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QM Member Liaison

Company Name:
WellPoint-Caremore
Job Description
_WellPoint is one of the nations leading health benefits companies and a Fortune Top 50 company. At WellPoint, we are working together to transform health care with trusted and caring solutions._
_Bring your expertise to our innovative culture where you will have the opportunity to make a difference in people's lives, and to take your career further than you can imagine. _
Responsible for member retention by investigating and leading the resolution of member complaints. Serve as a liaison/mediator between member, the provider and Plan. Provide education to the member on Medicaid Managed Care and their benefits; informing and ensuring that members are aware of their rights and responsibilities, the complaint process, and health education activities available in the community. Support member outreach activities.
Job Qualifications
Required: Two-year degree in a related field or 3 - 5 years related experience. Prior experience with managed care and experience with outreach to members to include resolution of issues preferred.
Must possess a valid drivers license and required insurance and ability to work evenings and weekends as needed.
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_WellPoint is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine, and is a 2013 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at . EOE. M/F/D/V.
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Once an offer is accepted, all external applicants are subject to a background investigation and if appropriate, drug testing. Offers of employment shall be contingent upon passing both the background investigation and drug testing (if required).
Current WellPoint associates: All referrals must be submitted through the formal associate referral process on WorkNet. Official guidelines for the associate referral program can be found in My HR.
WARNING : Please beware of phishing scams that promote work-at-home opportunities and may also pose as legitimate companies. Please be advised that a WellPoint recruiter will never ask you for a credit card or any type of payment as part of consideration for a role with our company. All of our careers require that you first complete an online application on our web site.
Job Post Date: 05/27/2014
Employer: WellPoint, Inc
Benefits: WellPoint''s Benefits
Location: WI , Pewaukee
Req ID: 85165

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