And Qualifications Actively participates in and supports Capital's BH clinical operations and activities, including Utilization Management (UM), Care Management (CM) and clinical rounds. Participates in BH Utilization Management activities, including Behavioral Health, Medical Director, Health, Behavioral, Medical, Director, Healthcare
Position Description. At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.” The Account Specialist is responsible for providing accurate and timely service to Individual Account members by monitoring and maintaining correct and updated billing and enrollment information. This include...
Position Description. The Member / Provider Services Representatives (“MSRs” / “PSRs”) are the front-line team at Capital BlueCross (“CBC”) and are responsible for handling all customer inquiries through multiple channels (i.e., phone, web, electronic, and/or face-to-face) by using resources, materials and tools with accuracy and precision. This incumbent will be responsible for effectively presenting and discussing our products and services, cre...
