The Enrollment Coordinators play a critical role in working with our new member clients to determine eligibility and perform various enrollment activities. Enrollment Coordinators interface with both individual plan members and employer group and require a strong focus around accurate and timely customer support to ensure client enrollment and retention. The Enrollment Coordinator III reports directly to the Enrollment Supervisor, also functioning as SME (Subject Matter Expert) in the functions, processes, and eligibility procedures as they relate to Medicare Part D enrollment and CMS (Center for Medicare/Medicaid Services) Standards.

This position supports the credentialing compliance monitoring program activities, auditing, data collection, trend analysis, meeting timeliness and documentation requirements for delegated payer deliverables, NCQA, TJC, CMS, Medicaid and State-Specific audits and inquiries daily.

Assists in the management of healthcare quality efforts by participating in quality data analysis, quality improvement projects, and regulatory compliance activities. Collaborates with the healthcare quality team to develop and implement quality measures, monitors performance metrics, and identifies areas for enhancement.

We are seeking a Registered Nurse - Labor and Delivery who has at least 1 year of experience in the same specialty and has some hospital experience

A Registered Nurse (RN) assesses patient conditions, plans and delivers comprehensive care by administering medications, monitoring vital signs, providing emotional support, and collaborating with healthcare teams to promote patient health and recovery; requiring a nursing degree and state license to practice

A Registered Nurse (RN) assesses patient conditions, plans and delivers comprehensive care by administering medications, monitoring vital signs, providing emotional support, and collaborating with healthcare teams to promote patient health and recovery; requiring a nursing degree and state license to practice