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 |
Product Manager - Healthcare EDI and Claims Processing
Product Manager (EDI Claims Processing) Company: ComplexCare Solutions Location: Remote or Hybrid (based on CCS policy) Department: Technology Reports To: VP, Technology Position Summary ComplexCare Solutions is seeking a seasoned Product M...
3h
| Job Type | Full Time |
Overview: The Senior Data Engineer is responsible for contributing to data analytics, data operations, and software product development across the organization. They will support existing data operations such as data refresh ETL, data struc...
2d
| Job Type | Full Time |
Associate Cyber Security Analyst
Overview: The Associate Cyber Security Analyst is responsible for participating in and contributing to the development and management of ComplexCare Solutions' (CCS) Information Security Policies and Standards. In addition, they will assist...
3d
| Job Type | Full Time |
Senior Manager, Security Program Operations
Overview: The Senior Manager Security Program Operations is part of the Security, Risk and Compliance department that partners with IT groups, business groups, and project teams to plan, develop security standards and guides for consumption...
4d
| Job Type | Full Time |
Overview: The Senior Software Engineer Position will be responsible for developing, deploying, and maintaining scalable, secure, and high-performance applications in a collaborative Agile environment. Candidate will perform complex code mod...
8d
| Job Type | Full Time |
The Chief Financial Officer and Chief Operating Officer (CFO/COO) will manage, maintain, and ultimately be responsible for all activities, responsibilities, achievements, and reporting of the Employer's finance department and function. This...
12d
| 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 ...
15d
| 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...
24d
| Job Type | Full Time |