- Cedars-Sinai (CA)
- …people throughout Los Angeles and beyond. **Req ID** : 5668 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting all facets of...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- Roper St. Francis (Ladson, SC)
- …Roper St. 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… more
- CommonSpirit Health (Englewood, CO)
- …a remote position. Seeking a strong manager of technical healthcare teams for Managed Care .** **Job Summary / Purpose** The System Manager , Data ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US from clinics and hospitals...Health's Payer Strategy, Analytics & Innovation capability. The System Manager , Data Engineering oversees complex data design and the… more
- Trinity Health (Fresno, CA)
- …Reporting to the Director CVHP Operations, CVHP Operations, this position coordinates care and service for defined patient populations across the acute care ... continuum for CVHP members. This includes discharge planning, utilization management, care coordination, and support for resource utilization. This position works… more
- Penn Medicine (Plainsboro, NJ)
- …up to date knowledge of insurance requirements pertinent to patient service and managed care .Assists practice manager with developing policy and procedures ... 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… more
- Stanford Health Care (Palo Alto, CA)
- …behalf of Department VP as assigned. + Researches options for participation in new managed care and Pharmacy Benefit Manager contracts. + Identifies, ... **What you will do** + Provides leadership and subject matter expertise to Managed Care department and various other SHC and SMCH departments on matters of … 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
- University of Michigan (Ann Arbor, MI)
- …which are patient specific most often involving Out of State Payers. The Managed Care Payer Analyst will report to the Manager , Managed Care ... research that together enhance our contribution to society. **Responsibilities + Support Manager , Managed Care Operations and Senior Director, Managed … more
- Sutter Health (Goleta, CA)
- …knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of ... Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. Oversees the management… more
- Elevance Health (Rancho Cordova, CA)
- **Program Manager , Medi-Cal Managed Care (County Account Management)** **Location:** Rancho Cordova, CA Associates are required to live within a 50-mile ... Skills, Capabilities and Experiences:** + Graduate degree preferred. + MediCAL, Medicaid managed care experience strongly preferred. + Experience with government… more
- e CancerCare (Nashville, TN)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... Job Purpose: Manager of Payor Contracting is responsible for reviewing,...compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
- Lundbeck (Nashville, TN)
- …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager , sales operations, account management is ... Psychiatry Area Sales Manager - Nashville, TN Requisition ID: 5702 Location:...+ Guides the identification of local market systems of care , patient flow, reimbursement, and provides innovation solutions +… more
- Corewell Health (Newaygo, MI)
- …application of educational concepts/skills and preventive care in a managed care environment. Care Manager for Newaygo and Grant- Hybrid position. + ... Remote). About the Department The Corewell Health West Ambulatory Care Management Department is made up of Social Workers,...Management Department is made up of Social Workers, RN Care Managers, Community Health Workers and Medical Assistants. We… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …education, and public health coverage case management. Under the direction of the Managed Care Manager and Coordinator, they pro-actively contact customers, ... #27077 Position Summary: Full-Time Customer Service Representative position available for our Managed Care department in Vancouver, WA. The Customer Service… more
- Molina Healthcare (Syracuse, NY)
- …Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Key Words: Medicare, Medicaid, Managed Care , Manager , Leader, Marketing, Duals, Enroll, Enrollees, ... **Molina Healthcare is Hiring for a Manager of Growth & Community Engagement in Rochester,...years' experience in business development, community relations or health care related activities. + 3 years Managed -… more
- Prime Care Coordination (Webster, NY)
- …Social Worker + Minimum five years in healthcare related field, with 2 years as a care manager in managed care environment or community health + Must be ... and environmental factors that affect the lives of iCircle Care members. The Care Manager ...management, and functional capabilities. RESPONSIBILITIES: + Oversee caseload of managed care members + Review and evaluate… more
- Whitney Young Health Center (Albany, NY)
- …to schedule changes. Training in laboratory/phlebotomy techniques. Knowledge of managed care requirements. Bilingual. RN CARE MANAGER II:Salary range: ... Registered Nurse (RN) Care Manager (Req 100826) Albany, NY...to schedule changes. Training in laboratory/phlebotomy techniques. Knowledge of managed care requirements. Bilingual. All qualified applicants… more
- Corewell Health (Ada, MI)
- …+ 5 years of relevant experience clinical nursing and or case management/ managed care or related field Preferred + Case Manager , Certified (CCM) - CCMC ... through the application of educational concepts / skills and preventive care in a managed care environment. + Assesses internal and external referrals… more
- Charles Schwab (Lone Tree, CO)
- …responsible for managing our third-party product marketplaces (Alternative Investments, Managed Accounts, Mutual Funds, ETFs, Structured Products, Fixed Income, ... Insurance, and 529) as well as our proprietary Separately Managed Accounts. Our mission is to provide a positive...and improving internal business processes and operations. The Senior Manager will work closely with internal partners to deliver… more
- Charles Schwab (San Francisco, CA)
- …responsible for managing our third-party product marketplaces (Alternative Investments, Managed Accounts, Mutual Funds, ETFs, Structured Products, Fixed Income, ... Insurance, and 529) as well as our proprietary Separately Managed Accounts. Our mission is to provide a positive...more modern and competitive. **What you'll do:** The Senior Manager is an individual contributor role that is vital… more