- Robert Half Accountemps (Van Nuys, CA)
- Description We are offering a long-term contract employment opportunity for a Managed Care Coordinator in the healthcare industry. Based in Van Nuys, ... actively in Joint Operating Committee (JOC) meetings to discuss and strategize on managed care issues. * Conduct contract modeling to predict and assess the… more
- ManpowerGroup (Columbia, SC)
- **Title: Coordinator , Managed Care I** **Location: Columbia SC** **Duration: 06 Month's Contract ** **Pay Range $25.00 to $31.00/hr.** We are looking for ... a " Coordinator , Managed Care I" to...a " Coordinator , Managed Care I" to join one of...information to support and determine medical necessity criteria and contract benefits. + 20% Utilizes allocated resources to back… more
- AdventHealth (Maitland, FL)
- …adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including ... contract data elements which are populated into the Managed Care database including addition of new... language, including rate updates, to the Information Systems Coordinator for scanning with appropriate filing form for the… more
- Fresenius Medical Center (Franklin, TN)
- …coordination, and administration of contracting and pricing procedures. This includes contract terms and conditions, products and prices for various market segments ... supporting analysis, documentation and reports + to support negotiations of contract terms and department administration. + Maintains complete, accurate, and… more
- US Tech Solutions (Columbia, SC)
- …plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in ... of clinical information to support and determine medical necessity criteria and contract benefits. + Utilizes allocated resources to back up review determinations.… more
- Queen's Health System (Honolulu, HI)
- …for financial effectiveness and to make recommendations to maximize cost and quality of care . * Serves as a liaison with third party payors to promote the services ... EDUCATION/CERTIFICATION AND LICENSURE: * Bachelor's degree in Business, Finance, or Health Care Administration; OR, four (4) years experience in healthcare provider … more
- Sharp Electronics Corporation (Bellevue, WA)
- **Overview** The Contract Coordinator position is responsible for the timely and accurate creation and processing of contract billing, in compliance with all ... procedures. **Responsibilities** + Ensure completeness and accuracy of maintenance contract documents including MICAS (meter automation) requirements and valid… more
- AdventHealth (Maitland, FL)
- …vendors, and leadership after identifying and quantifying the issue. * Supports the Managed Care Contract Administration, AH Central Denials team, and ... language, including rate updates, to the Information Systems Coordinator for scanning with appropriate filing form for the...contract management systems as they relate to building managed care government and state contracts. *… more
- Spokane County (Spokane, WA)
- Integrated Care Coordinator Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4657899) Apply Integrated Care Coordinator ... associated program goals and objectives. There are three Integrated Care Coordinator areas of assignment within CSD:...individual, family, and group counseling. + Practices standards for managed care as it applies to clinical… more
- AbbVie (North Chicago, IL)
- …lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For ... impact program timelines. + Draft and execute all CCG managed agreements for US and Global Waiver countries, +...are met. + Provide support to consultants related to contract review, requests for revisions, and execution including follow-up… more
- HCA Healthcare (Austin, TX)
- … care management/coordination, or other related field + Managed care understanding regarding value-based payer contract requirements + Great communication ... integrity. We care like family! Jump-start your career as a(an) Clinical Care Coordinator today with St Davids Care Partners. **Benefits** St Davids … more
- State of Colorado (Denver, CO)
- Youth Corrections Medical Operations Coordinator (Nurse V) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4573875) Apply Youth Corrections ... Medical Operations Coordinator (Nurse V) Salary $108,540.00 - $151,968.00 Annually Location...is the agency statutorily mandated to provide for the care and supervision of youth committed by the District… more
- Robert Half Office Team (Bakersfield, CA)
- …websites for benefit determinations. Ability to type 30 wpm. Broad knowledge of managed care principles. Knowledge of medical terminology and CPT/ICD-9 coding. ... described in the Utilization Management plan. The Clinical Administrator Coordinator role offers a long-term contract employment...notices. □ Contacts members or providers for continuity of care services related to carve out notices. □ Adheres… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …a thorough understanding of the many benefits and coverage offered by the different managed care products, including all DHCP plans + Improve coordination of ... POSITION PURPOSE: The SNP Case Management Coordinator plays an important and unique role in...self-advocates + Assist patients navigate the maze of the managed care delivery system. Essential Job Functions:… more
- Humana (Richmond, VA)
- …experience + Experience with health promotion, coaching and wellness + Previous managed care experience + Certification in Case Management + Motivational ... community and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs...in the negotiation or the administration of a Medicaid contract on behalf of the state and/or Family and… more
- Banner Health (Phoenix, AZ)
- …Educates other health care providers, payors and patients on concepts of managed care , managed care networks, transplant networks, individual ... **Department Name:** Pre-Kidney Trans-Hosp **Work Shift:** Day **Job Category:** Clinical Care Great options and great opportunities. Banner Health has both the… more
- Motion Recruitment Partners (San Francisco, CA)
- Technical Coordinator , Experiential Marketing San Francisco, California **Onsite** Contract $27.54/hr - $30.43/hr Our Client, a global leader in Entertainment ... Technology, is currently seeking an enthusiastic Events Tech Team Junior Coordinator to join our Event Experiences team. Primary responsibilities will include… more
- Prime Healthcare (Ontario, CA)
- …Knowledge of physician credentialing process, and strong follow-up skills.3. Knowledge of Managed Care contracts and the contracting process.4. Working knowledge ... of self-funded medical plans and/or Managed Care plans.5. Computer literate in Microsoft Office Windows & Excel.6. Ability to interact professionally with… more
- Motion Recruitment Partners (Charlotte, NC)
- Product Coordinator Charlotte, North Carolina **Hybrid** Contract $61.69/hr - $69.51/hr Outstanding long-term contract opportunity! A well-known Financial ... Services Company is looking for a Product Coordinator in Charlotte, NC (Hybrid). Work with the brightest...largest financial institutions in the world. This is long-term contract opportunity that includes a competitive benefit package! Our… more
- UPMC (Pittsburgh, PA)
- …other Payor Contract Services staff. Do you have experience with healthcare managed care and or healthcare insurance provider contracting? If so, this could ... UPMC Corporate is hiring a Decision Support System Coordinator to join our Payor Contract Team! This role will work Monday through Friday during business hours.… more