• University Medical Center of El Paso (El Paso, TX)
    …Work Experience: Five years of related experience in Managed Care Contracting required. Five years of management experience required. ... Job Summary: The Director of Managed Care provides strategic and operation expertise in negotiating managed care contracts. Models and analyzes … more
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  • University Medical Center of El Paso (El Paso, TX)
    …operational oversight and coordination for developing, recommending and executing the Hospital 's Managed Care agreements, contract performance analysis ... to the Medicare eligible population in the education of hospital services available. Minimum Job Requirements Work Experience Five...Five years of related experience in Managed Care Contracting. Three years of management experience… more
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  • Community Hospital Corporation (Plano, TX)
    …overseeing corporate-wide supply chain processes, cost-savings initiatives, materials management efficiencies, and contract negotiations for owned, managed ... performance and cost-effectiveness across the supply chain.MAJOR RESPONSIBILITIES:Account & Hospital Relationship Management :Cultivate and maintain strong, collaborative… more
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  • Community Hospital Corp (Odessa, TX)
    …the day-to-day operations of the clinical services of the 25 bed Long Term Acute Care Hospital (LTACH) while ensuring compliance with the hospital 's mission, ... the operational, strategic, financial and clinical performance of the hospital . Works with Board, senior management team,...role model and mentor. Takes a proactive approach to managed care , healthcare reform and related issues.… more
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  • Community Hospital Corporation (Odessa, TX)
    …the day-to-day operations of the clinical services of the 25 bed Long Term Acute Care Hospital (LTACH) while ensuring compliance with the hospital 's mission, ... serves as a positive role model and mentor.Takes a proactive approach to managed care , healthcare reform and related issues.Other General and Related DutiesIs… more
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  • Community Hospital Corporation (Plano, TX)
    …and executes corporate-wide supply chain processes, cost-saving initiatives, and materials management efficiencies for our owned, managed , and affiliated ... materials management /GPO direction and support to approximately 30 acute care facilities.Provides strategic direction for materials management and supply… more
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  • ContinueCARE Hospital at Hendrick Medical Center (Abilene, TX)
    …in coordinating the periodic direct mail campaigns to targeted managed care customers, with the assistance of management . Participate in referral services ... services with emphasis on the referral and admission process. Census Building: Monitor managed care activity and strategize appropriately for contacts and market… more
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  • Community Hospital Corporation (Plano, TX)
    Community Hospital Corporation (CHC), a DFW Top 100 Employer, is looking for a Supply Chain Operations and Communications Specialist based out of our home office in ... business review presentations as requestedUpdate monthly board reports for owned, managed , consulting facilitiesUpdate the Supply Trust reporting metrics for the CHC… more
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  • University Medical Center of El Paso (El Paso, TX)
    …Experience working with Electronic Medical Record Meaningful Use, and Managed Care preferred. License/Registration/certification Active Texas Medical License. ... preferred. Required Experience: Work Experience Two years of experience providing primary care services, clinic medical management in an underserved area… more
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  • UT Health Tyler (Tyler, TX)
    …Health Pittsburg, UT Health Quitman, UT Health Air1/EMS, UT Health East Texas Rehabilitation Hospital , UT Health Long Term Acute Care , UT Health Hope Cancer ... and a culture of high reliability Accreditation-Ensures all regulatory requirements are managed and highly functional Experience of Care - relationship-centered … more
    JobGet (09/01/24)
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  • University Medical Center of El Paso (El Paso, TX)
    …UMC's Decision Support processes. Focuses on strategies to position the Medicaid and Medicare Managed Care Organization (MCO) in the El Paso and Hudspeth Region. ... or business development is required; preferably in a healthcare or a managed care setting. License/Registration/Certification None. Education and Training A… more
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  • Marion County (Salem, OR)
    …Mental Health Specialist on this team provides individual and group therapy, case management , and supervision and monitoring for individuals in order to support them ... carries out recreational, social and skills training activities; performs case management and counseling functions with Adults in Custody (AIC); facilitates… more
    JobGet (09/18/24)
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  • Russell Tobin & Associates (Minneapolis, MN)
    …working in one of the following business units in a managed care company or health insurer: Product/Benefit Management , Medical Management , Appeals, ... coding concepts (eg, CPT, HCPCS, ICD-9/10). 2+ years of extensive project management experience using data and information to make business decisions. 2+ years… more
    JobGet (09/18/24)
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  • Arthrex (Ave Maria, FL)
    …(TM) . We are committed to delivering uncompromising quality to the health care professionals who use our products, and ultimately, the millions of patients whose ... Life InsuranceFlexible Spending Account (FSA)Supplemental Insurance Plans (Accident, Cancer, Hospital , Critical Illness)Matching 401(k) Retirement PlanAnnual BonusWellness Incentive ProgramFree,… more
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …Bachelors DegreeMinimum Experience: Minimum two (2) years credentialing experience in a managed care organization, hospital or physician environment. ... work history, professional liability insurance, education, training & board certification, hospital privileges to include disciplinary action history, NPDB query and… more
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  • Compass Health Network (Festus, MO)
    …with attending physician as necessary or acquire medical services through managed care organizationsManage medical emergenciesArrange or monitor special dietary ... substance use treatment, family medicine and dental services throughout Missouri. Our network of care includes Royal Oaks Hospital and Adapt of Missouri. We are… more
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  • Senior Living Communities (Myrtle Beach, SC)
    …Advantage updates timely. Noting the chart each time a new verification is received from Managed Care . The in the chart includes the dates verified through and ... communication with the Regional Admissions Coordinator related to transfers to the hospital , LOAs, discharges, and admissions to Community SNF. Collaborate to ensure… more
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  • Careers Integrated Resources Inc (Costa Mesa, CA)
    …(billing & collections), including procedures and policies. . Has thorough knowledge of managed care contracts, current payor rates, understanding of terms and ... the contract rate with the use of the contract management tool for proper pricing (Examples: APC, DRG, APRDRG)....colleagues with understanding of benefit plans. . Understanding of hospital billing form requirements (UB04) and familiar with the… more
    JobGet (09/17/24)
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  • Pacer Staffing (Atlanta, GA)
    …experience. Preferred: Experience in the private medical industry, health insurance, or Managed Care field. Experience in a fast-paced corporate environment. ... medical directors, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management , and the claims subcontractor as needed. Serves as the… more
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  • Blanchard Valley Health System (Findlay, OH)
    …for review and analysis of payor contracts (with the assistance of Revenue Cycle & Managed Care ) to ensure proper payment terms Duty 14: Assists with annual ... THIS POSITION The purpose of this position is to provide leadership and management of the accounting staff, assist with accounting related duties as necessary, while… more
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