Build multi channel automated and batched campaigns in Salesforce Marketing Cloud Journeys that deliver on campaign objectives Manager campaign production schedule in Asana, and ensure launch deadlines are met and communicated internally Conduct routine reporting on assigned email campaigns to ensure optimal performance Design marketing experiments and employ A/B testing

Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Com

Secure, track and review records via multiple media Identify program specific documents within member's records Submit coverage checks and claims to Allstate on members behalf Use clinical judgement to prepare records for external review Use clinical judgement to triage patients for program candidacy Make appropriate referrals into various programs in a timely manner Act

Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e., benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits (EOBs) Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems Own problem

Provide quality reporting and analytics to support the end to end Super Hero program Partner with the program director to determine the nomination and selection strategy and gain key stakeholder support. Identify process improvements and develop solutions to streamline and scale the nomination and selection process Lead the nomination and selection process including Devel

Manage overall delivery of benefits and services by providing support and guidance to existing and potential customers to ensure continued membership Provide expertise and customer service support to members, customers, and / or providers Identify and resolves operational problems using defined processes, expertise, and judgment Investigate claim and / or customer service

Graphic Design Develop compelling static graphics, infographics, and other visual content that meet business goals across print materials and digital channels Motion Design Utilize your exceptional storytelling abilities to conceptualize and develop narrative driven short and long form videos for a variety of digital platforms including web, social media, and internal com

Successfully develop, define, and implement a prospecting strategy and sales approach for assigned targets that delivers desired sales outcomes, working directly with prospective employer clients Achieve new business sales membership goals on an annual basis Develop trusted relationships with a targeted set of prospective clients in the National Accounts space. These pros

of Job To lead a team of case managers, while overseeing day to day clinical operations and participating in business development activities. The person in this position will manage a program or region, including performance management, process improvement, and standardized execution of clinical decision processes, case manager team management and implementation of new pro

Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Com

As an Enrollment Eligibility Representative your daily responsibilities would be researching errors by comparing enrollment error reports against system information along with CMS (Center for Medicare and Medicaid Services) records Sending correspondence to members or CMS (Center for Medicare and Medicaid Services) to gather information or provide updates for corrections.

Receive assigned provider inquiries and perform a code review on both professional and facility claims Make determinations on cases after a coding review is complete Review various edits on cases and complete audit of medical records received to ensure proper editing is applied Review medical charts electronically Abstract and code diagnosis and procedures from the medica

Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medicati

Own the service experience of customers at the field level by working with the assigned team and other matrix partners as required to ensure issues are resolved promptly and accurately meeting the customer's expectations Develop and maintain strong relationships with internal partners throughout UHG to manage the customer service experience Fully accountable for supportin

Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations Document clinical review findings, actions and outcomes in accordance with policies, and regulatory and accreditation requirements Engage with requesting providers as needed in peer to peer discussions Be knowledgeable in