Connect for Quality Nurse Viva HealthConnect for Quality NurseBirmingham, AlabamaRemoteThe Connect for Quality Nurse will improve the quality of care, increase member and provider satisfaction, raise accuracy levels of risk-adjusted payment at the point of care, and have other duties as assigned. VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is seeking a Connect for Quality Nurse to join our team in Birmingham, AL!
Connect For Quality Nurse viva healthConnect For Quality NurseBirmingham, ALRemoteThe Connect for Quality Nurse will improve the quality of care, increase member and provider satisfaction, raise accuracy levels of risk-adjusted payment at the point of care, and have other duties as assigned. VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is seeking a Connect for Quality Nurse to join our team in Birmingham, AL!
Vendor Contracts Administrator Viva HealthVendor Contracts AdministratorBirmingham, AlabamaVIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare. This position ensures each vendor is assigned an internal business owner who is trained on VIVA HEALTH’S expectations for contract negotiation, execution, implementation, oversight, and renewal, amendment, or termination.
Director Of Underwriting viva healthDirector Of UnderwritingBirmingham, ALThe Director of Underwriting is responsible for the maintenance and development of all aspects of underwriting and actuarial analysis including product pricing, product development, group risk assessment, data analysis and reporting, regulatory reports and filing, and reinsurance reporting. VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.
Social Worker, Care Manager, Behavioral Health viva healthSocial Worker, Care Manager, Behavioral HealthBirmingham, ALVIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is currently seeking a Social Worker, Care Manager, Behavioral Health in Birmingham, AL! The Social Worker, Care Manager, Behavioral Health will evaluate member needs and requirements to achieve and/or maintain optimal wellness state.
Member Appeals & Grievances Specialist I Viva HealthMember Appeals & Grievances Specialist IBirmingham, AlabamaVIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare. The Member Appeals & Grievances Specialist will analyze and resolve all Medicare appeals and grievances received from members, non-contracted providers and government entities.
Credentialing Coordinator Viva HealthCredentialing CoordinatorBirmingham, AlabamaThe Credentialing Coordinator is responsible for credentialing and re-credentialing practitioners, ancillary service providers and allied health professionals to ensure their qualification to participate in VIVA HEALTH’S provider network. Work Schedule: Hybrid - after a 5-6 month training period that will be completed 100% onsite at our downtown Birmingham office, this position can transition to a hybrid work schedule with a mix of in-office and remote work.
Nurses & Social Workers Viva HealthNurses & Social WorkersMontgomery, AlabamaWe are hiring Nurses and Social Workers for corporate and field opportunities in several areas:• Transitional Care• Behavioral Health• Care Coordination and Case Management• Quality Outreach• Leadership Opportunities. VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is looking for nurses and social workers to join our team in Montgomery, AL!
NewAssociate Director, Provider Performance & Value Based Contracting viva healthAssociate Director, Provider Performance & Value Based ContractingBirmingham, ALWorking collaboratively across Provider Services, Medical Economics, Finance, Clinical Operations, and other enterprise departments, this position translates organizational strategy into operational execution while identifying opportunities to improve provider performance and support VIVA HEALTH'S continued leadership in value-based care. Develop and maintain collaborative relationships with Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), hospitals, physician organizations, and other strategic provider partners to advance organizational objectives and improve provider performance.
NewMedicare Member Advocate I Viva HealthMedicare Member Advocate IBirmingham, AlabamaReceive and respond professionally and courteously to all member inquiries regarding eligibility, claims, general coverage questions, Primary Care Physician (PCP), address changes, provider network, and any questions or concerns about their health and prescription drug benefits with VIVA Medicare. VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.
NewAssociate Director, Provider Performance & Value Based Contracting Viva HealthAssociate Director, Provider Performance & Value Based ContractingBirmingham, AlabamaWorking collaboratively across Provider Services, Medical Economics, Finance, Clinical Operations, and other enterprise departments, this position translates organizational strategy into operational execution while identifying opportunities to improve provider performance and support VIVA HEALTH’S continued leadership in value-based care. Develop and maintain collaborative relationships with Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), hospitals, physician organizations, and other strategic provider partners to advance organizational objectives and improve provider performance.
Provider Services Representative viva healthProvider Services RepresentativeBirmingham, ALVIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare. The Provider Services Representative serves as the primary contact for the participating provider network in building and maintaining relationships and acts as an advocate for the Health Plan.
Social Worker, Care Manager, Behavioral Health Viva HealthSocial Worker, Care Manager, Behavioral HealthBirmingham, AlabamaVIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is currently seeking a Social Worker, Care Manager, Behavioral Health in Birmingham, AL! The Social Worker, Care Manager, Behavioral Health will evaluate member needs and requirements to achieve and/or maintain optimal wellness state.
NewMedicare Member Advocate I Viva HealthMedicare Member Advocate IBirmingham, AlabamaReceive and respond professionally and courteously to all member inquiries regarding eligibility, claims, general coverage questions, Primary Care Physician (PCP), address changes, provider network, and any questions or concerns about their health and prescription drug benefits with VIVA Medicare. VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.
Nurses & Social Workers Viva HealthNurses & Social WorkersMobile, AlabamaWe are hiring Nurses and Social Workers for corporate and field opportunities in several areas:• Transitional Care• Behavioral Health• Care Coordination and Case Management• Quality Outreach• Leadership Opportunities. These positions will provide non-clinical and case management services to promote the self-management of chronic diseases to members with special health care needs.
Information Security Development Engineer Viva HealthInformation Security Development EngineerBirmingham, AlabamaThis role will help design, build, and maintain secure continuous integration/continuous delivery (CI/CD) pipelines, infrastructure as code (IaC), monitoring, threat detection, and compliance controls, especially healthcare-specific such as Health Insurance Portability and Accountability Act (HIPAA) and Health Information Technology for Economic and Clinical Health Act (HITECH). The Information Security Development Engineer will partner closely with software engineering, infrastructure, compliance, and operations teams to integrate security, risk management, and automation throughout the software development lifecycle (SDLC).
NewMedicare Enrollment Support Specialist viva healthMedicare Enrollment Support SpecialistBirmingham, ALThis position will also be responsible for processing returned mail within Centers for Medicare and Medicaid (CMS) and plan timeframes, creating check requests for invoices, securing required signatures, and printing & mailing all correspondence. VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.
Nurses & Social Workers Viva HealthNurses & Social WorkersDothan, AlabamaWe are hiring Nurses and Social Workers for corporate and field opportunities in several areas:• Transitional Care• Behavioral Health• Care Coordination and Case Management• Quality Outreach• Leadership Opportunities. These positions will provide non-clinical and case management services to promote the self-management of chronic diseases to members with special health care needs.
Provider Services Representative Viva HealthProvider Services RepresentativeBirmingham, AlabamaVIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare. The Provider Services Representative serves as the primary contact for the participating provider network in building and maintaining relationships and acts as an advocate for the Health Plan.
Benefits & Materials Analyst Viva HealthBenefits & Materials AnalystBirmingham, AlabamaStrong technical skills to improve efficiency and reduce human error in the production of member materials including proficiency with MS Office Word, Excel, and Power Point as well as working knowledge of Adobe Acrobat or ability to gain such knowledge quickly. Participate in the workgroup that completes the Plan Benefit Package (PBP) data entry to reflect any plan changes from the prior year and make additional changes to the PBPs as needed based on CMS guidance and changes to the PBP tool itself.