- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 217 **Position:** Manager Managed Care Contracting **Union Code:** 00 - ... Non Union **Bi-Weekly Hours:** 75 **Weekend/ Holiday Requirement:** No Weekends or Holidays Required **Hybrid/Remote:** REMOTE Equal Opportunity Employer Kaleida Health is committed to diversity and believes our workforce is strengthened by the inclusion of… more
- Roper St. Francis (Ladson, SC)
- …Roper St. 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… more
- CommonSpirit Health (Englewood, CO)
- …a remote position. Seeking a strong manager of technical healthcare teams for Managed Care .** **Job Summary / Purpose** The System Manager , Data ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US from clinics and hospitals...Health's Payer Strategy, Analytics & Innovation capability. The System Manager , Data Engineering oversees complex data design and the… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the ... of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms and… more
- Sutter Health (Goleta, CA)
- …knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of ... Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. Oversees the management… more
- Lundbeck (Atlanta, GA)
- …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager , sales operations, account management is ... Neuroscience Area Sales Manager - Southeast Requisition ID: 5698 Location: Atlanta,...the growing promotion of our CNS portfolio to primary care and specialties including Internal Medicine, Psychiatrist, Neurologist, Community… more
- Corewell Health (Newaygo, MI)
- …application of educational concepts/skills and preventive care in a managed care environment. Care Manager for Newaygo and Grant- Hybrid position. + ... Remote). About the Department The Corewell Health West Ambulatory Care Management Department is made up of Social Workers,...Management Department is made up of Social Workers, RN Care Managers, Community Health Workers and Medical Assistants. We… more
- Sea Mar Community Health Centers (Lynnwood, WA)
- …education, and public health coverage case management. Under the direction of the Managed Care Manager and Coordinator, they pro-actively contact customers, ... #27046 Position Summary: Full-Time Customer Service Representative position available for our Managed Care department in Lynnwood, WA. The Customer Service… more
- Elevance Health (Wallingford, CT)
- …which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences** + Managed care or Pharmacy Benefit Manager (PBM) experience ... new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care **.** The **Marketing Manager ** reports to the Director of… more
- Molina Healthcare (Buffalo, NY)
- …Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Key Words: Medicare, Medicaid, Managed Care , Manager , Leader, Marketing, Duals, Enroll, Enrollees, ... **Molina Healthcare is Hiring for a Manager of Growth & Community Engagement in Rochester,...years' experience in business development, community relations or health care related activities. + 3 years Managed -… more
- Prime Care Coordination (Webster, NY)
- …Social Worker + Minimum five years in healthcare related field, with 2 years as a care manager in managed care environment or community health + Must be ... and environmental factors that affect the lives of iCircle Care members. The Care Manager ...management, and functional capabilities. RESPONSIBILITIES: + Oversee caseload of managed care members + Review and evaluate… more
- CVS Health (Annapolis, MD)
- …navigation, and MS Office Suite applications **Preferred requirements** + Managed care experience + Certified Case Manager (CCM) + Experience with NCQA ... care (assessing, planning, implementing, coordinating, monitoring, and evaluating). The manager reports to the Director, Integrated Care Management. This is… more
- Whitney Young Health Center (Albany, NY)
- …to schedule changes. Training in laboratory/phlebotomy techniques. Knowledge of managed care requirements. Bilingual. RN CARE MANAGER II:Salary range: ... Registered Nurse (RN) Care Manager (Req 100826) Albany, NY...to schedule changes. Training in laboratory/phlebotomy techniques. Knowledge of managed care requirements. Bilingual. All qualified applicants… 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
- Abbott (Alameda, CA)
- …content and tools + Ensure that all activities within the role of Associate Product Manager , US Managed Care Marketing remain in compliance with all ... with our new sensing technology. As the Associate Product Manager , Market Access Marketing you will develop and lead...and access is a critical need in the evolving managed care landscape. You will work cross-functionally… more
- Beth Israel Lahey Health (Westwood, MA)
- …taking a job, you're making a difference in people's lives.** The Manager Care Coordinator initiates and process managed care insurance referral requests ... and redirect care within the BILH network. **Job Description:** **The Managed Care Coordinator's Responsibilities are:** 1. Work collaboratively with BILH… 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 ... care or specialty physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations for patient care … more
- Molina Healthcare (TX)
- …will be given to RNs who have been employed by another managed care organization as a case manager .** **Solid experience with Microsoft Office Suite is ... work with our Medicaid members as a telephonic Case Manager in Texas. Candidates must reside in the state...Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral 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...cash collections team, CBO cash posting team, Business Office Manager , Regional Director of Finance, MDS, Case Management, and… more
- Capgemini (Austin, TX)
- **Job Title** :Customer Relationship Manager **Location** :Austin, United States **Travel** :25% **Job description:** The Customer Relationship Manager (CRM) ... work experience * 5 years' experience in a customer account/relationship/success manager role * ITIL certification and relevant recent experience * Diverse… more
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