Health Right, Inc. is an equal opportunity employer that believes in growing and promoting a diverse workforce. We offer a competitive compensation and benefits package, designed to help employees meet various needs throughout their careers and lives.
Our benefits include:
- Medical, Vision, and Dental Insurance
- 401 K Retirement Plan
- Life Insurance
- Short and Long Term Disability
- Tuition Reimbursement
- Flexible Spending Account
- Employee Assistance Program
- and much more!
How to Apply
Health Right, Inc. is committed to attracting, encouraging, and retaining a highly qualified workforce to support our mission of being the "caring choice for medicaid and alliance users." We encourage you to apply with Health Right Inc., if you would like to:- Work at a great place with great people.
- Make a positive impact on the community.
- Have the opportunity to build a solid career.
Here are three easy steps to apply for a career opportunity at Health Right, Inc:
Step 1: Explore HRI's Career opportunities.
Review the list of career opportunities.
Step 2: Apply for one of HRI's Career Opportunities.
Submit resumes, with a cover letter and your salary requirements to careers@healthright-dc.com. Include the vacancy number on the subject line of your e-mail.
Step 3: Invest in Yourself.
Take the time to be as complete as possible when e-mailing your cover letter, resume, and salary requirements. This will enable us to quickly and efficiently match your background to our needs. Make sure your resume is current. Current and accurate information increases your opportunity for possible interview and employment.
Please Note: Due to the overwhelming response, only applicants that best meet the requirements will be contacted. All resumes will remain on file for six months. We encourage applicants to reapply if they have not been contacted after the six month time period has lapsed, or if you are applying for a newly posted position. No phone calls please.
| Title: | Lead Members Service Representative |
| Vacancy Number: | MS-002 |
| Date Posted: | July 25, 2008 |
| Department: | Member Services |
| Schedule: | Full Time |
| Shift: | Days |
| Hours: | 8:00 - 5:00 |
| Job Details: | Job Details: The Lead Member Service Representative's primary duties include, but are not limited to, providing oversight and assistance to Member Service Representatives. The Lead will float and assist with streamlining and resolving the day-to-day work flow of the members representative team. Provides information, guidance, interpretation, and education about benefit offerings, claims payment, and company policies, procedures, and practices. Provides professional and efficient member service via the telephone, assisting members with general information regarding their accounts, plans policies and services. This position requires heavy use of the telephone to welcome members to our plan; explain plan features and benefits; and enter data as required into a member information database. Position Requirements: Associate's degree (Bachelor's preferred), or 2-3 years related experience and/or training; or equivalent combination of knowledge and experience, preferably in an HMO/healthcare company or call center environment. Demonstrated supervisory skills. Previous telephone experience in Call Center and/or managed care setting preferred. Some Familiarity of call center management systems such as advanced call distribution (ACD). Must be computer literate (Microsoft Office) to include Excel and MS Word. Knowledge of medical terminology preferred. Must have excellent telephone, time management, and data entry skills, and be committed to providing excellent customer service. Bilingual (Spanish/English), required. |
| EOE: | Health Right is an Equal Opportunity Employer. |
| Mission Statement: | "Our mission is to provide the best comprehensive, cost effective, quality patient care thought an integrated-deliver health care system in a culturally sensitive manner to the residents of the District of Columbia." |
| Title: | Members Service Representative |
| Vacancy Number: | MS-005 |
| Date Posted: | July 25, 2008 |
| Department: | Member Services |
| Schedule: | Full Time |
| Shift: | Days |
| Hours: | 8:30 - 5:30 |
| Job Details: | Job Details: The Member Services Representative's primary duties include, but are not limited to, providing information, guidance, interpretation, and education about benefit offerings, claims payment and company policies, procedures, and practices. Provides professional and efficient member service via the telephone, assisting members with general information regarding their accounts, plan policies, and services. This position requires heavy use of the telephone to welcome members to our plan; explain plan features and benefits; and enter data as required into a member information database. Position Requirements: High school diploma or GED equivalent Associate's degree (Bachelor's preferred), or 2-3 years related experience and/or training; or equivalent combination of knowledge and experience, preferably in an HMO, healthcare company or call center environment. Demonstrated supervisory skills. Previous telephone experience in Call Center and/or managed care setting preferred. Some Familiarity of call center management systems such as advanced call distribution (ACD). Must be computer literate (Microsoft Office) to include Excel and MS Word. Knowledge of medical terminology preferred. Must have excellent telephone, time management, and data entry skills; and be committed to providing excellent customer service. |
| EOE: | Health Right is an Equal Opportunity Employer. |
| Mission Statement: | "Our mission is to provide the best comprehensive, cost effective, quality patient care thought an integrated-deliver health care system in a culturally sensitive manner to the residents of the District of Columbia." |
| Title: | Claims Examiner Processor |
| Vacancy Number: | CP-006 |
| Date Posted: | July 8, 2008 |
| Department: | Claims Department |
| Schedule: | Full Time |
| Shift: | Days |
| Hours: | 8:30 - 5:00 |
| Job Details: | Job Details: The Claims Examiner Processors is primarily responsible for, but not limited to, examining and adjudicating insurance claims; processing medical claims including verification, adjudication, and accuracy reviews; editing and adjusting claims based on daily audit findings; adhering to all quality standards and all regulatory body regulations (Medicaid, NCQA etc); Interfacing with other departments to obtain necessary information required for resolution of claims; and assisting where needed in performing various tasks related to investigations that lead to the complete processing of all claims. Position Requirements: High school diploma or GED equivalent; knowledge of medical terminology, required; 1-2 years experience with insurance claims, HMO or other Managed Care, preferred; Excellent data entry and ten key pad/numeric data entry skills (40 WPM); Excellent critical thinking; Strong eye for details; Multi-tasker; Excellent communicator, both written and verbal; Good interpersonal skills, and customer service skills required. |
| EOE: | Health Right is an Equal Opportunity Employer. |
| Mission Statement: | "Our mission is to provide the best comprehensive, cost effective, quality patient care thought an integrated-deliver health care system in a culturally sensitive manner to the residents of the District of Columbia." |
| Title: | Director of Quality Improvement |
| Vacancy Number: | QM-001 |
| Date Posted: | July 8, 2008 |
| Department: | Quality Management Department |
| Schedule: | Full Time |
| Shift: | Days |
| Hours: | 8:30 - 5:00 |
| Job Details: | Job Details: The Director of Quality Management is primarily responsible for, but not limited to, the overall development and administration of Health Right, Inc's Quality Improvement Program and coordination with the Districts External Quality Review Organization. Position Requirements: Advanced degree in healthcare field. Prior experience in coordinating Quality Improvement Projects. Knowledge of credentialing of providers. Experience working in a managed care health plan. One to two years project management experience required with strong knowledge of healthcare quality improvement models/strategies (NCQA and HEDIS) and health information technology preferred. Current District of Columbia RN, NP, PA or MD (as applicable) license required. 2-3 yrs experience in program administration or staff supervision. Excellent critical thinking skills; Effective project management, Data analysis and quality improvement skills, Effective oral and written communications, Effective grants management skills, Efficient time management skills, and Proficient in Microsoft Word, Power Point, and Excel. |
| EOE: | Health Right is an Equal Opportunity Employer. |
| Mission Statement: | "Our mission is to provide the best comprehensive, cost effective, quality patient care thought an integrated-deliver health care system in a culturally sensitive manner to the residents of the District of Columbia." |