It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary. The Director of Actuarial Services is a key member of the Finance leadership team. Working closely with the CFO, the Chief Actuary, Product and Marketing leadership, and other internal and external stakeholders, the Director...
Apply now. It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary. Reporting to the Manager of Pharmacy Support Operations, the Lead Pharmacy Operations Specialist is responsible for activities ranging in scope from prior authorization processing to stepping in to assist in the a...
It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary. The BH Care Coordinator is an integral member of the Behavioral Health Clinical Support (BHCS) team, responsible for delivering telephonic outreach, conducting screenings, and coordinating behavioral health services and comm...
Apply now. It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary. The Supplier Relationship Manager leads efforts in developing, promoting, and facilitating all aspects of the enterprise-wide Supplier Oversight Program and is responsible for delivery of best in class supplier pe...
Apply now. It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary. The Behavioral Health Specialist is responsible for managing incoming prior authorization and inpatient admission requests for behavioral health services. This role involves reviewing submissions, gathering clinic...
Apply now. It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary. The Behavioral Health (BH) Care Manager, provides care management services to WellSense members with behavioral health and substance use needs. This role functions as part of an interdisciplinary team and collabor...
Positions are full-time, remote. Hours: Monday-Friday between 8AM and 6:00PM EST. Specific schedule assigned after training based on the needs of the department at that time. Hours for the 12 week training period are 9:30AM to 6PM. Hourly rate: $19.50 per hour. It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no mat...
Apply now. It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary. The Appeals and Grievances BH Quality Nurse ensures clinically appropriate and compliant appeals and grievances decisions through appeals and grievances audits, responsibility for regulatory reporting and universe...
It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. This position offers a $5000 sign on bonus with offer acceptance. Job Summary. Responsible for managing the assigned territory of professional, institutional and ancillary provider types in order to enhance these relationships so that We...
It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. This position offers a $5000 sign on bonus with offer acceptance. Job Summary. Responsible for managing the assigned territory of professional, institutional and ancillary provider types in order to enhance these relationships so that We...
Apply now. It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary. The Strategic Sourcing Manager Sr. is responsible for the delivery of best in class strategic sourcing, contract management and negotiation. Develop category strategies for complex, indirect spend categories in ar...
Apply now. It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary. The Inpatient Utilization Management Clinician is responsible for evaluating all inpatient medical treatments for medical necessity, monitoring ongoing treatment, facilitating discharge planning to ensure smooth a...
