- Stanford Health Care (Palo Alto, CA)
- …Care **What you will do** + Provides leadership and subject matter expertise to Managed Care department and various other SHC and SMCH departments on matters ... of managed care strategy, reimbursement, cost, payer mix, and other contract specific issues. + Represents the Managed Care department on… more
- National Health Care Associates (Wethersfield, CT)
- … and short-term rehabilitation services in the Northeast US, is seeking a Director of Managed Care . This is a fantastic opportunity for the right candidate to ... organizations in the Northeast! **ESSENTIAL DUTIES, RESPONSIBILITIES, LEADERSHIP:** + Oversight of Managed Care relationships. + Oversee managed care… more
- University of Michigan (Ann Arbor, MI)
- Managed Care Payer/Operations Analyst Apply Now **Job Summary** The Managed Care Contracting and Operations (MCCO) Department is responsible for the ... negotiation, implementation, administration, and operations of managed care agreements on behalf of Michigan Medicine, UMH-Sparrow, and UMH-West with all payers.… more
- State of Colorado (Denver, CO)
- Managed Care Technology Administrator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4730377) Apply Managed Care Technology ... to the Division goals through administration of the RAE and Managed Care Organization (MCO) contracts, the Enrollment Broker (EB) contract, eConsult contract,… 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 ... The Iowa Department of Health and Human Services' (Iowa HHS) Division of Medicaid, Managed Care Reporting and Oversight Bureau is seeking a 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
- 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
- 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
- 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
- Hackensack Meridian Health (Edison, NJ)
- …leader of positive change. The **Senior Contracting Specialist** position will support the Managed Care Team during system and new entities negotiations in ... the direction of the Sr. Vice President and Vice President - Managed Care . Will be responsible for addressing operational, financial and services issues and… 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
- 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
- Iowa Department of Administrative Services (Des Moines, IA)
- Managed Care Data Analyst Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4744129) Apply Managed Care Data Analyst Salary $61,110.40 - ... Health and Human Services' (Iowa HHS) Division of Medicaid is seeking a Managed Care Data Analyst (Data Analyst 1). Summary: The Iowa Medicaid Division is… 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)
- Managed Care Rebate Analyst Date: Nov 7, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 59108 **Who we are** ... a difference, and new people to make a difference with. **The opportunity** The Managed Care Rebate Analyst is responsible for the processing of Managed … 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
- Penn Medicine (Plainsboro, NJ)
- …shape our future each day. Are you living your life's work? 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, and assists… 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
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