Care Model Advisor Jobs

Become a part of our caring community The Medical Assistant 2 is the first point of contact for patient care. Responsible for administrative responsibilities in addition to patient care. The Medical Assistant 2 performs varied activities and moderately complex administrative, operational, and customer support assignments. Typically work on semi-routine assignments. The Medical Assistant 2 performs clinical duties such as discussing symptoms, obtaining vital signs, medication/vaccine administration, phlebotomy, collecting specimens, performing diagnostic screening tests, sterilizing/cleaning equipment, maintaining examination rooms, and documenting information into the electronic medical records system. Collaborate with Physicians and Advanced Practice Providers. Deliver direct patient care dependent on what active certification allows. Decisions typically focus on interpretation of area/department policy and methods for completing assignments. Work within defined parameters to identify work expectations and quality standards, but has latitude over prioritization/timing, and works under minimal direction. Follow standard procedures that allow opportunity for interpretation/deviation or independent discretion. Use your skills to make an impact Required Successful completion of MA school/training program or a Certified/Registered Medical Assistant or 5+ years of experience and approval from Provider High school diploma or equivalent CPR Certified This role is considered patient facing and is part of the company's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB Bilingual proficiency in English and Spanish - must pass proficiency exam prior to foreign language communication Preferred Certified o

... Address: Health Care Global Enterprises Limited HCG Towers, #8, P. Kalinga Rao Road, Sampangi Ram Nagar, Bangalore - 560027 Facility: HEALTHCARE GLOBAL HOSPITAL - B'LORE FS Qualification: 8th Experience: 1 - 2 years Source: Sodexo India | Job Code: IJP573190

... Address: Health Care Global Enterprises Limited HCG Towers, #8, P. Kalinga Rao Road, Sampangi Ram Nagar, Bangalore - 560027 Facility: HEALTHCARE GLOBAL HOSPITAL - B'LORE FS Qualification: Graduate Experience: 10 - 12 years Source: Sodexo India | Job Code: IJP541201

Become a part of our caring community The Dental Recontracting Professional initiates, negotiates, and executes dental provider contracts and agreements for an organization that provides dental insurance. The Provider Contracting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This is a VSP role - work specific hours to meet business needs on a limited term basis. The project is expected to go through mid-2027. The Dental Recontracting Professional - VSP will recontract Humana contracted dentists to our new agreement and as needed will communicates contract terms, payment structures, and reimbursement rates to providers. Maintains contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures and work special projects as needed. This role is Variable Staffing Pool (VSP), Variable Staffing Pool Humana associates work specific hours to meet business needs on a limited term basis. The project is expected to go through mid-2027. This role is also eligible for limited benefits. Use your skills to make an impact Required Qualifications 2 - 5 years of experience negotiating managed care contracts with physician, hospital and/or other provider contracts and/or working with insurance in a dental office Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures a

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Account Manager is responsible for managing and supporting an assigned segment of one of Aetna International's largest and most complex global client relationships. This role serves as the primary point of contact for a defined group of client stakeholders within designated geographic regions, providing strategic account management, operational support, and consultative guidance to ensure a high level of service and client satisfaction. Operating within a highly customized service environment supporting globally distributed populations, the Account Manager partners closely with client contacts, internal business partners, and external vendors to resolve complex issues, drive service improvements, and execute account strategies aligned with client objectives and organizational goals. The successful candidate will balance strategic relationship management with day-to-day operational support, while navigating complex healthcare and administrative challenges across multiple regions, cultures, and time zones. Key Responsibilities Serve as the primary account management contact for assigned client stakeholders within designated geographic regions, building trusted relationships and ensuring a high level of client satisfaction. Provide proactive account management support aligned with client objectives,

This role is responsible for developing and implementing an Health care and wellness plans, managing medical surveillance for employees, and operating the plant’s medical facilities. The role is pivotal for responding to medical emergencies, overseeing wellness and preventive care programs, and maintaining confidential medical records of employees. Source: Adani Group | Job ID: 58748

