Member Services Responsible for oversight Degree or 5 Des Moines, Bachelor’s Manager of member services equivalent relevant work IA functions including experience (Manager, Member helpline telephone Services and Relations) Experience with social performance, e-mail service-type activities communications, member preferably "grass roots" education, the member efforts website, member outreach programs, and development, approval and distribution of member materials. Provider Services Manages multiple vendor Call center and/or 5 Tampa, FL Manager partners for provider managed healthcare service performance from operations experience initial launch of services Vendors management through day-to-day experience across interactions. Accountable multiple markets and for management standards geographies and financial Proven process responsibility. improvement and project management experience Comprehensive knowledge of Medicare/ Medicaid government programs Information Systems Serves as the chief liaison Experience in Health 3 Des Moines, Manager for corporate operations to Plan Operations IA the state president. Serves (Director, State Experience in IT as an ambassador/liaison Information Technology management or Systems for WellCare with various and Operations) A Bachelor's Degree in a state agencies. Acts as a related field or equivalent liaison for Regulatory work experience issues surrounding any Operations area, including Claims, Call Center, Enrollment, etc. Claims Administrator Responsible for the Degree or 10 Tampa, FL Bachelor’s strategic direction, equivalent work (Senior Director, Claims) department leadership and experience in claims the processing activities of administration or related the claims department in field support of established Managed care claims production and quality processing management standards. experience
Member Services Manager (Manager, Member Services and Relations) Responsible for oversight of member services functions including helpline telephone performance, e-mail communications, member education, the member website, member outreach programs, and development, approval and distribution of member materials. Bachelor’s Degree or equivalent relevant work experience Experience with social service-type activities preferably "grass roots" efforts 5 Des Moines, IA Provider Services Manager Manages multiple vendor partners for provider service performance from initial launch of services through day-to-day interactions. Accountable for management standards and financial responsibility. Call center and/or managed healthcare operations experience Vendors management experience across multiple markets and geographies Proven process improvement and project management experience Comprehensive knowledge of Medicare/ Medicaid government programs 5 Tampa, FL Information Systems Manager (Director, State Information Technology and Operations) Serves as the chief liaison for corporate operations to the state president. Serves as an ambassador/liaison for WellCare with various state agencies. Acts as a liaison for Regulatory issues surrounding any Operations area, including Claims, Call Center, Enrollment, etc. Experience in Health Plan Operations Experience in IT management or Systems A Bachelor's Degree in a related field or equivalent work experience 3 Des Moines, IA Claims Administrator (Senior Director, Claims) Responsible for the strategic direction, department leadership and the processing activities of the claims department in support of established production and quality standards. Bachelor’s Degree or equivalent work experience in claims administration or related field Managed care claims processing management experience 10 Tampa, FL
3.%20WellCare_of_Iowa_Bid%20Proposal_Tab%204%20and%20Tab%205.docx