- AdventHealth (Maitland, FL)
- …and/or changes related to denial prevention measures for our contracted managed care payers. The Medical Director is responsible for providing physician ... role you'll contribute:** As the physician advisor, the Executive Medical Director of Revenue Cycle educates, informs,...denials and intervenes with attending and/or consulting physicians and managed care medical directors, as… more
- Stanford Health Care (Palo Alto, CA)
- …solutions. + Knowledge of health care , marketing, managed care strategy, financial/contract analysis and the medical reimbursement environment. + Ability ... Care **What you will do** + Provides leadership and subject matter expertise to Managed Care department and various other SHC and SMCH departments on matters… more
- City of New York (New York, NY)
- …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 ... care services at little or no cost. The Medical Assistance Program (MAP), is recruiting for one (1)...(MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and Third-Party Health… more
- Dignity Health (Bakersfield, CA)
- …pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans ... benefits they want from a variety of options including medical dental and vision plans for the employee and...growth of the department. Experience with IPA or network managed care , EZCAP and analytics strongly preferred.… more
- MaineGeneral Health (Waterville, ME)
- …We are actively seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects ... of reimbursement, managed care contracts, and payer enrollment. The successful candidate will...available to all employees for services provided by MaineGeneral Medical Center. + Tuition Reimbursement is available to all… more
- Elderwood (Buffalo, NY)
- …support our commitment to providing exceptional care to our residents. Medical Billing Specialist (Medicare/ Managed Care ) Position Overview: + ... package, Life Insurance, Medical , Dental, and Vision insurance Responsibilities Medical Billing Specialist (Medicare/ Managed Care ): + Review remittances… more
- State of Colorado (Denver, CO)
- Managed Care Technology Administrator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4730377) Apply Managed Care Technology ... POS contributes to the Division goals through administration of the RAE and Managed Care Organization (MCO) contracts, the Enrollment Broker (EB) contract,… more
- University of Michigan (Ann Arbor, MI)
- …research that together enhance our contribution to society. **Responsibilities + Support Manager, Managed Care Operations and Senior Director , Managed ... Cycle, Care Management, Pharmacy, and the professional medical groups. + Collaborate with the Manager, Managed... medical groups. + Collaborate with the Manager, Managed Care Operations to ensure accurate and… 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 ... requirements + The unique complex needs of the foster care population + Medicaid Managed Care...functions + Perform other secretarial duties as requested by Medical Director . + Any other related duties… 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 ... hospitals, medical centers, urgent care centers, and employed...Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing,… more
- CommuniCare Health Services Corporate (Akron, OH)
- …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...team, CBO cash posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management, and others. The… more
- Hawaii Pacific Health (Honolulu, HI)
- …The department also performs additional services in collaboration with the managed care services department including referral management, patient steerage, ... peer equity. Starting Hourly Rate: 30.47 **Position** Analyst - Analytics Managed Care **Category** Administrative **Employment Type** Employee **Location**… more
- ManpowerGroup (Columbia, SC)
- + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site work required for the first week, followed by remote work. + **Hours:** ... + Identify and make referrals to appropriate staff (eg, Medical Director , Case Manager, Preventive Services, etc.)....medical necessity and contract benefits. + Collaborate with Care Management and other areas for timely care… more
- Ventura County (Ventura, CA)
- Medical Director , Ventura County Health Care Plan Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4527347) Apply Medical ... Benefits Description Click here to view the Brochure for Medical Director , Ventura County Health Care...and techniques of diagnosis and treatment. + Experience with managed care . + Experience and current knowledge… more
- Novo Nordisk (Omaha, NE)
- …pertaining to NNI products; b) develops, establishes and maintains relationships with key Managed Care Customers; c) conveys appropriate use of NNI products and ... on behalf of NNI among identified strategic and priority Managed Markets accounts. As primary Medical Affairs...leadership with Account Executives in answering unsolicited questions from Managed Care Customers + Combines account management… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …they approach healthcare delivery differently. In partnership with provider organizations, the ** Medical Director , Value-Based Care / Population Health** ... with your team to support its successful implementation. The Medical Director will help build and operationalize...key player in Premera's continued evolution towards achieving sustainable managed care . **What you will do:** +… more
- LA Care Health Plan (Los Angeles, CA)
- …goal of improving key LA Care members healthy and access appropriate services. The Director will also work with the CM Medical Directors and key staff in ... and motivating direct-reports. Duties General Essential functions: Collaborating with the Medical Director , responsible for the operations, programming and… more
- Martin's Point Health Care (Portland, ME)
- …"Great Place to Work" since 2015. Position Summary The Health Plan Medical Director provides leadership for the clinical care systems that improve the health ... 10+ years of practice experience required, including applicable managed care experience with progressively increasing responsibilities in medical director… more
- University of Colorado (Aurora, CO)
- **CU Medicine Family Medicine Louisville Medical Director Open Rank -Senior Instructor Series** **Description** **University of Colorado Anschutz Medical ... of Family Medicine** **Job Title:** **CU Medicine Family Medicine - Louisville Medical Director ** **Open Rank -Senior Instructor Series** **Position #00825042 -… more
- Billings Clinic (Billings, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Director of Regional Human Resources REGIONAL HEALTH ... You'll want to join Billings Clinic for our outstanding quality of care , exciting environment, interesting cases from a vast geography, advanced technology and… more
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