Become a part of our caring community The Care Coaching Assistant 2 (Transition Coordination Support Staff) employs a variety of strategies and techniques to support a member's wellness state by coordinating services and resources. The Care Coaching Assistant may support multiple responsibilities including Transitions. You/applicant/employee typically focuses decisions on interpretation of area/department policy and methods for completing assignments. Work within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works. Follow standard practices that allow for some opportunity for interpretation/deviation or independent. Position Responsibilities: Contribute to administration of care coordination, for transitions and custodial prevention teams. Provide non-clinical support to the assessment and evaluation of members' needs and requirements. This support helps achieve and/or maintain an optimal wellness state by guiding members/families toward resources appropriate for their care and wellbeing. Additionally, it facilitates interaction with these resources. Perform varied activities and moderately complex administrative/operational/customer support assignments. Perform computations. Typically work on semi-routine assignments. Use your skills to make an impact Required Qualifications Less than 3 years of technical experience Must reside in the State of Indiana Proficiency in Microsoft Word, Excel and Outlook Excellent verbal and written communication skills Must Reside in the State of Indiana Preferred Qualifications Clerical support background in a healthcare environment Associate or Bachelor's Degree </

This role is responsible for developing and implementing an Health care and wellness plans, managing medical surveillance for employees, and operating the plant’s medical facilities. The role is pivotal for responding to medical emergencies, overseeing wellness and preventive care programs, and maintaining confidential medical records of employees. Source: Adani Group | Job ID: 52972

This role is responsible for developing and implementing an Health care and wellness plans, managing medical surveillance for employees, and operating the plant’s medical facilities. The role is pivotal for responding to medical emergencies, overseeing wellness and preventive care programs, and maintaining confidential medical records of employees. Source: Adani Group | Job ID: 50654

This role is responsible for developing and implementing an Health care and wellness plans, managing medical surveillance for employees, and operating the plant’s medical facilities. The role is pivotal for responding to medical emergencies, overseeing wellness and preventive care programs, and maintaining confidential medical records of employees. Source: Adani Group | Job ID: 55843

Become a part of our caring community The Transition Coordinator (Care Coach 2) evaluates member's needs and requirements. This evaluation aims to achieve and/or maintain an optimal wellness state. The Coordinator does this by guiding members/families toward resources and facilitating interaction with them. These resources are appropriate for the care and wellbeing of members. The Care Coach 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Position Responsibilities: Support the ongoing member transitions in and out of the Indiana Medicaid programs, the Contractor's enrollment, and among care settings. Complete transitions and assists with the planning and preparation for them, and the follow-up care after. Works with the Member Advocate Coordinator and other member-focused departments of the plan. This collaboration ensures continuity and coordination of care and member and provider communication through the initial transition, ongoing benefit plan, and MCE transfers. Ensure the transfer and receipt of all outstanding prior authorization decisions, utilization management data, and clinical information such as prevention and wellness programs(s), care management and complex case management notes. Help with transitions from the custodial setting to the home and community-based setting. We ask that you have telephonic and in-person meetings within an assigned region. The purpose of these meetings is to work with various stakeholders, including long-term care members, hospital/rehab staff discharge planners, family members/POA's, PCP's, and other healthcare professionals. The ultimate goal is to prevent custodial placements whenever possible. Assess and evaluate member's needs to establish a member specific car

Role Summary The AI Knowledge Analyst is a member of the Customer Care and Managed Services team, responsible for ensuring the knowledge ecosystems that power GHX's operations and AI platforms are accurate, well-governed, and continuously improving. This role works closely with leadership, SMEs, data scientists, and operational teams to identify content gaps, manage knowledge lifecycles, and translate business needs into structured, AI-ready information assets. The AI Knowledge Analyst is equally comfortable working through a detailed content audit and presenting a structured recommendation to leadership. Strong organizational skills, clear communication, and a bias for action are required. This is a role for someone who treats knowledge gaps as solvable problems and can move from gap identification to resolution with minimal direction. Core Focus Areas Knowledge Governance & Lifecycle Management Maintain, organize, and govern the knowledge assets that support Customer Care and Managed Services teams. This includes managing intake, triage, and routing of knowledge requests; driving SME review cycles; and ensuring content is accurate, current, and ready for both human use and AI ingestion. AI Knowledge Readiness Identify, structure, and groom content that feeds GHX's AI platform. Partner with AI and data teams to ensure knowledge assets are formatted, accurate, and optimized for ingestion. Monitor AI solution performance and drive content improvements that translate into measurable efficiency gains. Roles & Responsibilities Knowledge Management & Content Quality Manage the intake, triage, and routing of knowledge-related requests from operational teams. Maintain content lifecycle through SME review checkpoints — flagging material for update, review, or archival on a consistent cadence. Identify obsolete, duplicate, or conflicting content and drive resolution through appropriate stakeholders. Conduct knowledge audits and implement improvement c

