POSITION SUMMARY. . The Over the Counter (OTC) Coordinator is responsible for managing the end-to-end coordination of OTC product fulfillment, fleet routing, and inventory logistics. This role plays a critical part in ensuring accurate, timely deliveries and quality assurance of members and medical center orders. The OTC Coordinator also oversees kiosk operations, manages returns and inquiries, and supports continuous process improvement within t...
HEDIS Program Manager. About us. Solis Health Plans is a new kind of Medicare Advantage company. We provide solutions that are transparent, connected, and effective for both our members and providers. Solis was created with a desire to offer a more personalized experience throughout every stage of the healthcare journey. Our team consists of experts who take pride in delivering quality service. We foster a culture of collaboration and support, wh...
Stars Coordinator. About us. Solis Health Plans is a new kind of Medicare Advantage company. We provide solutions that are transparent, connected, and effective for both our members and providers. Solis was created with a desire to offer a more personalized experience throughout every stage of the healthcare journey. Our team consists of experts who take pride in delivering quality service. We foster a culture of collaboration and support, where ...
. POSITION SUMMARY. The HR Recruiting Coordinator will play a key role in supporting daily HR functions, including recruitment, onboarding, employee records management, and providing administrative support to the HR department. This role is perfect for individuals looking to develop their career in HR while contributing to the overall success of the department. Position is onsite Monday-Friday 8:00 AM – 5:00 PM. Comp is based on experience $23-$2...
Stars CoordinatorAbout us:Solis Health Plans is a new kind of Medicare Advantage company. We provide solutions that are transparent, connected, and effective for both our members and providers. Solis was created with a desire to offer a more personalized experience throughout every stage of the healthcare journey. Our team consists of experts who take pride in delivering quality service. We foster a culture of collaboration and support, where suc...
Company Description. Solis Health Plans is a Medicare Advantage plan committed to meeting the needs of our members, providers, and partners. We pride ourselves on understanding the communities we serve and offering personalized, hands-on service. Solis is distinguished by our dedication to quality, efficiency, and collaboration. Our mission is to provide benefits and services that make a real difference in our members' lives. Welcome to healthcar...
POSITION SUMMARY. This position will investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. ESSENTIAL DUTIES & RESPONSIBILITIES. Conduct investigations of potential waste, abuse, and fraud. Document activity on each case and refer issues to the appropriate party. Perform data mi...
Director of Compliance. POSITION SUMMARY. The Director of Compliance is responsible for overseeing and managing all aspects of Solis Health Plans’ Compliance Program to ensure adherence to Center for Medicare & Medicaid Services (CMS) regulations, state and federal laws, and internal policies and procedures. This executive-level leader plays a critical role in promoting a strong culture of compliance and ethical behavior across the organization, ...
Internal Sales Associate - Orlando. Bilingual in English and Spanish required. Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more transparent, connected and effective for both our members and providers. Solis was born out of a desire to provide a more personal experience throughout all levels of the healthcare journey. Our team consists of expert individuals that take pride in delivering quality ser...
POSITION SUMMARY. This position is responsible for the coordination of HEDIS and STARs data gathering process. This evaluates the quality and completeness of clinical documentation processes by performing quality medical record reviews, assisting in the improvement of the clinical documentation process, identifying trends, maintaining accurate records of review activities, ensuring all data submitted to the health plan meets the HEDIS/Star techni...
POSITION SUMMARY. The HEDIS Representative plays a vital role in supporting the administrative and operational functions within a healthcare organization. This position focuses on tasks related to member account coordination, patient access, and overall support services. The ideal candidate will help ensure efficient workflows, maintain accurate records, and contribute to a positive, patient-centered care experience. This role is essential to imp...
