Anba la a se yon lis fonksyon ou ka fè rechèch lè w ap chèche yon pozisyon nan CCP.
Apre doktè & rsquo; ak lòt founisè & rsquo; sèvis yo konplete sou non enskri nou yo, Depatman Reklamasyon nou an ap trete demann yo pou peye.
Depatman CCP Konfòmite responsab pou asire ke CCP, Konsèy Administrasyon CCP, jesyon ak anplwaye yo an konfòmite ak tout lwa gouvènman, règleman ak règleman yo. Anba ejid Depatman Konfòmite a, Inite Envestigasyon Espesyal CCP nou an responsab pou detekte, envestigasyon, ak rapòte sikonstans fwod, fatra, ak abi ke Medicaid anwole, founisè ak enstalasyon komèt.
Ekip finansye nou an responsab pou planifye, òganize, odit, ak kontablite pou finans nou yo kòm byen ke pwodwi deklarasyon finansye nou yo.
Ekip Pwogram Gouvènman nou an ap travay dirèkteman avèk ajans leta kontraktye nou yo pou asire konpayi nou an satisfè tout kondisyon kontra yo pou yo ka bay pi bon kalite swen pou anwole yo.
Anplwaye nou yo se kè Community Care Plan. Depatman Resous Imèn fè efò pou satisfè bezwen yo epi adrese enkyetid yo nan anplwaye nou yo epi bay yo fòmasyon, zouti ak edikasyon pou fè travay yo ak pasyon, angajman ak devouman, osi byen ke rive nan objektif pwofesyonèl yo.
Depatman IT nou an sipòte objektif òganizasyonèl CCP yo pa devlope, mete ann aplikasyon ak kenbe òdinatè konpitè ak sistèm lojisyèl ki òganize ak kominike enfòmasyon elektwonikman. Responsablite yo varye de kenbe sistèm ak done ki an sekirite nan kenbe rezo leve, li kouri.
Nan kè a nan pwogram sèvis kliyan nou yo, anplwaye nan Sèvis Manm pran apèl ak okipe demann ki soti nan enskri nou yo. Anplwaye a gen ladan reprezantan Sèvis Manm ak asosye, tout konsantre sou bay eksepsyonèl sèvis gardyen.
Ekip Operasyon Founisè nou konprann enpòtans pou devlope ak kenbe relasyon solid avèk founisè rezo nou yo. Yo travay avèk founisè nou yo pou elimine defi yo epi pou bay bon kalite swen sante pou enskri nou yo. Founisè Operasyon Kontra yo epi kenbe rezo founisè nou an annakò avèk bon jan kalite ak direktiv kontra.
Below is a list of functions you can search when seeking a position at CCP.
After physicians’ and other providers’ services are completed on behalf of our enrollees, our Claims Department processes their requests for payment.
The CCP Compliance department is responsible for ensuring that CCP, the CCP Board of Directors, management and employees are in compliance with all government statutes, rules and regulations. Under the auspices of the Compliance Department, our CCP Special Investigations Unit is responsible for detecting, investigating, and reporting instances of fraud, waste, and abuse committed by Medicaid enrollees, providers and facilities.
Our Finance team is responsible for planning, organizing, auditing, and accounting for our finances as well as producing our financial statements.
Our Government Programs team works directly with our contracted state agencies to ensure our company meets all contractual requirements in order to provide the highest quality of care to our enrollees.
Our employees are the heart of Community Care Plan. The Human Resources department strives to meet the needs and address the concerns of our staff and provide them with the training, tools and education to perform their jobs with passion, commitment and dedication, as well as reach their professional goals.
Our IT department supports CCP’s organizational goals by developing, implementing and maintaining computer hardware and software systems that organize and communicate information electronically. Their responsibilities range from keeping systems and data secure to keeping networks up and running.
At the heart of our customer service program, the Member Services staff takes calls and handles requests from our enrollees. The staff consists of Member Services representatives and associates, all focused on providing outstanding concierge service.
Our Provider Operations team understands the importance of developing and maintaining strong relationships with our network providers. They work with our providers to eliminate challenges and provide excellent quality healthcare for our enrollees. Provider Operations contracts and maintains our provider network in accordance with quality and contractual guidelines.