Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to support the advancement, and with ...
Mycenters
17 Mycenters Jobs Hiring Near You
Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to support the advancement, and with ...
JOB SUMMARY: The Licensed Benefits Advisor- Medicare Sales, maintains relationships, services our existing customers and secures new customers by consultative selling/marketing and performing all ...
JOB SUMMARY: The Licensed Benefits Advisor- Medicare Sales, maintains relationships, services our existing customers and secures new customers by consultative selling/marketing and performing all ...
UM Care Coordinator
$19.50 - $26.50/hr
JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to assist with the care of members enrolled in our Managed Long Term Care program and facilitate ...
UM Care Coordinator
$19.50 - $26.50/hr
JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to assist with the care of members enrolled in our Managed Long Term Care program and facilitate ...
Outreach and Retention Associate
$42K - $49K/yr
Outreach and Retention Associate (ORA)-Medicare Advantage CPHL is a Medicare Advantage Prescription Drug plan serving Medicare eligible beneficiaries living in the 5 boroughs of New York City, Erie ...
Outreach and Retention Associate
$42K - $49K/yr
Outreach and Retention Associate (ORA)-Medicare Advantage CPHL is a Medicare Advantage Prescription Drug plan serving Medicare eligible beneficiaries living in the 5 boroughs of New York City, Erie ...
JOB SUMMARY: The Training Coordinator works directly with Trainer/Auditors and reports to the Director of Training and Development. The primary objective is to provide overall support to the Training ...
JOB SUMMARY: The Training Coordinator works directly with Trainer/Auditors and reports to the Director of Training and Development. The primary objective is to provide overall support to the Training ...
Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to support the advancement, and with ...
Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to support the advancement, and with ...
Licensed Benefits Advisor (Field Based)
$63K - $79K/yr
JOB SUMMARY : The Licensed Benefits Advisor- Medicare Sales, Maintains relationships, services our existing customers and secures new customers by consultative selling/marketing and performing all ...
Licensed Benefits Advisor (Field Based)
$63K - $79K/yr
JOB SUMMARY : The Licensed Benefits Advisor- Medicare Sales, Maintains relationships, services our existing customers and secures new customers by consultative selling/marketing and performing all ...
JOB SUMMARY: The Field Coordinator is an essential team member of Centers Plan for Healthy Living's Care Management department and assists with the care of all members enrolled in CPHL's managed care ...
JOB SUMMARY: The Field Coordinator is an essential team member of Centers Plan for Healthy Living's Care Management department and assists with the care of all members enrolled in CPHL's managed care ...
Home Care Relations Liaison
$59K - $78K/yr
JOB SUMMARY: The Home Care Relations Liaison position is responsible for working with internal departments and external providers regarding existing members request for provider change. This position ...
Home Care Relations Liaison
$59K - $78K/yr
JOB SUMMARY: The Home Care Relations Liaison position is responsible for working with internal departments and external providers regarding existing members request for provider change. This position ...
JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business, maintains relationships, services our existing customers and secures new customers by consultative ...
JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business, maintains relationships, services our existing customers and secures new customers by consultative ...
JOB SUMMARY: The Intake RN is responsible for conducting UAS-NY assessments, determining when individuals are appropriate for membership and developing plans of cares for prospective CPHL members.
JOB SUMMARY: The Intake RN is responsible for conducting UAS-NY assessments, determining when individuals are appropriate for membership and developing plans of cares for prospective CPHL members.
One of the fastest growing Managed Long-Term Care company in New York, Centers Plan For Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The ...
One of the fastest growing Managed Long-Term Care company in New York, Centers Plan For Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The ...
JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to assist with the care of members enrolled in our Managed Long Term Care program and facilitate ...
JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to assist with the care of members enrolled in our Managed Long Term Care program and facilitate ...
JOB SUMMARY: The objective is to ensure ongoing compliance, provide support and training by monitoring the field staff on a monthly basis. The Trainer/Auditor will provide oversight of the field ...
