- Bishop McCarthy Center (Vineland, NJ)
- Employee Heath/ Managed Care ...Control Registered Nurse has oversight over functions of the employee health program which include pre employment ... screening, employee verification, annual PPD testing, Covid testing, work related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to insurnace companies for continued stay… more
- Beth Israel Lahey Health (Boston, MA)
- …you're not just taking a job, you're making a difference in people's lives.** Our Managed Care Coordinator role is a hybrid work model, promoting a balance ... physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations...with walking and standing required only occasionally. **As a health care organization, we have a responsibility… more
- University of Miami (Medley, FL)
- … protocols and strategy. + Leads and participates in all managed care contracting negotiations for the health system. + Oversees all single-case negotiations ... sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of Business Development and Managed Care is currently seeking an Executive… more
- WTW (Chicago, IL)
- …our two business segments, Health , Wealth and Career and Risk and Broking. The Managed Care Growth Leader is the primary client lead managing the totality of ... Willis Towers Watson (WTW) relationship for clients within the Managed Care Industry. This individual is accountable...Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care … more
- St. Luke's Health System (Boise, ID)
- …and overseeing comprehensive payer relations, strategic reimbursement, and managed care contracting strategies for St. Luke's Health System. A critical ... **Overview** The Associate Vice President (AVP), Payer Relations and Managed Care Contracting, is responsible for developing,...advance the overall strategic operational goals of St. Luke's Health System. **What You Can Expect:** + Owns all… more
- e CancerCare (Nashville, TN)
- …or equivalent experience . Skills: Health care reimbursement experience in a health system, consulting firm, or with a managed care payer preferred. ... and providers. Team member will work closely with the Managed Care department team in generating and...representative of those that must be met by an employee to successfully perform the essential functions of this… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and ... than 150 skilled nursing, assisted living, independent living, behavioral health , and long-term care facilities deliver sophisticated...timely filing of all managed care claims on their assigned caseload… more
- Cedars-Sinai (CA)
- …aspects of employees' attendance and performance. + Engages key partners within Cedars-Sinai Health System (CSHS) Managed Care & Payor Relations, Physician ... health systems nationwide that have outstanding levels of employee engagement. We offer an outstanding benefit package and...I be doing in this role?** The Manager, MN Managed Care Enrollment and Benefits is responsible… more
- Highmark Health (Carson City, NV)
- …is responsible for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ... RESPONSIBILITIES** + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques… more
- HCA Healthcare (Nashville, TN)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Managed Care Payer Enrollment Director with Parallon, you can be a ... and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free...in our organization. We are looking for an enthusiastic Managed Care Payer Enrollment Director to help… more
- MaineGeneral Health (Waterville, ME)
- Job Summary:MaineGeneral Health is a leading health care system proud of the culture of excellence, compassion, and collaboration that extends to our ... our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects...to resources for a healthy lifestyle and help manage health care costs. + Employees have access… more
- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have ... requirements + The unique complex needs of the foster care population + Medicaid Managed Care...Dental insurance + Employee assistance program + Employee discount + Flexible spending account + Health… more
- Sutter Health (Goleta, CA)
- …relevant experience **SKILLS AND KNOWLEDGE:** A broad knowledge base of health care delivery and case management within a managed care environment. ... presenting to the Emergency Department. Strives to promote patient wellness, improved care outcomes, efficient utilization of health services and minimized… more
- ManpowerGroup (Columbia, SC)
- Our client, a leading healthcare organization, is seeking a Managed Care Coordinator UM II to join their team. As a Managed Care Coordinator UM II, you ... which will align successfully in the organization. **Job Title:** Managed Care Coordinator UM II **Location:** Columbia,...Vision Plan + Health Savings Account + Health Flexible Spending Account + Dependent Care … more
- ManpowerGroup (Columbia, SC)
- Our client is seeking **Coordinator, Managed Care II** (React.js, redux Javascript) a to join their team. **Title: Coordinator, Managed Care II** ... 10% Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit… more
- Kelsey-Seybold Clinic (Houston, TX)
- …and coaching and other duties as assigned. **Job Title: Supervisor, Managed Care Claims** **Location: Pearland Administrative Office** **Department:** **Claims** ... Bachelor's Degree **Experience** Required: 5 years of working experience in a Managed Care environment as Senior Analyst, Coordinator, OR Supervisor or… more
- EPAM Systems (New York, NY)
- EPAM is seeking a dynamic **Head of Delivery - Managed Services** to lead and oversee our managed services delivery operations across the Americas. This senior ... connect! Req,#796768044 **\#LI-DNI** **Responsibilities** + Develop and execute the overall managed services delivery strategy, aligning with EPAM goals and market… more
- Hilton (Columbus, OH)
- …bereavement days, flexible spending accounts, a health savings account, an employee assistance program, access to a care coordination program \("Wellthy"\), ... **What will I be doing?** The Vice President of Revenue Management \- Managed Hotels will be responsible for the delivery of Revenue Management hotel support… more
- St. Luke's Health System (Boise, ID)
- …and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally ... beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical...options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Virgin Pulse Wellness… more
- Community Health Systems (Franklin, TN)
- …of claim problems and resolution; standards within compliance of government and managed care contract terms. **Essential Functions** + Performs follow-up on ... and/or developments impacting area of responsibility. + Displays competency in health care billing requirement/follow up. Maintains current knowledge regarding… more