- 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 ... Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I Core… 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 ... Services' (Iowa HHS) Division of Medicaid, Bureau of Operations is seeking a Managed Care Policy Analyst Liaison (Management Analyst 3). Summary: The Iowa… more
- e CancerCare (Nashville, TN)
- …collaborating with other internal teams with reimbursement related concerns and acting as a liaison to managed care plans. Essential Functions: . Support ... and providers. Team member will work closely with the Managed Care department team in generating and...for internal and external meetings. . Act as business liaison to assigned business unit meetings and committees, which… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …revise treatment programs + For managed care patients, report to the Managed Care Liaison of the patient's initial admission assessment and plan of ... of visits based on skills needed; report patient status and progress to the Managed Care Liaison as directed for further authorization of visits + Perform… more
- New Directions Youth and Family Services (Lockport, NY)
- …information and communicates any insurance concerns with the New Directions Medicaid Managed Care Liaison . 6. Documents all health-related appointment ... supporting the health and well-being of youth in our care . Your main job will be to transport youth...to community based medical providers and serving as a liaison between the provider and Health Services staff and… more
- Nuvance Health (Danbury, CT)
- …and other payers, payer denials and policies, payer market share, etc. 6. Liaison between billing/ managed care departments, the payer, Business Office, ... *Description* Summary: The Managed Care Analyst compiles, validates, and analyzes utilization and reimbursement data to aid in contract negotiations for all… 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 ... (MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and Third-Party Health...goal of ensuring quantitative and qualitative performances. - Maintain liaison with other agencies such as the NY State… 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...credentialing program. + **Relationship Management:** + Act as a liaison between RSFH and payors, health plans, and other… more
- LA Care Health Plan (Los Angeles, CA)
- …in a corporate setting. Demonstrated experience handling complex customer calls. Preferred: Managed care or healthcare experience. Skills Required: Strong verbal ... through member contact, including potential care coordination/continuity of care issues. (20%) Liaison to meet LA Care 's P&P requirements for attendance… more
- AccentCare, Inc. (Bronx, NY)
- Overview Why You'll Love Being a Client Care Liaison at AccentCare Do you enjoy providing outstanding patient care ? Bring your organizational skills and ... knowledge of at-home care and join the AccentCare team today in this Client Care Liaison opportunity. When you join AccentCare, you become part of a team… more
- Cedars-Sinai (CA)
- …service the network's membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star ratings, access, physician network ... strategies to resolve system issues. + Serves as the liaison and point of contact supporting all business needs...+ Well versed within the various components that comprise Managed Care and its key concepts including… more
- CAIPA MSO LLC (New York, NY)
- Managed Care Contract Specialist New York, NY (http://maps.google.com/maps?q=202+Canal+Street+New+York+NY+USA+10013) Description As a Managed Care ... departments to communicate and implement the terms of the managed care contracts *Job Responsibilities coordinates and...tracks redline and proposed drafts *Serves as an internal liaison on contract provisions and policies by providing updates… more
- MetroHealth (Brooklyn Heights, OH)
- **Value Based Contracting Attribution Specialist- Managed Care ** **Location:** **BROOKLYN HEIGHTS** **Biweekly Hours:** **80.00** **Shift:** **8am-5pm** **The ... payer partners, and transitions from Pre-Medicare coverage. Collaborates with Payer Strategy, Managed Care , and ACO leadership teams and conducting efforts… more
- Daiichi Sankyo Inc. (Jacksonville, FL)
- …responsible for managing medical care in various settings including managed care organizations, pharmacy benefit management companies, payer groups, or ... creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …are informed of payer policy changes and their operational impacts. Act as a liaison between managed care organizations and internal departments to ensure ... goals. The role is primarily responsible for fostering collaborative relationships with managed care organizations (MCOs). The Leader of Contract Management… more
- Centene Corporation (Des Moines, IA)
- …in particular HIPAA, and state regulations. **Preferred Skills:** + Knowledge of Managed Care and Medicaid + Reading Comprehension + Critical Thinking ... state of Iowa **Position Purpose:** With the Iowa Total Care Health Plan Compliance Team, you will assist in...executed. + Serve as a company wide resource and liaison on policies, contract issues and provisions, communications, workflow,… more
- SSM Health (St. Louis, MO)
- …Medicare Services (CMS) guidelines and a keen understanding of the payor market and managed care contracts to monitor vendor service performance as well as the ... regional/ministry physician expert, providing medical direction and oversight to care management, utilization management andclinical documentation integrity (CDI) including… more
- SSM Health (St. Louis, MO)
- …Servives (CMS) guidelines and a keen understanding of the payor market and managed care contracts to monitor vendor service performance and total operations ... the physician expert and provides medical direction and oversight to care management, utilization management and clinical documentation integrity (CDI) including… more
- Consulate Health Care (Floyd, VA)
- …Preferred Three (3) years' experience in healthcare business development required. + Managed care /insurance experience preferred. + Experience with public and ... join our team!** We are searching for an **Admissions Liaison ** to join our community that is resident and...Learning Management System offers over 1,500 courses for senior care , health and human services industry. **Use it for… more
- Covenant Health Inc. (Knoxville, TN)
- …(3) of business office or related experience with knowledge of Medicare and managed care billing guidelines. Strong computer skills required. Knowledge and/or ... Overview Patient Accounts Billing Liaison Full time, 80 hours per pay period,...shift Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top… more
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