- Prime Healthcare (Ontario, CA)
- …This position is full-time in office only. Qualifications + Minimum of three years hospital managed care /commercial collector experience. + 2 years of recent ... hospital managed care billing experience in an automated environment. + Associates degree or equivalent work experience required. + Knowledge of contract… more
- AdventHealth (Maitland, FL)
- …. Minimum 5 years of healthcare experience with 1 year directly related to hospital medical staff or managed care credentialing and/or provider enrollment. ... Degree in healthcare . 4 years directly related to hospital medical staff or managed care...directly related to hospital medical staff or managed care credentialing and/or provider enrollment. **LICENSURE,… more
- The Cigna Group (Richmond, VA)
- …strong external relationships with provider partners. + Intimate understanding and experience with hospital , managed care , and provider business models. + ... Washington, DC or the Baltimore, MD area.** This **Manager, Hospital Contracting** serves as an integral member of the...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- Community Health Systems (Franklin, TN)
- …the evaluation of new services, and coordinating Regional efforts towards the hospital managed care development. **Essential Duties and Responsibilities** ... Managed Care + Review all managed care contracts submitted by the hospital and the related recommendations form the VP-Bus. Dev. And make appropriate… more
- Providence (Everett, WA)
- …Disabilities Administration case managers and Home and Community Services case managers), other hospital staff, managed care organizations, transition of ... for payment_** **SCHEDULE: Monday-Friday, 8:00 AM- 4:30 PM** The enhanced care management (ECM) program facilitates client integration, improves quality of … more
- LA Care Health Plan (Los Angeles, CA)
- …chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital , medical group or managed care setting, such as a ... with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed ...as Care Management (CM), Utilization Management (UM), Managed Long Term Services and Support (MLTSS), Social Services,… more
- Catholic Health Services (Smithtown, NY)
- …Improvement, Transition Planning and/or Care Management experience in an acute hospital or related managed care setting required. Salary Range ... Smithtown. The campus is comprised of 296-bed not-for-profit community hospital ; a 240-bed nursing and rehabilitation care ...community hospital ; a 240-bed nursing and rehabilitation care center; and a 60,000 square foot medical office… more
- Catholic Health Services (Melville, NY)
- …| Experienced appeals writer and Care Management experience required in an acute hospital or related managed care setting. | Required to pursue ongoing ... the Catholic Health Physician Advisor when appropriate. | Reviews results from managed care payors and/or regulatory agencies determinations for further action.… more
- LA Care Health Plan (Los Angeles, CA)
- …chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital , medical group or managed care setting, such as a ... Care Management Specialist II (D-SNP) Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Prime Healthcare (Garden City, MI)
- …contracts. Qualifications Education and Work Experience 1. Minimum of four years hospital managed care /commercial collector experience preferred2. Bachelor's ... The Specialist, Billing is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …lists, medication lists, etc. ; maintain active DPH, DEA, and professional license, hospital privileges, managed care credentialing and CPR training. + ... of BHCHP. + Refer patients as appropriate to medical specialists, hospital admission, recuperative care , and detox facilities, providing appropriate… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …lists, medication lists, etc. + Maintain active DPH, DEA, and professional license, hospital privileges, managed care credentialing and CPR training. ... the Homeless Program + Refer patients as appropriate to medical specialists, hospital admission, recuperative care and detox facilities, providing appropriate… more
- Children's Hospital Boston (Boston, MA)
- …and provide empathy in difficult interpersonal situations. + Demonstrated knowledge of hospital systems, operations and managed care . Boston Children's ... Administrator. + Purchases daily medical and office supply needs through established Hospital protocols to ensure efficient patient care . Monitors supply… more
- Prime Healthcare (Denville, NJ)
- … contracts. Qualifications Education and Work Experience + Minimum of four years hospital managed care /commercial collector experience required. + Bachelor's ... Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with… more
- Prime Healthcare (Garden City, MI)
- … contracts. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Minimum of four years hospital managed care /commercial collector experience required. 2. ... Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with… more
- Prime Healthcare (Harlingen, TX)
- … care contracts. #LI-AM2 Qualifications 1. Minimum of one year hospital managed care /commercial biller experience preferred 2. Bachelor's degree ... Responsibilities The Analyst, Billing is responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone… more
- Prime Healthcare (Lynwood, CA)
- … managed care contracts. Qualifications + Minimum of four years hospital managed care /commercial collector experience required. + Bachelor's degree or ... Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with… more
- Alameda Health System (Oakland, CA)
- …CA DCHS, the Joint Commission, Title 22 and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall ... Inpatient System Care Management + Oakland, CA + Highland General Hospital + SYS Care Coordination + Full Time - Varies + Management + Req #:40791-30126 +… more
- Dignity Health (Northridge, CA)
- …of two years of Medical Staff experience. Including credentialing functions in either a hospital or managed care environment. + Strong computer and ... - Northridge Hospital Medical Center is a 394-bed acute care nonprofit community hospital located in Northridge California. The hospital offers a full… more
- The Cigna Group (Hartford, CT)
- …strong external relationships with provider partners. + Intimate understanding and experience with hospital , managed care , and provider business models. + ... in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and… more
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