WelbeHealth

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for WelbeHealth. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. At WelbeHealth, we serve our communities' most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. The VP, Federal Government Affairs is accountable for developing and implementing bold federal advocacy strategies by directing contracted lobbyists and other consultants to advance the WelbeHealth PACE mission. The strategies will include cultivating effective relationships...

At WelbeHealth, we serve our communities' most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. The VP, Federal Government Affairs is accountable for developing and implementing bold federal advocacy strategies by directing contracted lobbyists and other consultants to advance the WelbeHealth PACE mission. The strategies will include cultivating effective relationships with regulators, elected officials, member associations, and other relevant key stakeholders. In addition, this role will proactively influence, initiate, monitor, and track policy changes relevant to WelbeHealth. This role is different because the VP, Federal Government Affairs at WelbeHealth: Directly shapes the future of the PACE model at the federal level, partnering with CMS and policymakers to influence regulations that determine how care is delivered to our most vulnerable seniors,...

At WelbeHealth, we serve our communities' most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. The VP, Product Transformation is accountable for leading the prioritization and effectuation of transformative improvements in the experience that participants, team members, and meaningful stakeholders have when interacting with us in alignment with the company's strategic and operational goals. Success is measured by the degree to which transformation efforts bring about the intended improvement in KPIs outlined in their approved business cases. There is no restriction on functional areas for transformation efforts, but most are anticipated to occur at the intersection of participant-facing operational, clinical, and technical domains where there is opportunity for material impact on meeting strategic and operating plan goals. Similarly, the role has no restriction on...

At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population while serving as a care provider and care plan to those individuals we serve. Our Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or company policies and procedures. Essential Job Duties: Review processed claims for accuracy prior to payment while maintaining acceptable levels of claim's aged inventory by verifying various aspects of the system and claim Complete and maintain detailed documentation of audit findings which include decision methodology, system or processing errors, and monetary discrepancies Move claims free of processing errors through for full adjudication and...

At WelbeHealth, we serve our communities' most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. The VP, Federal Government Affairs is accountable for developing and implementing bold federal advocacy strategies by directing contracted lobbyists and other consultants to advance the WelbeHealth PACE mission. The strategies will include cultivating effective relationships with regulators, elected officials, member associations, and other relevant key stakeholders. In addition, this role will proactively influence, initiate, monitor, and track policy changes relevant to WelbeHealth. This role is different because the VP, Federal Government Affairs at WelbeHealth: Directly shapes the future of the PACE model at the federal level, partnering with CMS and policymakers to influence regulations that determine how care is delivered to our most vulnerable seniors,...

WelbeHealth PACE helps seniors stay in their homes and communities by providing medical care and community-based services. We believe in going the extra mile and aim to make a genuine difference in our participants' lives. Under the supervision of the Quality Operations Director (QOD), the Quality Operations Specialist is accountable for the maintenance and oversight of the WelbeHealth Quality Operations (QO) program. This role monitors staff compliance with state and federal regulations and WelbeHealth policies and procedures, as well as coordinates WelbeHealth audits Essential Job Duties: Collaborate with the QOD on the development of Quality Improvement (QI) Program initiatives and priorities Serve as a primary resource for QO Coordinators to ensure accurate application of quality policies and procedures Coordinate messaging for the QO team, including maintenance of email inboxes and other communication platforms Collect, analyze, and generate...

At WelbeHealth, we serve our communities' most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. The VP, Federal Government Affairs is accountable for developing and implementing bold federal advocacy strategies by directing contracted lobbyists and other consultants to advance the WelbeHealth PACE mission. The strategies will include cultivating effective relationships with regulators, elected officials, member associations, and other relevant key stakeholders. In addition, this role will proactively influence, initiate, monitor, and track policy changes relevant to WelbeHealth. This role is different because the VP, Federal Government Affairs at WelbeHealth: Directly shapes the future of the PACE model at the federal level, partnering with CMS and policymakers to influence regulations that determine how care is delivered to our most vulnerable seniors,...

At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population while serving as a care provider and care plan to those individuals we serve. Our Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or company policies and procedures. Essential Job Duties: Review processed claims for accuracy prior to payment while maintaining acceptable levels of claim's aged inventory by verifying various aspects of the system and claim Complete and maintain detailed documentation of audit findings which include decision methodology, system or processing errors, and monetary discrepancies Move claims free of processing errors through for full adjudication and...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for WelbeHealth. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. At WelbeHealth, we serve our communities' most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. The Senior Manager, Strategic Initiatives will support the organization's highest-priority projects, identifying and implementing opportunities that drive substantial ROI. Reporting to the Senior Director, Strategic Initiatives and collaborating with the executive team, this...

