- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... within the Managed Care department by ensuring compliance with applicable rules and regulations including but not limited to AB1455 and Medicare Claims… more
- Fresenius Medical Center (Waltham, MA)
- **Sr Director Managed Care and Payor Strategy** **PURPOSE AND SCOPE:** The Senior Director of Managed Care & Payor Strategy is a strategic leader ... responsible for driving initiatives that strengthen relationships with Managed Care Payor Organizations and optimize contractual performance. This role leads a… more
- State of Colorado (Denver, CO)
- Managed Care Unit Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5161687) Apply Managed Care Unit Supervisor Salary ... be doing: * Maintains oversight of the day-to-day operations of the Managed Care Unit, including supervising and managing the workload of the Units' employees.… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Managed Care Contracting and Rates (MCCR) Director** **Job Class: Human Services Manager 4** **Agency: Human Services Dept** + **Job ID** : ... : Human Services Dept / DHS Manager + **Division/Unit** : Health Care Administration / Managed Care Contracting and Rates + **Work Shift/Work Hours** :… more
- Beth Israel Lahey Health (Boston, MA)
- …not just taking a job, you're making a difference in people's lives.** The Managed Care Coordinator will support the ObGyn Department at Beth Israel Deaconess ... Medical Center in Boston, MA. The Managed Care Coordinator role is a hybrid work model, promoting a balance between on-site and remote work. Once fully trained,… more
- Dignity Health (Bakersfield, CA)
- …Summary and Responsibilities** This role is the key clinical leader for Managed Care Services within the Population Health Services Organization, responsible ... role requires a physician leader with a strong understanding of managed care operations, who can collaborate effectively with diverse stakeholders to deliver… more
- Bristol Myers Squibb (Madison, NJ)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as well as all aspects with evaluating implications of and reporting Managed Care data required for US and Puerto Rico government pricing calculations.… more
- State of Colorado (Denver, CO)
- Managed Care Rates & Reconciliation Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5162656) Apply Managed Care Rates & ... on health care and driving value for Colorado. We are looking for a Managed Care Rate & Reconciliation Analyst to join our Managed Care Rates HMO… more
- Elderwood (Waverly, NY)
- Salary $ 20 / $ 22 Overview Managed Care Coordinator Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/RN MDS ... The candidate is the primary liaison between the SNF and the HMO Managed Care Insurance Companies. This includes all types of communication (eFax, email, scan… more
- AccentCare, Inc. (Dallas, TX)
- Overview Managed Care Contract Specialist Location: Dallas Corporate Office Position: Managed Care Contract Specialist Position Type: Full-Time ... for success in this role. Find Your Passion and Purpose as a Managed Care Contract Specialist What You Need to Know Reimagining Your Career in Corporate… more
- Penn Medicine (Woodbury Heights, NJ)
- …**Department: Shared Services** **Location: Woodbury. NJ** **Hours: Full-Time** Summary: + The Managed Care Plan Coordinator provides support to the practice and ... its patients as it relates to managed care insurance plans. The Managed Care Plan Coordinator registers patients, verifies insurance, issues referrals,… more
- Omaha Children's Hospital (Omaha, NE)
- …employer including veterans and people with disabilities. **A Brief Overview** The Sr. Managed Care Contract and Revenue Analyst will conduct complex and ... detailed analysis and modeling of managed care contracts for the organization. This position will develop reports and perform analysis to identify root causes of… 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
- Dignity Health (Bakersfield, CA)
- …shared goals. Responsibilities include: - Collaborate with the Chief Medical Officer, Managed Care and executive leadership to develop, implement, and oversee ... Leadership to ensure consistent physician/APP interactions and experience with all internal Managed Care operations such as enrollment, claims operations and… more
- Fresenius Medical Center (Waltham, MA)
- … programs (HMOs, PPOs, POS, etc). Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... + Five to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a professional capacity including experience with… more
- Elevance Health (Mason, OH)
- ** Managed Care Pharmacy Resident** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, ... and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . The ** Managed Care Pharmacy Resident** will be responsible for various… more
- KidsPeace Childrens Hospital (Old Town, ME)
- The Managed Care and Program Compliance Coordinator resolves managed care operational issues such as authorization for services, billing, and claims ... payment. Ensures all clinical operations comply with Medicaid guidelines and other managed care policies. Maintains managed care contracts and… more
- Prime Healthcare (Denville, NJ)
- …team! Responsibilities The successful candidate will have substantial experience working with managed care plans on reimbursement issues. This may include ... payor relations efforts through joint operations committees or experience with managed care contracts. Qualifications Education and Work Experience Required… more
- Hawaii Pacific Health (Honolulu, HI)
- …organizational and communication skills, you might be the ideal candidate to be our next Managed Care Representative. In this role, you will provide managed ... equivalent. One (1) year clerical experience in a health care setting. Experience with managed care...in a health care setting. Experience with managed care and government health plans. **Preferred… more
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