Specialist, Market Growth & Retention (Remote in NY) - Bilingual – Spanish Molina Healthcare New York Full time Job Summary Provide prospective and existing members with assistance (telephonically inbound and outbound) completing state required applications, for the purpose of obtaining and maintaining healthcare coverage, and accurate information for eligibility for Medicaid, CHP and Essential Plan. Provide non-clinical reminders (i.e.; product overviews, premiums, gaps in care, care management, member engagement events etc..) and assist as needed with resolving issues, scheduling appointments, conducting outreach to appropriate State entities and resources to ensure member satisfaction, retention initiatives and quality metrics are met. Job Duties •Pro-actively facilitate outreach (and handle inbound calls) to Molina members regarding their upcoming recertification with the state and healthplan. Educating members on process, qualifications, necessary documentation needed etc; while completeing the required applications and submissions to the State. • Management of individual State dashboards required • Assist and resolve complex member issues related to application errors, immigration status, multi-family enrollment, premiums, eligibility; etc. • Provide non-clinical reminders (i.e. product overviews, premiums, gaps in care, member engagement events etc.) • Facilitate the closure of at-risk care gaps, scheduling appointments, conducting outreach to appropriate State entities, direct toward available resources and care management opportunities; to ensure member satisfaction, retention, and drive plan quality performance. • Responsible for promoting and increasing member enrollments into plan programs (i.e.; Member portal, Rewards Program, etc.) • Assists Medicaid Members in contacting their social worker regarding eligibility issues and follow-up with members to ensure follow through, if allowed by the member’s respective state. • Conduct outreach to retain members that have been identified as late renewals, post terms and potential disenrollments, assist and educate members on next steps and required paperwork. • Accurately and timely documentation of outreach in the appropriate databases. • Collaborate with the leadership team to provide feedback, trends and insights for areas of opportunity for improvement related to technology, process, people, retention and member experience. • Access a number of organizational based platforms and tools for the purpose of inputting and outputting data, related to documenting member care, status, renewal status etc. (such as: Salesforce, CCA, Sharepoint, Excel, Genesys etc) • Attend and assist with in-person community based member retention events • Placement in demonstrated high foot traffic locations, to assist with member in-person interactions may be required. Assist with in-person renewals, eligibility issues, application updates, submission of paperwork etc.. • Maintain appropriate certifications and quality scores in compliance with the State and Molina Healthcare. • Some in office trainings, meetings and field work required; will be based on business needs • Other tasks or special projects as required or directed Job Qualifications REQUIRED EDUCATION: High School Diploma or equivalent REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: • 2-4 years customer service experience, preferably in a call center environment • Experience communicating with members in a customer service setting and have the ability to assess needs and make thoughtful decisions to help a member REQUIRED LICENSE, CERTIFICATION, ASSOCIATION: Must have NYS Certified Application Counselor Certification and/or be able to obtain certification within 60 days of hire date PREFERRED EDUCATION: Associate’s Degree or equivalent combination of education and experience PREFERRED EXPERIENCE: 3-5 years customer service experience in a call center environment Pay Range: $17 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level

Anticipated End Date: 2026-05-29 Position Title: JR186298 Nurse Practitioner 100% Virtual, CareBridge Job Description: CareBridge Advance Practice Provider, Nurse Practitioner **$5,000 sign on bonus** Location: Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to maximize Work Shift: (i.e. Monday – Friday, 8:00 am to 5:00 pm CST or EST And rotating on-call.) The CareBridge Advance Practice Provider, Nurse Practitioner is responsible for collaborating with company physicians, the patient’s other physicians and providers, and their family members to develop complex plans of care in accordance with the patient’s health status and overall goals and values. Provides clinical and non-clinical support to patients. How you'll make a difference: - Provides primary and urgent health care via telephone and tele video modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our MCO partners. - Develops and implements clinical plans of care for adult patients facing chronic and complex conditions (e.g., co-morbid medical and mental health diagnoses, limited personal resources, chronic medical conditions.). - Gathers history and physical exam and diagnostics as needed, and then develops and implements treatment plans given the patient’s goals of care and current conditions. - Identifies and closes gaps in care. - Meets the patient’s and family’s physical and psychosocial needs with support and input from the company’s inter-disciplinary team. - Educates patients and families about medication usage, side effects, illness progression, diet and nutrition, medical adherence and crisis anticipation and prevention. - Maintains contact with other clinical team members, patients’ other physicians and patients’ other medical providers to coordinate optimal care and resources for the patient and his or her family in a timely basis and consistent with state regulations and company health standards and policy. - Maintains patient medical records and medical documentation consistent with state regulations and company standards and policy. - Participates in continuing education as required by state and certifying body. Prescribes medication as permitted by state prescribing authority. Minimum Requirements: - Requires an MS in Nursing. - Requires an active, national NP certification. - Requires valid, current, active and unrestricted Family or Adult Nurse Practitioner (NP) license in the state(s) of Ohio. - Requires valid, current, active, RN Compact license. (Recruiters - only post if it applies to states that offer Compact license, if it is a Non compact state, this would be listed under Preferences.) - Requires 2+ years of experience in managing complex care cases. - Experience working with Electronic Medical Records (EMR). Preferred skills, qualifications and experiences: - Possession of DEA registration or eligibility preferred. - Active Medicaid number in the state of Ohio is highly preferred. - Experience in managing complex care cases for developmental disabilities and chronically ill patients strongly preferred. Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed/Certified - Other Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

