSIBILITIES: • Attends internal meetings as assigned. Records minutes of meetings, drafts agenda and prepares meeting packets. • Maintains documents and files for the meetings. • Provides backup to Executive Assistant as needed. • Provides backup to
Quality Care Partners, Inc.
Credentialing Specialist
POSITION SUMMARY: Under general supervision, coordinates and administers all aspects of the credentialing process for physicians, professional providers, and network practitioners. Initiates and coordinates the reappointment process for existing providers within assigned areas; ensures accuracy and completeness of all documentation; serves as initial point of contact to providers on day-to-day credentialing issues. RESPONSIBILITIES: * Reviews and screens initial provider credentialing applications for
Quality Care Partners, Inc.
Customer Service Rep
POSITION SUMMARY: Responsible for answering members, employers, brokers and providers questions, Responsible for regular contact with employer groups, benefit representatives, company reps and other labor reps involved in evaluation and implementation of the health plan offerings. RESPONSIBILITIES: • Responsible for keeping internal resources for current groups up-to-date. • Create positive relationships with current partners and be primary contact for TPA group service reps. • Analyzes consumer needs
Quality Care Partners, Inc.
Department Assistant - Medical Management/ Intake
POSITION SUMMARY: This position is responsible for servicing the needs of customers by receiving phone calls, emails and faxes from customers (e.g., members, providers, TPAs, etc.) Have familiarity with various plan benefit designs and direct caller to appropriate resources. Department Assistants do not interpret clinical information. RESPONSIBILITIES: • Provide support to the staff to assist in gathering information to assist in the day to day operations of the department. • Receive incoming calls
Quality Care Partners, Inc.
Director of Finance
JOB TITLE: Director of Finance (Exempt) POSITION SUMMARY: Reporting to the Chief Executive Officer (CEO), the Director of Finance will be responsible for the overall planning, direction and operation of the financial services of the corporation. Duties include but are not limited to directing all accounting, financial reporting, asset control and disbursement processing functions in addition to coordinating the preparation of all financial statements. RESPONSIBILITIES: * Direct financial operations
Quality Care Partners, Inc.
LPN - Utilization & Disease Management
Role expectations for Utilization Management Nurse includes assessing, organizing, implementing and evaluating the care and utilization across the continuum, to enhance quality patient care while simultaneously promoting cost effective resource utilization. This role performs utilization management, discharge planning, and screens for case management referrals. The Nurse assesses the needs of patients/clients and their significant others, while being aware of outcomes, costs, and processes. The nurse
Quality Care Partners, Inc.
