- Hackensack Meridian Health (Edison, NJ)
- …positive change. The **Senior Contracting Specialist ** position will support the Managed Care Team during system and new entities negotiations in accordance ... of the Sr. Vice President and Vice President - Managed Care . Will be responsible for addressing...A day in the life of a **Senior Contracting Specialist ** at **Hackensack Meridian** **_Health_** includes: + Work under… more
- The New Jewish Home (Bronx, NY)
- …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 be able to understand managed care contracts, create project spreadsheets for submission to payers,… more
- State of Colorado (Denver, CO)
- Managed Care Technology Administrator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4730377) Apply Managed Care Technology ... POS contributes to the Division goals through administration of the RAE and Managed Care Organization (MCO) contracts, the Enrollment Broker (EB) contract,… more
- System One (Houston, TX)
- Job Opportunity: Project Controls Specialist Growing Energy Infrastructure client located downtown is looking for an experienced Project Controls ... (3 days onsite, 2 remote) ? Key Responsibilities: + Project Planning & Scheduling: + Develop and maintain the... documentation, including contracts, reports, and records, is properly managed and stored. + Ensure compliance with industry standards,… more
- LA Care Health Plan (Los Angeles, CA)
- …- Word, Power Point, Visio, Project . Strong knowledge of Department of Managed Health Care (DMHC), Covered CA, Centers for Medicare and Medicaid Services ... Product Solutions Specialist II Job Category: Sales & Marketing Department:...oriented. Skilled in resolving conflict. Preferred: Understanding of Medi-Cal managed care model, eligibility requirements, benefits, enrollment… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Education Department, State Title Information Technology Specialist 4, Box PIMS-860/01765 Occupational Category IT Engineering, Sciences Salary ... one year of permanent competitive or 55b/c service as an Information Technology Specialist 4. Eligible List Appointment: Candidates must be reachable on the Civil… more
- Access Dubuque (Dubuque, IA)
- …desktops to Students, Faculty, and Staff (except for new student orientations, which will be managed by the User Services Specialist ) + Serve as Loras College IT ... AV & User Support Specialist **Loras College** 1 Positions ID: 54861 Posted...abstract ideas. + Customer Oriented - Ability to take care of the customers' needs while following company procedures.… more
- University of Pennsylvania (Philadelphia, PA)
- …related to ongoing clinical projects, ensuring CCTR lab's inventory and equipment are well- managed and fully functional. The specialist will assist the PIs with ... and resources, and much more. Posted Job Title Research Specialist , Penn Dental Medicine Job Profile Title Research ...Proficiency in relevant software and tools for data analysis, project and lab management, such as Excel, TotalLab, Phoretix,… more
- Molina Healthcare (NM)
- …with minimum 2 years' experience in health plan quality improvement, managed care , or equivalent experience. **Required License, Certification, Association** ... Intervention / QI Compliance + Acts as a lead specialist to provide project -, program-, and /...5 - 7 years hospital clinical experience and prior managed care . Excellent professional writing skills, and… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Education Finance Specialist 1, Education Finance Specialist Trainee 1 (NY HELPS) (Multiple Positions), Box ... qualifications for this position. The qualifications are:* Appointment to Education Finance Specialist Trainee 1: Candidates must have a bachelor's degree or higher.… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Information Technology Specialist 3 (Programming) (NY HELPS) (6 Positions) Occupational Category IT Engineering, ... year of permanent competitive or 55-b/55-c service as an Information Technology Specialist 2, Information Technology Specialist 2 (Programming), or Supervising… more
- MEAG Power (Atlanta, GA)
- Position Title: Senior Enterprise Risk Management Specialist Dept., BU / Section: Internal Audit and Enterprise Risk Management Reports to: Manager, Internal Audit ... week with manager approval Summary: The Senior Enterprise Risk Management (ERM) Specialist will direct, coordinate, evaluate and execute MEAG Power's ERM Program… more
- CareOregon (Portland, OR)
- …and/or Education Required + Minimum 5 years' progressive experience in managed care contracting, provider relations, network/business development, or financial ... or related degree Knowledge, Skills and Abilities Required Knowledge + Extensive knowledge of managed care and the Oregon Health Plan + Strong knowledge of… more
- MyFlorida (Tallahassee, FL)
- …health care needs. Each program is responsible to either provide a managed system of care ; preventive, evaluative, or early intervention services; or ... HUMAN SERVICES PROGRAM SPECIALIST - 64005978 Date: Nov 26, 2024 The...birth. Newborn screening is part of the standard of care for all infants because early detection and treatment… more
- Idaho Division of Human Resources (Boise, ID)
- …positions offer flexible hours and/or telecommuting EXAMPLE OF DUTIES: + Works with Managed Care Organizations to implement and monitor behavioral health best ... Program Specialist DHW - MED Posting Begin Date: 2024/11/18...responsibilities of writing, evaluating, negotiating, and executing healthcare and/or managed care contracts, or college-level course work/degree… more
- University of Washington (Seattle, WA)
- …Program Operations Specialist will be responsible for directing the day-to-day project management activities across the large complex study to ensure project ... Allergy and Infectious Diseases has an outstanding position for **Program Operations Specialist .** The Chu Lab is involved in several clinical research studies… more
- Beth Israel Lahey Health (Wakefield, MA)
- …care continuum to achieve the quality incentives as part of global payment and managed care contracts with the goal of optimizing our patients' health and ... Under the supervision of the Quality Manager, the Senior Population Health Specialist (PHS) supports collaboration, communication and care coordination with all… more
- Houston Methodist (The Woodlands, TX)
- …the designated area(s) of responsibility or populations served. The Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, ... At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties enabling the delivery of optimal… more
- Capgemini (Chicago, IL)
- …forecasted accurately to all external and internal stakeholders. + Ensure that all project /program risks, issues and change requests are managed and communicated ... CCaaS Program Management Specialist Choosing Capgemini means choosing a company where...more inclusive world. **Responsibilities:** + Own and manage end-to-end project management of CCaaS implementation including stakeholder management, … more
- New York State Civil Service (Syracuse, NY)
- …issues related to children and families, services and providers.* Provide support for managed care /Medicaid billing of peer services. * Address parent calls and ... NY HELP No Agency Mental Health, Office of Title Advocacy Specialist 1 OR 2 (Family), Central Office; Occupational Category Health Care , Human/Social Services… more