- CHRISTUS Health (Sulphur Springs, TX)
- …required to have a working knowledge of ICD9, CPT and HCPCS coding and managed care . Responds to incoming telephone calls and (per provider instructions) calls ... Summary: Under supervision, the incumbent of this position provides professional nursing care to clinic patients. Works collaboratively with the providers within the… more
- WTW (New York, NY)
- …across 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 the Willis Towers Watson (WTW) relationship for clients within the Managed Care Industry. This individual is accountable for profitable Managed Care … more
- Elderwood (Buffalo, NY)
- …to providing exceptional care to our residents. Medical Billing Specialist (Medicare/ Managed Care ) Position Overview: + Responsible for Managed ... 30 days until paid in full. + Maintain working knowledge of Managed Care and Insurance contract reimbursement and claim submission requirements. + Knowledgeable… more
- City of New York (New York, NY)
- …NM-III, to function as the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under the ... Assistance Program (MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and Third-Party Health Insurance. Ensuring that the three… more
- Roper St. Francis (Ladson, SC)
- …Francis Office Park, Ladson, SC** **Shift: 8:00am-5:00pm** **Job Summary:** The Manager of Managed Care is responsible for implementing and overseeing the daily ... operations of managed care programs and initiatives and the provider credentialing and enrollment program. This role ensures effective management of… more
- e CancerCare (Nashville, TN)
- …related to ION network and providers. Team member will work closely with the Managed Care department team in generating and reviewing system data, while making ... other internal teams with reimbursement related concerns and acting as a liaison to managed care plans. Essential Functions: . Support Managed Care team… more
- Fairview Health Services (St. Paul, MN)
- …position has ultimate accountability for effective and timely execution of all managed care contract negotiations and contract execution for hospital, physician ... partners. Is accountable for achieving budgeted net revenue expectations for all managed care contracts; assesses, evaluates, and directs the application of… more
- AdventHealth (Maitland, FL)
- …- This position is based in Killeen, Texas.** **The role you'll contribute:** The Director of Managed Care is the primary contact in managed care ... bring to the team:** * Maintains positive relationships with all entities and managed care organizations and local employers. * Facilitates the understanding of… more
- McLaren Health Care (Auburn Hills, MI)
- We are looking for a Managed Care Contract Assistant to join us in leading our organization forward. McLaren Health Care is one of Michigan's fastest growing ... of the Leadership Team in implementing, operationalizing, and administering third-party payor/ Managed Care agreements within all market segments for McLaren… more
- Beth Israel Lahey Health (Westwood, MA)
- …difference in people's lives.** The Manager Care Coordinator initiates and process managed care insurance referral requests for patients of BILH Primary ... and redirect care within the BILH network. **Job Description:** **The Managed Care Coordinator's Responsibilities are:** 1. Work collaboratively with BILH… more
- RWJBarnabas Health (Elizabeth, NJ)
- Managed Care Specialist, OP Adult Partial HospitalReq #:0000172548 Category:Clerical / Administrative Support Status:Full-Time Shift:Day Facility:Trinitas ... Required: + High School Diploma required and one-year related experience required + Managed Care and Insurance experience required Preferred: + Passport software… more
- Beth Israel Lahey Health (Boston, MA)
- …you're making a difference in people's lives.** The per diem Billing Associate and Managed Care Coordinator will be supporting the Orthopedics Department at Beth ... or specialty physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations for patient care services,… more
- UCLA Health (Los Angeles, CA)
- Description The Assistant Director, Managed Care Operations is responsible for the collaborative development, implementation and ongoing operations of financial ... systems to achieve the goals set by leadership for UCLA Medical Group managed care contract performance. In this role, you will assist the Director, Managed… more
- CaroMont Health (Gastonia, NC)
- …integrated network activities on behalf of CaroMont Health System. Includes insurance products, managed care contracts, wellness products and care management ... customers. The Senior Director initiates and maintains relationships with managed care organizations, providers, governmental payors and employers.… more
- The New Jewish Home (Bronx, NY)
- The Finance Department in Waters Place, Bronx is seeking a 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...claims timely. Responsibilities + Must be able to understand managed care contracts, create project spreadsheets for… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Managed Care Rebate Analyst Date: Oct 12, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57682 **Who we ... new people to make a difference with. **The opportunity** The Senior Managed Care Rebate Analyst is responsible for managing the reimbursement process for Teva's… more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals ... and growth of the department. Experience with IPA or network managed care , EZCAP and analytics strongly preferred. **Position Summary:** Provide leadership… 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 ... healthcare requirements + The unique complex needs of the foster care population + Medicaid Managed Care policies and procedure + The Medicaid Managed… more
- Hawaii Pacific Health (Honolulu, HI)
- …The department also performs additional services in collaboration with the managed care services department including referral management, patient steerage, ... auditing. As the Specialist, you will be responsible for providing comprehensive managed care information related to Hawai'i Pacific Health contracted health… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and ... timely filing of all managed care claims on their assigned caseload with the appropriate insurance carrier. The position requires working with the CBO cash… more
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