Hi, we're Oscar Medical Group. We're hiring a Bilingual (Spanish) Physician to join our Virtual Health Assessment team. At Oscar Medical Group, we are refactoring healthcare. We want to help each of our members achieve their healthcare goals in a personalized way. To help us achieve that goal we are looking for innovative leaders who think big and push boundaries to refactor healthcare and the healthcare delivery system. About the role: This is a full time, employed role. Hours of Operation: Monday - Thursday 8am - 8pm EST Friday & Saturday 8am - 6pm EST - 8hr or 10hr shifts - 1 late day (working shift ending at 8p EST) is required per week - 1 Saturday shift required per quarter You will deliver quality care to patients on Oscar's platforms via phone and video. You will also serve as a supervising physician to Advanced Practice Providers. You will report into the Director, Virtual Health Assessment Work Location: Oscar Medical Group is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. This is a remote / work-from-home role. You must reside in one of the following states: Arizona; Arkansas; California; Colorado; District of Columbia; Florida; Georgia; Illinois; Massachusetts; Michigan; Nevada; New Hampshire; New Jersey; New York; North Carolina; Ohio; Pennsylvania; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role is: $216,406 - $284,032 per year. You are also eligible for employee benefits, annual vacation grant of up to 18 days per year, and annual performance bonuses. Responsibilities: - Provide direct oversight and supervision of nurse practitioners and physician assistants within state by state regulations - Provide medical care virtually (by phone, video, & message) in alignment with Oscar Medical Group guidelines, practices and policies - Collaborate with MAs, RNs, and other providers across service lines - Compliance with all applicable laws and regulations - Other duties as assigned Requirements: - Board-certification in Internal Medicine or Family Medicine - MD or DO from an accredited medical school - Fluent in Spanish - Must be licensed in TN and FL (full license, not telehealth) - Active IMLCC or eligible to apply - Willingness to be licensed in additional states with our assistance, working with our licensing vendor - 3+ years experience in an outpatient family or internal medicine practice. - Experience with value based care documentation standards Bonus points: - 2+ years of Telemedicine experience - Licenses in MO, AL, MS - Regulatory supervision experience of Nurse Practitioners (NP) and Physician Assistants (PA) This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.

About Us Sprinter Health is an on-demand mobile health service that sends medical professionals to patients’ homes to perform blood draws, diagnostic and low acuity services, and wellness visits. We are building the clinical and technological infrastructure to realize a future of healthcare untethered. We have a rapidly growing team of visionary leaders who are passionate about increasing access to care, lowering healthcare costs, and improving outcomes for patients. About The Role Are you ready to join the pioneering healthcare team at Sprinter Health? We're looking for dynamic Nurse Practitioners who are ready to revolutionize healthcare delivery by conducting virtual wellness visits directly to patients in the comfort of their homes. As a Nurse Practitioner with Sprinter Health, you'll leverage your medical expertise to offer a wide range of healthcare services that could include but not limited to virtual adult and/or pediatric wellness visits, health assessments, and more! Successful candidates will have prior experience performing wellness visits, along with key traits such as dependability, professionalism, and problem-solving abilities. A commitment to delivering exceptional customer service is essential, as is the ability to work autonomously while maintaining high-quality standards. Above all, we're seeking individuals who are friendly, compassionate, empathetic, and deeply invested in providing personalized care to every patient they serve. If you're ready to make a difference in patients' lives and shape the future of healthcare, we invite you to join us at Sprinter Health. A day in the life ... - Commencing the day… begin your day by reviewing your case load and preparing your technology, ensuring you have all of the right tools available to service your patients - Navigating with ease… using easy and modern technology, you will navigate through your schedule for the day and partner with our clinical in-home team members (Sprinters) that will visit each patient’s home - Creating meaningful bonds… you will have the opportunity to make a warm and welcoming connection with a diverse range of patients as you prepare to collect relevant information and perform various services - Patient-centric, wellness exam… engage in proactive care by conducting thorough health risk assessments, medication reviews, cognitive screenings and empowering patients’ with educational information regarding their health and well-being - Collaborative Patient Care … work directly with Sprinters to evaluate vital signs, arrange blood draws, and carry out necessary tasks to address the specific needs of the patient - Comprehensive Care Coordination and Management… provide comprehensive care coordination and management, including preventive care interventions, medication management, referrals to specialists, community resources, and documentation of findings Skills and Requirements - Board Certified as a Family Nurse Practitioner in California - Active Family Nurse Practitioner License in California - Consistently exhibits the highest levels of professionalism, integrity, accountability, confidentiality, care and compassion to provide high quality health services - Willingness to work in a revolutionary environment that sometimes necessitates last minute problem solving and out of the box thinking - Technologically savvy and comfortable using tools such as laptops or mobile devices for charting and HIPAA secure messaging apps for care coordination - Strong written and verbal communication skills - Ability to work independently or in a team environment - Pass national background check and valid clinical license search Sprinter Health is an equal opportunity employer. We value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status or other protected classes. If you're looking for a career that offers opportunities for growth, continual development, professional challenge and the chance to make a real difference in the lives of people, apply today! Beware of recruitment fraud and scams that involve fictitious job descriptions followed by false job offers. If you are applying for a job, you can confirm the legitimacy of a job posting by viewing current open roles here. All legitimate job postings will require an application to be made directly on our official Sprinter Health Careers website. Job-related communications will only be sent from email addresses ending in @sprinterhealth.com. Please ensure that you’re only replying to emails that end with @sprinterhealth.com.