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 - 10 of 11 |
Nashville, Tennessee
Overview: TheAccounts Payable Clerk will manage day-to-day vendor payment operations and support the ComplexCare Solutions (CCS) team's efforts towardautomation and efficiency. This role isvendor-facing, requiring strong communication skill...
2d
| Job Type | Full Time |
Nashville, Tennessee
Overview: TheDirector of Accountingis responsible for leading and strategically guiding our accounting department. This role oversees all core accounting functions - including AP, AR, treasury, billing, and general ledgers while working clo...
2d
| Job Type | Full Time |
Nashville, Tennessee
Overview: TheSenior Accountantwill be responsible for accounting activities and timely and accurate reporting. This role is ideal for someone who enjoys building processes from the ground up, has strong technical accounting skills, and is c...
2d
| Job Type | Full Time |
Revenue Operations Specialist, CCS
Nashville, Tennessee
Overview: The Revenue Operations Specialist is responsible for ensuring that invoices are accurate, timely, and aligned with customer contracts and service delivery. You'll work closely with internal teams to navigatecomplex billing scenari...
2d
| Job Type | Full Time |
Specialist, Treasury and Cash Operations, CCS
Nashville, Tennessee
Overview: The Treasury & Cash Operations Specialistwill be responsible for managing the day-to-day banking and cash activities across the company. This role is fully internal-facing and supports AP, AR, payroll, and expense processes. You'l...
2d
| Job Type | Full Time |
Bilingual Call Center Supervisor
Overview: The Supervisor, Non-Clinical Operations oversees the daily productivity of our Communication Center Representatives (SA/PA) and is responsible for the development of their respective team. Development protocols including intensive...
2d
| Job Type | Full Time |
Nashville, Tennessee
Overview: The Senior Manager, Accounting is responsible for internal operations, policy development, and ensuring audit readiness. You'll work closely with leadership to create and administer accounting policies and procedures, maintain com...
3d
| Job Type | Full Time |
Director, Information Security
Overview: The Director, Information Security oversees the critical programs that protect application and data assets which drive revenue for the organization. This role will engage with leadership teams in all areas of the organization to e...
11d
| Job Type | Full Time |
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...
15d
| 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...
20d
| Job Type | Full Time |