WelbeHealth PACE helps seniors stay in their homes and communities by providing medical care and community-based services. We believe in going the extra mile and aim to make a genuine difference in our participants' lives. Under the supervision of the Quality Operations Director (QOD), the Quality Operations Specialist is accountable for the maintenance and oversight of the WelbeHealth Quality Operations (QO) program. This role monitors staff compliance with state and federal regulations and WelbeHealth policies and procedures, as well as coordinates WelbeHealth audits Essential Job Duties: Collaborate with the QOD on the development of Quality Improvement (QI) Program initiatives and priorities Serve as a primary resource for QO Coordinators to ensure accurate application of quality policies and procedures Coordinate messaging for the QO team, including maintenance of email inboxes and other communication platforms Collect, analyze, and generate...

At WelbeHealth, we serve our communities' most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. The VP, Product Transformation is accountable for leading the prioritization and effectuation of transformative improvements in the experience that participants, team members, and meaningful stakeholders have when interacting with us in alignment with the company's strategic and operational goals. Success is measured by the degree to which transformation efforts bring about the intended improvement in KPIs outlined in their approved business cases. There is no restriction on functional areas for transformation efforts, but most are anticipated to occur at the intersection of participant-facing operational, clinical, and technical domains where there is opportunity for material impact on meeting strategic and operating plan goals. Similarly, the role has no restriction on...

WelbeHealth PACE helps seniors stay in their homes and communities by providing medical care and community-based services. We believe in going the extra mile and aim to make a genuine difference in our participants' lives. Under the supervision of the Quality Operations Director (QOD), the Quality Operations Specialist is accountable for the maintenance and oversight of the WelbeHealth Quality Operations (QO) program. This role monitors staff compliance with state and federal regulations and WelbeHealth policies and procedures, as well as coordinates WelbeHealth audits Essential Job Duties: Collaborate with the QOD on the development of Quality Improvement (QI) Program initiatives and priorities Serve as a primary resource for QO Coordinators to ensure accurate application of quality policies and procedures Coordinate messaging for the QO team, including maintenance of email inboxes and other communication platforms Collect, analyze, and generate...

At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population while serving as a care provider and care plan to those individuals we serve. Our Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or company policies and procedures. Essential Job Duties: Review processed claims for accuracy prior to payment while maintaining acceptable levels of claim's aged inventory by verifying various aspects of the system and claim Complete and maintain detailed documentation of audit findings which include decision methodology, system or processing errors, and monetary discrepancies Move claims free of processing errors through for full adjudication and...

At WelbeHealth, we serve our communities' most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. The VP, Federal Government Affairs is accountable for developing and implementing bold federal advocacy strategies by directing contracted lobbyists and other consultants to advance the WelbeHealth PACE mission. The strategies will include cultivating effective relationships with regulators, elected officials, member associations, and other relevant key stakeholders. In addition, this role will proactively influence, initiate, monitor, and track policy changes relevant to WelbeHealth. This role is different because the VP, Federal Government Affairs at WelbeHealth: Directly shapes the future of the PACE model at the federal level, partnering with CMS and policymakers to influence regulations that determine how care is delivered to our most vulnerable seniors,...

At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population while serving as a care provider and care plan to those individuals we serve. Our Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or company policies and procedures. Essential Job Duties: Review processed claims for accuracy prior to payment while maintaining acceptable levels of claim's aged inventory by verifying various aspects of the system and claim Complete and maintain detailed documentation of audit findings which include decision methodology, system or processing errors, and monetary discrepancies Move claims free of processing errors through for full adjudication and...

At WelbeHealth, we serve our communities' most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. The VP, Product Transformation is accountable for leading the prioritization and effectuation of transformative improvements in the experience that participants, team members, and meaningful stakeholders have when interacting with us in alignment with the company's strategic and operational goals. Success is measured by the degree to which transformation efforts bring about the intended improvement in KPIs outlined in their approved business cases. There is no restriction on functional areas for transformation efforts, but most are anticipated to occur at the intersection of participant-facing operational, clinical, and technical domains where there is opportunity for material impact on meeting strategic and operating plan goals. Similarly, the role has no restriction on...