JOB SUMMARY: The objective is to ensure ongoing compliance, provide support and training by monitoring the field staff on a monthly basis. The Trainer/Auditor will provide oversight of the field ...
UAS Coordinator
$20.25 - $27.25/hr
JOB SUMMARY: The Care Coordinator works within a multidisciplinary care team to help assist with the care of members enrolled in CPHL Managed Long Term Care program and other LOBs to facilitate ...
UAS Coordinator
$20.25 - $27.25/hr
JOB SUMMARY: The Care Coordinator works within a multidisciplinary care team to help assist with the care of members enrolled in CPHL Managed Long Term Care program and other LOBs to facilitate ...
UAS Coordinator
$19.50 - $26.50/hr
JOB SUMMARY: The Care Coordinator works within a multidisciplinary care team to help assist with the care of members enrolled in CPHL Managed Long Term Care program and other LOBs to facilitate ...
UAS Coordinator
$19.50 - $26.50/hr
JOB SUMMARY: The Care Coordinator works within a multidisciplinary care team to help assist with the care of members enrolled in CPHL Managed Long Term Care program and other LOBs to facilitate ...
Vice President of Financial Planning Analysis
Charlotte, NC · On-site
$150 - $200/hr
Vice President of Financial Planning & Analysis (FP&A) Charlotte, NC, US 5 days ago Requisition ID: 2545 Position Summary The Vice President of Financial Planning & Analysis (FP&A) is responsible for ...
New
Vice President of Financial Planning Analysis
Charlotte, NC · On-site
$150 - $200/hr
Vice President of Financial Planning & Analysis (FP&A) Charlotte, NC, US 5 days ago Requisition ID: 2545 Position Summary The Vice President of Financial Planning & Analysis (FP&A) is responsible for ...
New
Full-time
Re-posted 13 days ago
Job description
Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to support the advancement, and with opportunities for cross-training and education, CPHL is the place for a fulfilling long-term career.
Â
Position Details:
- Professionally handle incoming inquiries via telephone, email or fax from providers (i.e. physician offices, clinics, social day cares, home care agencies, DME suppliers) regarding claim decision and payments across all Centers Plan for Healthy Living (CPHL) product offerings.
- Thoroughly and efficiently gather claim information, assess and fulfill the caller’s needs and educate the caller where applicable regarding claim submission procedures.
- Focus on resolving issues on the first call; navigate through the appropriate computer system(s) to identify the current status of the issue.Â
- Adjust claim(s) as warranted based on discussion and review of the provider’s issue.
- Deliver all information and questions in a positive, conversational and compassionate manner to facilitate developing a relationship with the provider, while providing the best customer service experience possible
- Warm transfer calls to other business units for further resolution of the callers issue while adhering to CPHLs policies.
- Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends
- Prepares correspondence, maintains phone and contact logs, and documents call details as appropriate.
- Meet or exceed the performance goals established for the position in the areas of: efficiency, call quality, provider satisfaction, first call resolution and attendance
- Continuously evaluate and identify opportunities to drive process improvements that positively impact providers.
- Maintains strong knowledge of CPHL products and the applicable state and federal regulations.
Education and Experience:
- HS Diploma
- 2 years of college preferred
About us:
Centers Plan for Healthy Living (CPHL), is a Managed Care Organization servicing members with Medicare and/or Medicaid. Â Our goal is to provide members and all those involved in their care with the guidance and health plan choices they need for healthy living. CPHL is committed to providing quality, coordinated health care to some of the most honored and yet still vulnerable members of our community.
Â
Centers Plan for Healthy Living (CPHL) appreciates its team members and all that they bring to the table. We prize collaboration and mutual respect, have high ethical and moral standards, and always seek to provide the highest level of customer care to all of our customers (members, providers, vendors and fellow team members). If you’re looking for a growing company that will listen to what you have to say, and provide you with opportunities to affect change, CPHL is the place for you!