- McLaren Health Care (Auburn Hills, MI)
- We are looking for a Managed Care Coordinator to join us in leading our organization forward. McLaren Health Care is one of Michigan's fastest growing ... Summary:** Responsible for implementing, operationalizing and administration of third-party payor/ Managed Care agreements within all market segments for… more
- AdventHealth (Maitland, FL)
- …KS 66204** **This position is in Kansas City** **The role you'll contribute:** The Managed Care Coordinator is a responsible member of a multi-disciplinary ... the team:** . Provide documentation to internal departments on managed care contract requirements and...General knowledge of healthcare, hospital and provider operations, and managed care payer contracts and… more
- Elevance Health (Arlington, VA)
- …insightful analytics to improve the delivery of care . The **Case Manager ( Managed Care Coordinator )** is responsible for overall management of member's ... plan within the scope of position, as required by applicable state law and contract . **How you will make an impact:** + Performing telephonic or face-to-face history… more
- Queen's Health System (Honolulu, HI)
- … contracts , financial analysis methods, accounting principles, and health care delivery systems. o Knowledge of requirements specific to government-funded health ... RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: * Coordinates and administers contracts with healthcare insurance providers for The Queen's...to make recommendations to maximize cost and quality of care . * Serves as a liaison with third party… more
- Elevance Health (Roanoke, VA)
- The **Foster Care Managed Case Manager** is responsible for overall management of member's individual service plan within the scope of position, as required by ... applicable state law and contract . **How you will make an impact:** + Working...an impact:** + Working with children within the Foster Care System + Responsible for performing telephonic or face-to-face… more
- Fresenius Medical Center (Franklin, TN)
- …coordination, and administration of contracting and pricing procedures. This includes contract terms and conditions, products and prices for various market segments ... supporting analysis, documentation and reports + to support negotiations of contract terms and department administration. + Maintains complete, accurate, and… more
- Immigration and Customs Enforcement (Conroe, TX)
- …Managers, BH Medical Assets Support Team), and other IHSC personnel (ie, Field Medical Coordinator , Managed Care Coordinator , etc.), other health ... civil servants, and contract staff. The IHSC provides on-site direct patient care to ICE detainees at 20 detention facilities throughout the country and manages… more
- Prime Healthcare (Ontario, CA)
- …staff person to maintain the physical/original and electronic managed care contract files. The Contract Coordinator II must effectively interact with ... base of Microsoft Excel. + Familiarity with CPT and Diagnostic codes, Medicare guidelines and Managed Care contracts . + Ability to interact at a professional… more
- Sharp Electronics Corporation (Santee, CA)
- **Overview** The Contract Coordinator position is responsible for the timely and accurate creation and processing of contract billing, in compliance with all ... procedures. **Responsibilities** + Ensure completeness and accuracy of maintenance contract documents including MICAS (meter automation) requirements and valid… more
- Trinity Health (Darby, PA)
- …manage the appeal process in an effective manner in accordance with requirements of managed care contracts , federal and state laws, and department policies ... or clinical rationale + Assists in corresponding and communicating with external managed care (IBC, Aetna, etc.) and regulatory organizations (Medicare,… more
- Sharp HealthCare (San Diego, CA)
- …of available community resources and current standards of clinical practice. + Knowledge of managed care and Health Plan contracts . + Understanding of the ... as a case manager or discharge planner interacting with managed care payers. + Experience with InterQual...+ Act as a resourceDemonstrates knowledge of Health Plan contracts and Health Plan benefits Coordinates services and supplies… more
- Delta Dental of Iowa (Johnston, IA)
- Government Programs Care Coordinator Johnston, IA (http://maps.google.com/maps?q=9000+Northpark+Drive+Johnston+IA+USA+50131) Apply Job Type Full-time Description ... outreach, performance improvement, and goals related to Government Programs contracts . This includes care coordination and case...Hawki, and Medicare Advantage plans. You will collaborate with managed care companies, the Iowa Department of… more
- Motion Recruitment Partners (Tampa, FL)
- Onboarding Coordinator Tampa, FL **Hybrid** Contract $24/hr - $25/hr Grow your career as an Onboarding Coordinator with an innovative global bank in Tampa, ... FL. Contract role with strong possibility of extension. Will require...financial services worldwide. Will be processing Statement of Work contracts and data/invoicing changes related to those SOWs being… more
- Randstad US (Alpharetta, GA)
- …or Mountain timezone for this position. SUMMARY: The MSP SOW Procurement Coordinator assists the client's project buyers with procuring, managing, and remittance ... processing of service contracts under Statement of Work (SOW) agreements. Partners with...of SOW's including supplier invoice administration and settlement. The coordinator works closely with client buyers, procurement stakeholders, and… more
- Humana (Richmond, VA)
- …experience + Experience with health promotion, coaching and wellness + Previous managed care experience + Certification in Case Management + Motivational ... community and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs...in the negotiation or the administration of a Medicaid contract on behalf of the state and/or Family and… more
- State of Indiana (Indianapolis, IN)
- Medicaid/Medicare Coordinator Date Posted: Jun 25, 2024 Requisition ID: 445663 Location: Indianapolis, IN, US, 46202 Work for Indiana Begin a fulfilling career with ... percent of the state's budget to ensure vital health care coverage to approximately 1 in 4 Hoosiers. OMPP...role will manage and develop the State Medicaid Agency Contracts (SMACs), working to develop increased alignment between Medicare… more
- AdventHealth (Orlando, FL)
- …to management. 4. Maintains knowledge of third-party payor reimbursement guidelines and managed care contracts . 5. Responsible for receiving and ... year **The role you'll contribute:** The Ambulatory Payment Classification (APC) Coordinator is responsible for assigning, monitoring, and evaluating the assignment… more
- Elara Caring (Poplar Bluff, MO)
- …Care , at the Right Time, in the Right Place. **Job Description:** **Procurement Fleet Coordinator ** At Elara Caring, we care where you are and believe the ... To continue to be an industry pioneer delivering unparalleled care , we need a as Procurement Fleet Coordinator...other suppliers. + Produces reports tracking fleet and other contract expiration dates or categories. + Manage all required… more
- Johns Hopkins University (Middle River, MD)
- …JHCP, JHRP-employed clinical providers, and ancillary support staff with government and managed care payers timely and accurately. Provides on-going education ... School of Medicine CPA Faculty and ancillary support staff with government and managed care payers timely and accurately. + Follows Medicare PECOS Provider… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …a thorough understanding of the many benefits and coverage offered by the different managed care products, including all DHCP plans. + Improve coordination of ... Position Purpose: The Case Management Coordinator plays an important and unique role in...advocates. + Assist patients navigate the maze of the managed care delivery system. Essential Job Functions:… more