At WelbeHealth, we serve our communities' most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. The VP, Product Transformation is accountable for leading the prioritization and effectuation of transformative improvements in the experience that participants, team members, and meaningful stakeholders have when interacting with us in alignment with the company's strategic and operational goals. Success is measured by the degree to which transformation efforts bring about the intended improvement in KPIs outlined in their approved business cases. There is no restriction on functional areas for transformation efforts, but most are anticipated to occur at the intersection of participant-facing operational, clinical, and technical domains where there is opportunity for material impact on meeting strategic and operating plan goals. Similarly, the role has no restriction on...

At WelbeHealth, we serve our communities' most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. The VP, Federal Government Affairs is accountable for developing and implementing bold federal advocacy strategies by directing contracted lobbyists and other consultants to advance the WelbeHealth PACE mission. The strategies will include cultivating effective relationships with regulators, elected officials, member associations, and other relevant key stakeholders. In addition, this role will proactively influence, initiate, monitor, and track policy changes relevant to WelbeHealth. This role is different because the VP, Federal Government Affairs at WelbeHealth: Directly shapes the future of the PACE model at the federal level, partnering with CMS and policymakers to influence regulations that determine how care is delivered to our most vulnerable seniors,...

At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population while serving as a care provider and care plan to those individuals we serve. Our Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or company policies and procedures. Essential Job Duties: Review processed claims for accuracy prior to payment while maintaining acceptable levels of claim's aged inventory by verifying various aspects of the system and claim Complete and maintain detailed documentation of audit findings which include decision methodology, system or processing errors, and monetary discrepancies Move claims free of processing errors through for full adjudication and...

WelbeHealth PACE helps seniors stay in their homes and communities by providing medical care and community-based services. We believe in going the extra mile and aim to make a genuine difference in our participants' lives. Under the supervision of the Quality Operations Director (QOD), the Quality Operations Specialist is accountable for the maintenance and oversight of the WelbeHealth Quality Operations (QO) program. This role monitors staff compliance with state and federal regulations and WelbeHealth policies and procedures, as well as coordinates WelbeHealth audits Essential Job Duties: Collaborate with the QOD on the development of Quality Improvement (QI) Program initiatives and priorities Serve as a primary resource for QO Coordinators to ensure accurate application of quality policies and procedures Coordinate messaging for the QO team, including maintenance of email inboxes and other communication platforms Collect, analyze, and generate...

At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population while serving as a care provider and care plan to those individuals we serve. Our Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or company policies and procedures. Essential Job Duties: Review processed claims for accuracy prior to payment while maintaining acceptable levels of claim's aged inventory by verifying various aspects of the system and claim Complete and maintain detailed documentation of audit findings which include decision methodology, system or processing errors, and monetary discrepancies Move claims free of processing errors through for full adjudication and...

At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population while serving as a care provider and care plan to those individuals we serve. Our Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or company policies and procedures. Essential Job Duties: Review processed claims for accuracy prior to payment while maintaining acceptable levels of claim's aged inventory by verifying various aspects of the system and claim Complete and maintain detailed documentation of audit findings which include decision methodology, system or processing errors, and monetary discrepancies Move claims free of processing errors through for full adjudication and...

At WelbeHealth, we serve our communities' most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. The VP, Product Transformation is accountable for leading the prioritization and effectuation of transformative improvements in the experience that participants, team members, and meaningful stakeholders have when interacting with us in alignment with the company's strategic and operational goals. Success is measured by the degree to which transformation efforts bring about the intended improvement in KPIs outlined in their approved business cases. There is no restriction on functional areas for transformation efforts, but most are anticipated to occur at the intersection of participant-facing operational, clinical, and technical domains where there is opportunity for material impact on meeting strategic and operating plan goals. Similarly, the role has no restriction on...

At WelbeHealth, we serve our communities' most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. The VP, Product Transformation is accountable for leading the prioritization and effectuation of transformative improvements in the experience that participants, team members, and meaningful stakeholders have when interacting with us in alignment with the company's strategic and operational goals. Success is measured by the degree to which transformation efforts bring about the intended improvement in KPIs outlined in their approved business cases. There is no restriction on functional areas for transformation efforts, but most are anticipated to occur at the intersection of participant-facing operational, clinical, and technical domains where there is opportunity for material impact on meeting strategic and operating plan goals. Similarly, the role has no restriction on...