ComplexCare Solutions
ComplexCare Solutions excels at delivering high-touch, high-value assessment and care management services for health plans nationwide. We are known for our successful in-home member engagement, which allows us to collect a more robust range of data, implement more personalized care plans and motivate change for desired outcomes. Our modular suite of specialized services is designed to integrate with your operations across the entire care management continuum to build a customized solution that helps you stay in compliance, receive appropriate reimbursements, lower costs and improve member satisfaction.
Our executive team members, clinicians and coders bring a wealth of experience and dedication to our shared goal of delivering the best care management solutions in the industry. With decades of working with health plans large and small, we bring a deep understanding of your business challenges to every engagement, and firm resolve to helping you achieve your goals.
We currently contract with three of the five largest national health plans as well as many regional, local and special needs plans. The vast majority of the members we serve are Medicare Advantage, Medicaid Managed Long-Term Care and Dual-Eligibles. We also serve Managed Medicaid, Commercial ACA and General Commercial Populations.
We are ACAP-endorsed, and we provide assessment and care management services across the U.S., including Puerto Rico.
Search among ComplexCare Solutions jobs
| Jobs: 1 - 8 of 8 |
Overview: The Senior Project Manager is responsible for the overall direction, coordination, implementation, control, and completion of specific projects and initiatives ensuring consistency with the company's overall strategy and goals. Th...
3d
| Job Type | Full Time |
Overview: The Contact Center Lead is responsible for assisting with the day-to-day operations of the contact center. The Contact Center Lead will assist supervisors with daily operations including assistance to agents as needed, monitoring ...
5d
| Job Type | Full Time |
Communication Center Representative
Overview: The Communication Center Representative will work in SME (Supplemental Member Engagement - Direct to Member Communication) Contact Center. SME Communication Center Representatives will conduct scheduling of appointments with clien...
8d
| Job Type | Full Time |
Supervisor, Call Center Operations
Overview: The Supervisor, Non-Clinical Operations oversees the daily productivity of our Communication Center Representatives (SA/PA) and is responsible for the development of their respective team. Development protocols including intensive...
8d
| Job Type | Full Time |
Overview: The General Counsel is responsible for providing general corporate and legal analysis and advice relating to the business including but not limited to regulatory and compliance matters, HIPAA/privacy law, and business transactions...
8d
| Job Type | Full Time |
Overview: The Senior Business Analyst performs complex analysis of business goals, objectives, and needs of the general business environment and makes recommendations for improvements in operations, management, and budget. This position con...
8d
| Job Type | Full Time |
Overview: The Director, Procurement will lead and manage the company's procurement function and develop sourcing strategies aligned with the company's goals, objectives and strategy. Duties and Responsibilities: Lead and develop sourcing st...
8d
| Job Type | Full Time |
Overview: The SVP, People and Culture will serve as a key strategic partner to the CEO and executive leadership team, driving talent strategy, organizational development, and HR operational excellence. This role requires a mix of strategic ...
8d
| Job Type | Full Time |