- CHRISTUS Health (Leon Valley, TX)
- …the Lead LVN- Expedites the flow of authorization requests through the Managed Care System. Prepares requests for authorization of services by ensuring form ... Under general supervision, performs a wide variety of direct, technical nursing care functions for acute, sub-acute, convalescent and chronic patients in accordance… more
- WTW (New York, NY)
- …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...business while managing existing revenue and profit streams + Lead the development and execution of client account plans… more
- Penn Medicine (Philadelphia, PA)
- …Hospital, 555 N Duke Street, Lancaster, PA 17602 Hours: Hybrid, M-F, 8:30am-5pm The Regional Managed Care Director, Central PA, oversees the managed care ... conducting, overseeing, and/or coordinating the negotiation and maintenance of managed care contracts with local, regional, and...Skills and Abilities + Leadership Skills - ability to lead teams (both of direct reports and of peers)… more
- Roper St. Francis (Ladson, SC)
- …agreements and regulatory requirements. + Monitor and evaluate the performance of managed care initiatives. + Support (and lead certain) managed care ... 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… more
- Hackensack Meridian Health (Edison, NJ)
- … of positive change. The **Senior Contracting Specialist** position will support the Managed Care Team during system and new entities negotiations in accordance ... the direction of the Sr. Vice President and Vice President - Managed Care . Will be responsible for addressing operational, financial and services issues and… 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 ... of scale across provider types and geographies and will lead the effort in developing Dignity Health's Medicaid population...growth of the department. Experience with IPA or network managed care , EZCAP and analytics strongly preferred.… 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 ... of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute...timely filing of all managed care claims on their assigned caseload… 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 ... Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing,...rates with health plans. PRINCIPLE DUTIES AND RESPONSIBILITIES: 1. Lead payor negotiations and manage team that will evaluate… 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 ... financing policies, including but not limited to fee-for-service (FFS) and Medi-Cal Managed Care payment arrangements, as well as shifting alternative payment… 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 ... pediatric specialty hospital. It is well recognized as Hawai'i's leader in the care of women, infants...equivalent. One (1) year clerical experience in a health care setting. Experience with managed care… 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 ... pediatric specialty hospital. It is well recognized as Hawai'i's leader in the care of women, infants...equivalent. One (1) year clerical experience in a health care setting. Experience with managed care… more
- Cedars-Sinai (CA)
- …service the network's membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star ratings, access, physician network ... user or client acceptance. + Well versed within the various components that comprise Managed Care and its key concepts including but not limited to eligibility,… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …Due to continued growth, CommuniCare Health Services is currently recruiting for a Managed Care Cash Poster to join our team. PURPOSE/BELIEF STATEMENT The ... of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute... Managed Care Cash Poster position is responsible… more
- MaineGeneral Health (Waterville, ME)
- …a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects of reimbursement, managed ... oversee the Charge Description Master (CDM) rate setting + Lead contract negotiations and manage payer relationships + Utilize...of 7 years of experience in healthcare reimbursement and managed care - some leadership experience is… more
- Elevance Health (Ashburn, VA)
- ** Managed Care Coordinator** Location: Candidate must reside in Northern Virginia. While primarily remote, occasional travel is required to meet with members ... face to face. The ** Managed Care Coordinator** , as required by...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Topeka, KS)
- **Location:** Candidate must live within the state of Kansas The ** Managed Care Coordinator - Foster Care ** is responsible for performing telephonic or ... tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high risk… more
- CommonSpirit Health (Englewood, CO)
- …is a remote position. Seeking a strong manager of technical healthcare teams for Managed Care .** **Job Summary / Purpose** The System Manager, Data Engineering ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US from clinics and hospitals...and maintenance of database architecture and data repositories. This leader plays a critical role in ensuring proper balance… more
- Molina Healthcare (WA)
- …Experience** + 7+ years of business analysis or systems experience, + 6+ years managed care experience. + Demonstrates expertise in a variety of concepts, ... have worked in US Healthcare government programs such as Medicare, Medicaid, the Affordable Care Act, or similar, with experience in one or more of these programs.… more
- UTMB Health (Galveston, TX)
- Human Resources Manager - Correctional Managed Care **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health Requisition # 2405652 ... role model to other HR consultants, and may function as a team leader . Provides in-depth content expertise and project management in the design, development, and/or… more
- Kaleida Health (Buffalo, NY)
- …equity, and any applicable collective bargaining agreement.* **Grade:** 217 **Position:** Manager Managed Care Contracting **Union Code:** 00 - Non Union ... Primarily responsible to manage third party contracting. Include being the lead contact for third party contracting, assisting in developing payer strategy,… more
