- 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 ... Care policies and procedure + The Medicaid Managed Care Liaison is a...Oversee and support program audits + Responsible for closed medical records + Arrange Single Case Agreements with out… 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 ... 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
- 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
- Daiichi Sankyo Inc. (Jacksonville, FL)
- …health care system decision makers responsible for managing medical care in various settings including managed care organizations, pharmacy benefit ... supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs..., Field Medical Affairs team, the Principal Medical Value Liaison /Sr. Medical Value… 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 ... * Contacting members to obtain their selection of Primary Care Provider (PCP)/clinic, medical group, (and Plan...member contact, including potential care coordination/continuity of care issues. (20%) Liaison to meet LA… more
- Cedars-Sinai (CA)
- …- Managed Care (Hybrid) **Department** : MNS Managed Care **Business Entity** : Cedars-Sinai Medical Center **Job Category** : Administrative **Job ... membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star...With a growing number of primary urgent and specialty care locations across Southern California, Cedars-Sinai's medical … 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 ... MetroHealth System is redefining health care by going beyond medical treatment to...and transitions from Pre-Medicare coverage. Collaborates with Payer Strategy, Managed Care , and ACO leadership teams and… more
- Hillside Family of Agencies (Pittsford, NY)
- Job Summary The Medical Liaison partners with a team of skilled professionals and families to provide services that are family-driven, youth-guided, ... competent to help youth reach their full potential. The Medical Liaison supports and assists the Nurse...Nurse Coordinator in the coordination and provision of health care to the youth served while providing direct supervision… more
- Daiichi Sankyo Inc. (Boston, MA)
- …to the creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by ... Summary:** Daiichi Sankyo, Inc. (DSI) is currently seeking a Medical Science Liaison (MSL) to join the... & scientific affairs, clinical practice, research, academic or US- managed markets preferred + Previous experience in Oncology, clinical… more
- Amgen (Dallas, TX)
- …customers, including medical thought leaders, academic institutions, large group practices, medical directors, managed care decision makers, and pharmacy ... for a career you can be proud of. **Sr. Medical Science Liaison . gMG-Rare Disease** **Territory to...us** As we work to develop treatments that take care of others, we also work to care… 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 ... and the organization. + Serves as the regional/ministry physician expert, providing medical direction and oversight to care management, utilization management… more
- Novo Nordisk (Birmingham, AL)
- … field support to Medical , Sales and Marketing, as well as Managed Care and Government by using academic/professional credentials and scientific expertise to ... least two years' experience in a health-related system, pharmaceutical company, or managed care environment required + Relevant clinical and/or therapeutic… 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 ... staff and the organization. + Serves as the physician expert and provides medical direction and oversight to care management, utilization management and clinical… more
- Grifols Shared Services North America, Inc (Casa Grande, AZ)
- …academic centers, centers of excellence, patient advocacy groups, and key accounts, including managed care , by providing complex medical and scientific ... services in more than 110 countries and regions. The Medical Science Liaison develops and maintains professional...appropriate groups such as: key accounts, managed care organizations, integrated systems, national medical associations… more
- Amgen (Detroit, MI)
- …team. Join us and transform the lives of patients while transforming your career. ** Medical Value Access Liaison - Mid Atlantic** **What you will do** Let's ... contributions to serve patients. The qualified professional we seek is a Medical Value Access Liaison with these qualifications. **Basic Qualifications:**… more
- Amgen (Seattle, WA)
- …best work alongside other innovative, driven professionals in this meaningful role. **Senior Medical Science Liaison , Bone Therapeutic Area (WA, OR, MT, ID, ... Let's change the world. This is a field-based Senior Medical Science Liaison (MSL) position in the...At least three years in a MSL role + Managed market/payer/IDN engagement experience + Five or more years… more
- Covenant Health Inc. (Knoxville, TN)
- …period, Day shift Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top Physicians and ... office or related experience with knowledge of Medicare and managed care billing guidelines. Strong computer skills...Licensure Requirement: None Apply/Share Job Title PT ACCT BILLING LIAISON ID 4052989 Facility Covenant Medical Management… more
- Nuvance Health (Danbury, CT)
- …and provides clinical data from patient charts for insurance company queries. Provides managed care forms and/or patient education tools in admission chart, as ... Make independent nursing judgements. Computer data input/keyboard operations. Knowledge of managed care operations, Medicare and Medicaid and other payer… more
- CVS Health (Tallahassee, FL)
- …leadership role in primary care setting or + Three years' experience in managed care with a focus on HEDIS and Quality with experience facilitating and ... (ABH) and its high-volume providers to facilitate high quality care for members. The Liaison achieves this...LPN or LISW or + Three years' experience in managed care with a focus on HEDIS… more
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