• Managed Care Billing…

    The New Jewish Home (Bronx, NY)
    The Finance Department in Waters Place, Bronx is seeking a full time Managed Care Billing Specialist to join our team. The Managed Care ... Specialist is responsible for resolving managed care denied and underpaid claims timely. Responsibilities + Must...billing system + Understanding of EOBs, remittance advice + Full understanding of managed care more
    The New Jewish Home (11/23/24)
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  • Medical Billing Specialist (Medicare/…

    Elderwood (Buffalo, NY)
    …our commitment to providing exceptional care to our residents. Medical Billing Specialist (Medicare/ Managed Care ) Position Overview: + Responsible for ... in full . + Maintain working knowledge of Managed Care and Insurance contract reimbursement and...Insurance, Medical, Dental, and Vision insurance Responsibilities Medical Billing Specialist (Medicare/ Managed Care ): + Review… more
    Elderwood (11/18/24)
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  • Senior Contracting Specialist

    Hackensack Meridian Health (Edison, NJ)
    …positive change. The **Senior Contracting Specialist ** position will support the Managed Care Team during system and new entities negotiations in accordance ... payers. **Candidates should be experienced in all aspects of Managed Care Contracting including a full...A day in the life of a **Senior Contracting Specialist ** at **Hackensack Meridian** **_Health_** includes: + Work under… more
    Hackensack Meridian Health (11/05/24)
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  • Managed Care Coordinator

    Beth Israel Lahey Health (Westwood, MA)
    **Job Type:** Regular ** Time Type:** Full time ...physicians and support staff on BILH managed care related issues. Communicate to the specialist ... The Manager Care Coordinator initiates and process managed care insurance referral requests for patients...Management policy and meet targets regarding expected standard turnaround time goals as set by the practice. Facilitate discussions… more
    Beth Israel Lahey Health (11/03/24)
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  • OR Inventory Specialist - Materials…

    Access Dubuque (Dubuque, IA)
    …Administration Health Care Location Dubuque, IA Job Type Employee Full /Part Full Time **Qualifications** Education High School/GED Company ... OR Inventory Specialist - Materials Management - FT ...and business services. MercyOne's 1,500 full - and part- time employees and medical staff of 230 care more
    Access Dubuque (09/27/24)
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  • Patient Access Specialist - FT - Day

    Hackensack Meridian Health (Belle Mead, NJ)
    …to validate patient identity. Conducts intensive screening of all Medicare, Medicaid and managed care patients to identify network status and coordination of ... Reimbursement, Employee Discounts and much more The Patient Access Specialist is responsible for all Inpatient and Outpatient Patient...ensure patient is in appropriate status and level of care . + Initiate real time eligibility query… more
    Hackensack Meridian Health (11/23/24)
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  • Sr Specialist -Performance…

    Sharp HealthCare (San Diego, CA)
    …Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time ** **Shift End Time ** Certified Professional in Healthcare Quality (CPHQ) ... (RN) - CA Board of Registered Nursing; Master's Degree **Hours** **:** **Shift Start Time :** 8 AM **Shift End Time :** 4:30 PM **AWS Hours Requirement:** 8/40… more
    Sharp HealthCare (11/22/24)
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  • Accounts Receivable Billing Specialist

    Cassia (Edina, MN)
    …with our growing department that focus on billing for Medicare A, Managed Care , and Medicaid. The Accounts Receivable Specialist reports to the Director of ... training period and part of each week. Accounts Receivable Specialist responsibilities: + Complete Care Center and...of healthcare billing experience. + Must have Medicare A, Managed Care , Medicaid billing experience. + Great… more
    Cassia (11/13/24)
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  • Vendor Managed Inventory Specialist

    MSC Industrial Supply Co. (Reno, NV)
    …for all our stakeholders, including our associates. Requisition ID :17190 Employment Type : Full Time Job Category :Customer Solutions Work Location : Reno, NV ... Vendor Managed Inventory (VMI) Specialist Want to be...to sales representatives and supervisor as appropriate to ensure full customer satisfaction. + Perform general (5S) housekeeping for… more
    MSC Industrial Supply Co. (11/23/24)
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  • Outreach Specialist

    Elderwood (Monroe County, NY)
    …WNY territory. The Outreach Specialist will be able to educate individuals on Managed Long Term Care benefits. The Outreach Specialist will also build ... Salary $25.20 - $36.75 an hour Overview Outreach Specialist Overview The Outreach Specialist promotes Elderwood IPA, drives awareness of partnering relationships… more
    Elderwood (11/05/24)
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  • Vendor Managed Inventory Specialist

