Careers

Grievance Analyst - Irvine, CA

07/09/2014

Summary

The Grievance Analyst I will be responsible for intake of all member, provider and Health Plan Partner grievances and appeals.  In addition, the Grievance Analyst I will investigate and resolve certain member, provider and Health Plan Partner grievances and appeals.

Eligibility Specialist - Irvine, CA

07/09/2014

Summary

The Eligibility Specialist is responsible for updating the membership database, creating spreadsheets, and conducting data analysis. 

Data Entry Clerk - Las Vegas, NV & Tampa, FL

07/09/2014

Summary

Responsible for entering data from hard copy to KFI (key from image) and verifying provider or member information on EDI (Electronic Data Interchange) claim submissions.

 

Quality Assurance Analyst - Irvine, CA

07/09/2014

Summary: 

This position will evaluate all call center and referral employees to ensure they are delivering the highest level of service to the customer and will act as a change agent to improve the quality of the customer service provided. This will be accomplished by conducting quality reviews and audits to identify strengths and deficiencies, ensuring call accuracy, regulatory compliance, and overall superior customer service.  All results will be recorded using the call quality program guidelines and quality monitoring system. Responsible for creating, updating and maintaining dashboards as required.  This position will develop and produce statistical reports, identify weaknesses in procedures or processes and identify training needs. At a minimum, each employee will be evaluated ten times each month.  Specific client requirements will be accommodated as appropriate.

Provider Relations Representative - Greater Chicago Area

07/09/2014

Summary

Individual will be responsible for developing strong provider network, recruiting and retaining network providers, training and educating providers to ensure compliance with LIBERTY’s policies and procedures. In need of a dedicated Network Manager with Medicaid experience and knowledge of programs in Illinois.