Member Care Coordinator - Health Plan Quality & Compliance

Healthcare Support Staffing; Tampa (FL); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Competitive salary

Medical, Dental, and Vision benefits

Fun and positive work environment

Monday through Friday 8am-5pm

Job summary

A leading healthcare staffing company in Tampa, Florida is seeking a professional to ensure that member treatment plans are followed. This role requires taking inbound calls from members, processing pre-certification requests, and coordinating care with various programs. The ideal candidate should have a high school diploma, 3-5 years of experience in healthcare settings, and strong organizational and communication skills. The position offers a competitive salary and a supportive work environment.

Qualifications

• 3-5 years of related professional experience in home health or provider setting.
• Proficient in typing at least 30 WPM.
• Strong organizational and communication skills.

Responsibilities

• Ensure member treatment plans are followed.
• Process pre-certification requests from members and providers.
• Schedule appointments or enroll members in programs.
• Assess compliance with treatment plans.
• Identify barriers to compliance and coordinate resolutions.

Skills

Attention to detail

Customer service skills

Organizational skills

Communication skills

Education

HS diploma or GED

Job description

A leading healthcare staffing company in Tampa, Florida is seeking a professional to ensure that member treatment plans are followed. This role requires taking inbound calls from members, processing pre-certification requests, and coordinating care with various programs. The ideal candidate should have a high school diploma, 3-5 years of experience in healthcare settings, and strong organizational and communication skills. The position offers a competitive salary and a supportive work environment.