    MSC Industrial Supply Co. (Traverse City, MI)
    …all our stakeholders, including our associates. Requisition ID :17161 Employment Type : Full Time Job Category :Customer Solutions Work Location :Traverse City, ... travel to surrounding areas. BRIEF POSITION SUMMARY: The Vendor Managed Inventory (VMI) Specialist ensures customer satisfaction...MSC customer solutions and sales associates through execution of CARE program. + CARE is defined as… more
    MSC Industrial Supply Co. (11/19/24)
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  • Med Staff Credentialing Coord- FT - Day

    Hackensack Meridian Health (Neptune, NJ)
    …the medical staff. + Reviews Sanction sites for practitioner license/ managed care actions. + Covers for Medical Staff Specialist -Reappointments when needed. ... Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) **Job ID** _2024-154638_ **Department** _J-PHYS SVC_ **Site**… more
    Hackensack Meridian Health (10/16/24)
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  • Physician Assistant ( FT ) Days - Oncology…

    RWJBarnabas Health (Livingston, NJ)
    …medical evaluations and ongoing medication treatment to Oncology patients being co- managed with Oncology specialist physicians. This patient population includes ... Physician Assistant ( FT ) Days - Oncology Hospitalist - Livingston, NJReq #:0000161579 Category:Physician Assistant Status: Full-Time Shift:Day Facility:Emergency… more
    RWJBarnabas Health (10/26/24)
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  • Managed Care Technology…

    State of Colorado (Denver, CO)
    Managed Care Technology Administrator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4730377) Apply  Managed Care Technology ... $70,140.00 - $91,188.00 Annually Location Denver, CO Job Type Full Time Job Number UHA 04412 11/14/2024...the Division goals through administration of the RAE and Managed Care Organization (MCO) contracts, the Enrollment… more
    State of Colorado (11/19/24)
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  • Clinical Review Nurse VHS- Woodland Park, NJ-…

    Hackensack Meridian Health (Little Falls, NJ)
    …Health (https://www.stjosephshealth.org/) , provides a comprehensive continuum of home health care and hospice services, support, and resources to patients and ... Morris counties. The VHSNJ multidisciplinary clinical and support teams provide high quality care to patients where they most want to be-in their homes. At Visiting… more
    Hackensack Meridian Health (11/14/24)
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  • Clinical Review Nurse- FT (Ocean County)

    Hackensack Meridian Health (Brick, NJ)
    …leader of positive change. At Hackensack Meridian Health at Home, we recognize our full - and part- time benefit eligible team members by offering a Total Rewards ... package including comprehensive Health Benefits, generous Paid Time Off, Travel Reimbursement as well as an investment in your future with a 401(k) match and Tuition… more
    Hackensack Meridian Health (11/07/24)
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  • Medical Office Specialist (Certified…

    Mount Sinai Health System (New York, NY)
    …(Certified Medical Assistant)-Adult Primary Care Center RV-Mount Sinai Beth Israel Rivington- Full Time , Days and Saturdays** The Medical Office Specialist ... utilizing internal or electronic sources. + Obtains and documents managed care referrals, required pre-certifications and authorizations...people, everywhere, by taking on the most complex health care challenges of our time - discovering… more
    Mount Sinai Health System (11/10/24)
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  • Pharmacy Specialist - Cell & Gene Therapy…

    Henry Ford Health System (Detroit, MI)
    …line operations leaders, finance, IT, pharmacy, nursing, lab, radiology, revenue cycle, managed care contracting, etc]; +/- clinical formulary review, as needed. ... GENERAL SUMMARY: The Pharmacy Specialist is a pharmacist who, by virtue of...and preventative care to complex and specialty care , health insurance, a full suite of… more
    Henry Ford Health System (11/04/24)
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  • Senior Fraud, Waste, and Abuse Specialist

    Sharp HealthCare (San Diego, CA)
    …role requires a proactive approach to prevent and detect fraudulent activities within the managed care environment and requires someone with a keen eye for ... healthcare fraud investigation, preferably in a health plan, health insurance or managed care setting. **Preferred Qualifications** + 1 Year experience leading… more
    Sharp HealthCare (10/02/24)
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  • Pharmacy Specialist - Ambulatory Clinical…

    Henry Ford Health System (Bingham Farms, MI)
    …and knowledge in patient care and applied therapeutics. Postgraduate experience in primary care or managed care is strongly desired. + Prior experience ... Full-Time Employee Benefits GENERAL SUMMARY: The Pharmacy Specialist provides oversight and leadership for appropriate drug use...and preventative care to complex and specialty care , health insurance, a full suite of… more
    Henry Ford Health System (09/24/24)
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