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary: This is an individual contributor role. As part of the bold vision to deliver the “Next Generation” of managed care in Ohio Medicaid, Ohio RISE will help struggling children and their families by focusing on the individual with strong coordination and partnership among MCOs, vendors, and ODM to support specialization in addressing critical needs. The OhioRISE Program is designed to provide comprehensive and highly coordinated behavioral health services for children with serious/complex behavioral health needs involved in, or at risk for involvement in, multiple child-serving systems. This position assesses overall network composition and potential provider partners in order to identify and service partnerships that will advance and differentiate the OhioRISE Network. This executes, services and may negotiate contracts with local market providers in accordance with company and program standards to enhance provider networks and exceed accessibility, quality, and financial goals and cost initiatives. Key Responsibilities: Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships and partners in the development of business strategy and programs to support the operational plans. Collaborates cross-functionally to ensure resolution of escalated issues or

Become a part of our caring community The Field Service Coordinator (Care Coach 1) assesses and evaluates member's needs and requirements. This is done to achieve and/or maintain optimal wellness state by guiding members/families toward resources appropriate for their care and wellbeing. The Service Coordinator work assignments are often straightforward and of moderate complexity. Your role will involve meeting members in their location, spending quality time assessing their needs and barriers and then connecting our members with quality services to promote their ultimate well-being and guide health outcomes. Responsibilities include: Administer ongoing long-term services and support (LTSS) related assessments through person-centered thinking approaches. Contacts members both telephonically and/or in-person to establish goals and priorities. This involves evaluating resources, developing a plan of care, and identifying LTSS providers and community partnerships. The goal is to provide a combination of services and supports that best meet the needs and goals of the member and caregiver through person-centered thinking approaches. Development and modification of Service Plan and involve applicable members of the care team in care planning (Informal caregiver coach, PCP) Support members through navigation of their LTSS and related environmental and social needs Use available information about member to prevent the need for administration of duplicative assessments. Focus on supporting members or caregivers in accessing long-term services and support, social, housing, educational and other services, regardless of funding sources to meet their needs. Assist members in maintaining Medicaid eligibility Collaborate with Medical Director/Geriatrician/Care Coordinator as deemed necessary to ensure cohesive, holist

Tooth Matters is a trusted dental clinic offering professional teeth whitening services and comprehensive dental care to help you achieve a healthy, confident smile. Our clinic combines modern dental technology with expert care to deliver safe, effective, and long-lasting results for every patient. Whether you want to enhance your smile with sparkling white teeth or need relief from dental pain through advanced root canal treatment, Tooth Matters is your go-to destination for quality dental solutions. Our teeth whitening services are designed to remove stains, discoloration, and dullness caused by coffee, tea, smoking, or aging. We use safe and dentist-approved whitening techniques that gently brighten your teeth while protecting your enamel. At Tooth Matters, we customize every whitening session to suit your individual needs, ensuring visible results in just one visit. With our expert care, you can walk out with a radiant smile that boosts your confidence. Alongside cosmetic care, we specialize in root canal treatment to save damaged or infected teeth with minimal discomfort. Our experienced dentists use advanced tools and pain-free techniques to remove infection, restore tooth function, and preserve your natural tooth structure. Tooth Matters focuses on providing gentle, precise, and efficient care, ensuring that patients feel comfortable and confident throughout their treatment process. At Tooth Matters, your oral health and comfort are our top priorities. We follow strict hygiene standards and use state-of-the-art equipment to ensure every procedure is safe and effective. Our team of skilled dentists and friendly staff are dedicated to making your dental experience smooth and stress-free. Whether you need a simple whitening session or a complex root canal treatment, Tooth Matters is committed to delivering exceptional results with a personalized approach. Experience the perfect balance of technology, care, and expertise — only at Tooth Matters, where every smile