- UNC Health Care (Morrisville, NC)
- …the health and well-being of the unique communities we serve. Summary: The HCS Director of Managed Care Contracting serves as one of the Health Care System's ... payer relationships. The position is one of the key members of UNC Health's managed care executive team, reporting to the System Vice President of Managed … more
- UNC Health Care (Morrisville, NC)
- …to improve the health and well-being of the unique communities we serve. Summary: The Managed Care Coordinator assists in the day- to- day activities of the ... Physician based billing. Assists with sustaining relationship with members of managed care service providers. Assists with being a resource, answering questions… more
- UNC Health Care (Morrisville, NC)
- …the health and well-being of the unique communities we serve. Summary: The Managed Care Coordinator (analyst) supports UNC Health's network strategy by ... with contract‑related insights. Respond to ad hoc analytical requests from Managed Care leadership, Finance, and operational partners. Extract, validate,… more
- Bristol Myers Squibb (Princeton, NJ)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as well as all aspects with evaluating implications of and reporting Managed Care data required for US and Puerto Rico government pricing calculations.… more
- Truman Medical Centers (Kansas City, MO)
- …(http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Vice President of Managed Care 101 Truman Medical Center **Job Location** ... Crown Center Kansas City, Missouri **Department** Managed Care **Position Type** Full time **Work Schedule** 8:00AM - 5:00PM **Hours Per Week** 40 **Job… more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... within the Managed Care department by ensuring compliance with applicable rules and regulations including but not limited to AB1455 and Medicare Claims… more
- Fresenius Medical Center (Waltham, MA)
- **Sr Director Managed Care and Payor Strategy** **PURPOSE AND SCOPE:** The Senior Director of Managed Care & Payor Strategy is a strategic leader ... responsible for driving initiatives that strengthen relationships with Managed Care Payor Organizations and optimize contractual performance. This role leads a… more
- Beth Israel Lahey Health (Boston, MA)
- …not just taking a job, you're making a difference in people's lives.** The Managed Care Coordinator will support the ObGyn Department at Beth Israel Deaconess ... Medical Center in Boston, MA. The Managed Care Coordinator role is a hybrid work model, promoting a balance between on-site and remote work. Once fully trained,… more
- National Vision (Lawrenceville, GA)
- …hard work is praised, and career growth is a reality. We are hiring for a Managed Care Billing Logistics Representative to join our growing team! Job Summary The ... Managed Care Billing Logistics Representative plays a critical role in ensuring the seamless processing of billing transactions between National Vision and … more
- Beth Israel Lahey Health (Wakefield, 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
- TEKsystems (Hartford, CT)
- The Managed Care Coordinator is responsible for supporting managed care credentialing, contracting, and reimbursement initiatives across multiple ... as a key liaison between payers, internal departments, and the Managed Care team to ensure accurate contracting, credentialing, analytics, and ongoing payer… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a difference in people's lives.** Job Summary: Under the direction of the Sr. Managed Care Coordinator and Practice Manager initiate and process managed ... patients and practice support staff to coordinate, and process all specialty care managed care referral authorization requests in compliance with APG's,… more
- AccentCare, Inc. (Dallas, TX)
- Overview Managed Care Contract Specialist Location: Dallas Corporate Office Position: Managed Care Contract Specialist Position Type: Full-Time ... for success in this role. Find Your Passion and Purpose as a Managed Care Contract Specialist What You Need to Know Reimagining Your Career in Corporate… more
- Cardinal Health (Atlanta, GA)
- …lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the relationship ... role is devoted to educating both customers and sales on managed care and enrolling prospective pharmacies into retail pharmacy solutions. **_Responsibilities_**… more
- Penn Medicine (Woodbury Heights, NJ)
- …**Department: Shared Services** **Location: Woodbury. NJ** **Hours: Full-Time** 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,… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position is On-Site The Behavioral Health Nurse - Managed Care is responsible for coordinating, monitoring, and delivering behavioral health services within a ... managed care environment. This role involves working closely with patients, providers, and interdisciplinary teams to assess behavioral health needs, develop… 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
- Cedars-Sinai (Beverly Hills, CA)
- …implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and ... metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for compliance and financial performance, identifying… more
- Fresenius Medical Center (Dallas, TX)
- … programs (HMOs, PPOs, POS, etc). Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… more
- Prime Healthcare (Victorville, CA)
- …seeking new members to join our corporate team! Responsibilities The Senior Managed Care Biller/Collector is responsible for both billing and collections, ... with the specific payer guidelines, policies, procedures, and compliance regulations for managed care . This includes maintaining the deficiency lists used to… more