- Dignity Health (Bakersfield, CA)
- …contracts, and enrollment of members. Coordinates with health plan partners, Managed Care platform vendors, and offshore support teams. Compiles and analyzes ... pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to...Director will be a hands-on leader to the Enrollment and Benefit team, responsible for eligibility, benefit plans… more
- City of New York (New York, NY)
- …(hospitals, physician groups and pharmacies), city agencies, client advocates, and MAXIMUS (the state managed care enrollment broker for the managed ... as the Executive Director , of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under the executive… more
- MaineGeneral Health (Waterville, ME)
- …We are actively seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects ... of reimbursement, managed care contracts, and payer enrollment . The successful candidate will have a deep understanding of healthcare finance, regulatory… 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 ... requirements + The unique complex needs of the foster care population + Medicaid Managed Care... Care Liaison Inform and coordinate PCP (Primary Care Physician) changes Assist with plan enrollment ,… more
- ManpowerGroup (Columbia, SC)
- **Title:** ** Managed Care Coordinator UM II** **Location: Columbia SC (Onsite)** **Duration: 3 months** **Pay Range : $31/hr (On W2)** We are looking for a " ** ... Managed Care Coordinator UM II** "to join...Director , Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). + Participates in data collection/input into… more
- US Tech Solutions (Columbia, SC)
- … Director , Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection/input into system for clinical ... or denied. Some may need sent to the medical director . They will also need to be flexible to...as member advocate through continued communication and education. Promotes enrollment in care management programs and/or health… more
- State of Massachusetts (Quincy, MA)
- …Health and is tasked with the oversight and management of MassHealth's Accountable Care Organizations (ACOs), Managed Care Organization (MCOs), Primary ... outcomes and driving innovation. ACOs are the central managed care delivery system of MassHealth's current...for managing the health of their membership. As Deputy Director of Health Plan Administration, the incumbent will manage… more
- Sutter Health (Antioch, CA)
- …knowledge base of health care delivery and case management within a managed care environment required. + Comprehensive knowledge of local, state and federal ... Health! **Organization:** SHSO-Population Health Services-Bay **Position Overview:** Responsible for Care Coordination operations for Sutter Delta Hospital. Works closely… more
- LifeSteps (Sacramento, CA)
- …for Medi-Cal eligible adults (18 and older). Initially, referrals will come from Managed Care Plans (MCPs) contracted with LifeSTEPS, with future expansion to ... Cal-AIM Services Director Job Details Job Location Sacramento Corporate Office...ensuring the CITED-PATH grant and services contracts with all Managed Care Plans (MCPs). + Ensures compliance… more
- Aveanna (Atlanta, GA)
- …information necessary to comply with state audits and/or survey requests * Assist Managed Care and Legal with information necessary for litigation and contracts. ... Director , Regulatory Licensing ApplyRefer a FriendBack Job Details...a community of compassionate individuals committed to providing exceptional care to those we serve. Our mission is to… more
- Marriott (Bethesda, MD)
- …Remotely?** Y **Position Type** Management Marriott has an exciting opportunity for a Director , UI/UX Engineering- Corporate Systems. This role is part of the team ... with and knowledge of IT outsourcing activities in a managed service environment. + Proven knowledge of SDLC; good...All locations offer coverage for medical, dental, vision, health care flexible spending account, dependent care flexible… more
- Monte Nido (Miami, FL)
- …candidate will have extensive experience in healthcare contracting, a deep understanding of managed care operations, and a strategic mindset for enhancing Monte ... of healthcare reimbursement methodologies, including Medicare, Medicaid, commercial payors, and managed care organizations. + Demonstrated track record of… more
- Johns Hopkins University (Baltimore, MD)
- …and Alumni Relations (DAR) supports Johns Hopkins' focus on research, teaching and patient care , and its role as a national and global leader in higher education. We ... university business can count those days towards their onsite days. The Assistant Director of Prospect Management and Data Analytics is responsible for the data… more
- HCA Healthcare (Hartsville, TN)
- …benefits may vary by location._** Come join our team as a Patient Financial Services Director . We care for our community! Just last year, HCA Healthcare and our ... to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Patient...family! Jump-start your career as a Patient Financial Services Director today with Lifepoint - Trousdale Medical Center. **Benefits**… more
- HCA Healthcare (Galax, VA)
- …invested over 156,000 hours volunteering in our communities. As a Patient Financial Services Director with Twin County Regional Healthcare, you can be a part of an ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...We are looking for an enthusiastic Patient Financial Services Director to help us reach our goals. Unlock your… more
- CenterLight Health System (Ridgewood, NY)
- …diagnostic & treatment clinic preferred. + Customer Service experience is required. + Managed long-term care insurance experience beneficial. + Minimum of one ... JOB PURPOSE: The Assistant Clinical Service Director , in conjunction with the Clinical/Center Service ...the LHCSA along with coordination of the multi-disciplinary integrated care in the community, Day Health Center, Diagnostic &… more
- Robert Half (Pittsburgh, PA)
- JOB REQUISITION Pittsburgh Technology & Advisory Associate Director LOCATION PITTSBURGH ADDITIONAL LOCATION(S) JOB DESCRIPTION Technology Audit & Advisory Associate ... Director You Belong Here The Protiviti Career provides opportunity...is a passion. We lean into our mission: We Care . We Collaborate. We Deliver. At every level, we… more
- UT Health (Houston, TX)
- …role comes with eligibility for all UTHealth benefits, which include healthcare coverage and enrollment in the pension plan managed by the State of Texas. ... Senior Director Human Resources **Location:** Texas Medical Center-Houston, Texas...is Houston's Health University and Texas' resource for health care education, innovation, scientific discovery and excellence in patient… more
- MD Anderson Cancer Center (Houston, TX)
- …the nation, and the world through outstanding programs that integrate patient care , research, and prevention, and through education for undergraduate and graduate ... students, trainees, professionals, employees, and the public. The Associate Director develops and implements the data collection, data analysis and research… more
- Robert Half (Chicago, IL)
- JOB REQUISITION Workday HCM/Payroll Solutions Architect Associate Director LOCATION CHICAGO ADDITIONAL LOCATION(S) DALLAS, HOUSTON JOB DESCRIPTION You Belong Here ... is a passion. We lean into our mission: We Care . We Collaborate. We Deliver . At every level,...is looking for a Workday HCM/Payroll Solutions Architect Associate Director to join our growing team. What You Can… more