- Bishop McCarthy Center (Vineland, NJ)
- Employee Heath/ Managed Care ...Control Registered Nurse has oversight over functions of the employee health program which include pre employment ... screening, employee verification, annual PPD testing, Covid testing, work related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to insurnace companies for continued stay… more
- National Health Care Associates (Wethersfield, CT)
- …case/ care management, and profit and loss analysis + Deep understanding of managed care models, population health management and healthcare reimbursement ... We invite you to join our team! **-** National Health Care Associates (NHCA), provider of high-quality...in the Northeast US, is seeking a Director of Managed Care . This is a fantastic opportunity… more
- Dignity Health (Bakersfield, CA)
- … Health 's Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative ... options including medical dental and vision plans for the employee and their dependents Health Spending Account...benefits, provider contracts, and enrollment of members. Coordinates with health plan partners, Managed Care … more
- Iowa Department of Administrative Services (Des Moines, IA)
- Managed Care Policy Analyst Liaison Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4732501) Apply Managed Care Policy Analyst Liaison ... and Human Services' (Iowa HHS) Division of Medicaid, Managed Care Reporting and Oversight Bureau is...your growth through training programs, workshops, and tuition reimbursement. Employee Assistance Program (EAP): We care about… more
- State of Colorado (Denver, CO)
- Managed Care Technology Administrator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4730377) Apply Managed Care Technology ... Time Job Number UHA 04412 11/14/2024 Department Department of Health Care Policy and Financing Division Cost...the Division goals through administration of the RAE and Managed Care Organization (MCO) contracts, the Enrollment… more
- WTW (New York, NY)
- …our two business segments, Health , Wealth and Career and Risk and Broking. The Managed Care Growth Leader is the primary client lead managing the totality of ... Willis Towers Watson (WTW) relationship for clients within the Managed Care Industry. This individual is accountable...Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care … more
- e CancerCare (Nashville, TN)
- …or equivalent experience . Skills: Health care reimbursement experience in a health system, consulting firm, or with a managed care payer preferred. ... and providers. Team member will work closely with the Managed Care department team in generating and...representative of those that must be met by an employee to successfully perform the essential functions of this… more
- Hawaii Pacific Health (Honolulu, HI)
- …No **Minimum Qualifications:** High School or equivalent. One (1) year clerical experience in a health care setting. Experience with managed care and ... might be the ideal candidate to be our next Managed Care Representative. In this role, you...planning and a commitment to delivering the highest quality health care to Hawai'i's people. **Location:** Kapiolani… more
- Hawaii Pacific Health (Honolulu, HI)
- …No **Minimum Qualifications:** High School or equivalent. One (1) year clerical experience in a health care setting. Experience with managed care and ... might be the ideal candidate to be our next Managed Care Representative. In this role, you...planning and a commitment to delivering the highest quality health care to Hawai'i's people. **Location:** Kapiolani… more
- CommuniCare Health Services Corporate (Akron, OH)
- …to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and ... than 150 skilled nursing, assisted living, independent living, behavioral health , and long-term care facilities deliver sophisticated...timely filing of all managed care claims on their assigned caseload… more
- Highmark Health (Columbus, OH)
- …is responsible for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ... RESPONSIBILITIES** + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques… more
- The Cigna Group (Bloomfield, CT)
- …(HPD) residency is a holistic program that provides resident a great foundation in managed care , with a focus in clinical strategy within client account ... written and verbal communications + Strong career interest in Managed Care pharmacy + Required: Please upload...Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health … more
- MaineGeneral Health (Waterville, ME)
- Job Summary:MaineGeneral Health is a leading health care system proud of the culture of excellence, compassion, and collaboration that extends to our ... our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects...to resources for a healthy lifestyle and help manage health care costs. + Employees have access… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Managed Care Rebate Analyst Date: Nov 7,...are** Together, we're on a mission to make good health more affordable and accessible, to help millions around the ... producer of many of the products on the World Health Organization's Essential Medicines List. Today, at least 200...people to make a difference with. **The opportunity** The Managed Care Rebate Analyst is responsible for… more
- CommuniCare Health Services Corporate (Akron, OH)
- …Due to continued growth, CommuniCare Health Services is currently recruiting for a Managed Care Cash Poster to join our team. PURPOSE/BELIEF STATEMENT The ... than 150 skilled nursing, assisted living, independent living, behavioral health , and long-term care facilities deliver sophisticated...Managed Care Cash Poster position is responsible… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …program needs and costs, specifically focusing on capitation rates for prepaid ambulatory health plans and managed care organizations. * Collaborate with ... Managed Care Data Analyst Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4744129)...IA Job Type Full-time Job Number 25-01455 Agency 400 Health & Human Services - Medicaid Opening Date 11/26/2024… more
- Hawaii Pacific Health (Honolulu, HI)
- …- Analytics Managed Care **Category** Administrative **Employment Type** Employee **Location** Hawaii Pacific Health , Honolulu, HI **Req ID** 24578 ... **Job Description** Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics,… 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...Dental insurance + Employee assistance program + Employee discount + Flexible spending account + Health… 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 radius ... and a 1-hour commute to our Elevance Health major office (PulsePoint) location in Rancho Cordova....and Experiences:** + Graduate degree preferred. + MediCAL, Medicaid managed care experience strongly preferred. + Experience… more
- Sutter Health (Goleta, CA)
- …relevant experience **SKILLS AND KNOWLEDGE:** A broad knowledge base of health care delivery and case management within a managed care environment. ... presenting to the Emergency Department. Strives to promote patient wellness, improved care outcomes, efficient utilization of health services and minimized… more