Healthcare and Benefits Coordination

The Healthcare and Benefits Coordination team at MediGold works collaboratively to ensure seamless delivery of high-quality healthcare services and benefits to members. This team encompasses a diverse range of professionals, including Utilization Review Nurses, Hedis Coordinators, and Provider Relations Managers, to optimize resource use, maintain comprehensive benefits configuration, and support member retention. They play a key role in managing provider relationships, coordinating risk adjustments, and facilitating coding accuracy, all geared towards providing exceptional and affordable coverage for MediGold members.