- CHRISTUS Health (Marshall, TX)
- …required to have a working knowledge of ICD9, CPT and HCPCS coding and managed care . Responds to incoming telephone calls and (per provider instructions) calls ... Summary: Under supervision, the incumbent of this position provides professional nursing care to clinic patients. Works collaboratively with the providers within the… more
- CHRISTUS Health (Leon Valley, TX)
- …As the Lead LVN- Expedites the flow of authorization requests through the Managed Care System. Prepares requests for authorization of services by ensuring ... Under general supervision, performs a wide variety of direct, technical nursing care functions for acute, sub-acute, convalescent and chronic patients in accordance… more
- e CancerCare (Nashville, TN)
- …related to ION network and providers. Team member will work closely with the Managed Care department team in generating and reviewing system data, while making ... other internal teams with reimbursement related concerns and acting as a liaison to managed care plans. Essential Functions: . Support Managed Care team… more
- WTW (New York, NY)
- …across 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 the Willis Towers Watson (WTW) relationship for clients within the Managed Care Industry. This individual is accountable for profitable Managed Care … more
- City of New York (New York, NY)
- …NM-III, to function as the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under the ... Assistance Program (MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and Third-Party Health Insurance. Ensuring that the three… more
- Roper St. Francis (Ladson, SC)
- …Francis Office Park, Ladson, SC** **Shift: 8:00am-5:00pm** **Job Summary:** The Manager of Managed Care is responsible for implementing and overseeing the daily ... operations of managed care programs and initiatives and the provider credentialing and enrollment program. This role ensures effective management of… more
- Hackensack Meridian Health (Edison, NJ)
- …leader of positive change. The **Senior Contracting Specialist** position will support the Managed Care Team during system and new entities negotiations in ... the direction of the Sr. Vice President and Vice President - Managed Care . Will be responsible for addressing operational, financial and services issues and… more
- McLaren Health Care (Auburn Hills, MI)
- We are looking for a Managed Care Contract Assistant to join us in leading our organization forward. McLaren Health Care is one of Michigan's fastest growing ... of the Leadership Team in implementing, operationalizing, and administering third-party payor/ Managed Care agreements within all market segments for McLaren… more
- Beth Israel Lahey Health (Westwood, MA)
- …difference in people's lives.** The Manager Care Coordinator initiates and process managed care insurance referral requests for patients of BILH Primary ... and redirect care within the BILH network. **Job Description:** **The Managed Care Coordinator's Responsibilities are:** 1. Work collaboratively with BILH… more
- The New Jewish Home (Bronx, NY)
- The Finance Department in Waters Place, Bronx is seeking a full time Managed Care Billing Specialist to join our team. The Managed Care Specialist is ... responsible for resolving managed care denied and underpaid claims timely. Responsibilities + Must...claims timely. Responsibilities + Must be able to understand managed care contracts, create project spreadsheets for… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Managed Care Rebate Analyst Date: Nov 10, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57682 **Who we ... new people to make a difference with. **The opportunity** The Senior Managed Care Rebate Analyst is responsible for managing the reimbursement process for Teva's… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Managed Care Rebate Analyst Date: Nov 7, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 59108 **Who we are** ... a difference, and new people to make a difference with. **The opportunity** The Managed Care Rebate Analyst is responsible for the processing of Managed … more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals ... and growth of the department. Experience with IPA or network managed care , EZCAP and analytics strongly preferred. **Position Summary:** Provide leadership… more
- Penn Medicine (Plainsboro, NJ)
- …shape our future each day. Are you living your life's work? Summary: + The Managed Care Plan Coordinator provides support to the practice and its patients as ... it relates to managed care insurance plans. The Managed Care Plan Coordinator registers patients, verifies insurance, issues referrals, and assists… 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 ... healthcare requirements + The unique complex needs of the foster care population + Medicaid Managed Care policies and procedure + The Medicaid Managed… more
- Children's Hospital Los Angeles (Glendale, CA)
- …payor models, as well as negotiation, communication, implementation and oversight of managed care contracting and collaboration with operative partners. This ... policies, including but not limited to fee-for-service (FFS) and Medi-Cal Managed Care payment arrangements, as well as shifting alternative payment models in… 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 ... timely filing of all managed care claims on their assigned caseload with the appropriate insurance carrier. The position requires working with the CBO cash… more
- Hawaii Pacific Health (Honolulu, HI)
- …organizational and communication skills, you might be the ideal candidate to be our next Managed Care Representative. In this role, you will provide managed ... equivalent. One (1) year clerical experience in a health care setting. Experience with managed care...in a health care setting. Experience with managed care and government health plans. **Preferred… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the ... of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms and… more
- Hawaii Pacific Health (Honolulu, HI)
- …organizational and communication skills, you might be the ideal candidate to be our next Managed Care Representative. In this role, you will provide managed ... equivalent. One (1) year clerical experience in a health care setting. Experience with managed care...in a health care setting. Experience with managed care and government health plans. **Preferred… more
