- Cardinal Health (Columbus, OH)
- …for all lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the ... role is devoted to educating both customers and sales on managed care and enrolling prospective pharmacies into retail pharmacy solutions. Responsibilities… more
- State of Minnesota (St. Paul, MN)
- Working Title: Managed Care Contracting and Rates (MCCR)...Dept / DHS Manager Division/Unit : Health Care Administration / Managed Care ... Director Job Class: Human Services Manager 4 Agency: Human Services Dept Job ID :...This position exists to direct all aspects of the Managed Care contracting, rate setting, and compliance… more
- Lundbeck (New Orleans, LA)
- …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager , sales operations, account management is ... and transform lives. Join us on our journey of growth! As an Area Sales Manager (ASM) you will be responsible for leading, developing, and managing a diverse, high… more
- CVS Health (Harrisburg, PA)
- …all with heart, each and every day. Position Summary Join our team as an IT Managed Services Operations Manager , where you'll serve as the Managed Services ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Palo Alto Networks (Portland, OR)
- …Career We are seeking a driven problem solver to join our Unit 42 Managed Detection and Response (MDR) team. Our team is responsible for customers internal security ... monitoring, threat hunting, and incident response. As a MDR Manager , we will rely on you to manage a...without regard to age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital… more
- Cedars-Sinai (Beverly Hills, CA)
- …and operations. The manager collaborates with physicians, clinicians, managed care , pharmaceutical industry and organizational leadership to support ... the growth of specialty pharmacy services across Cedars-Sinai's entire enterprise. The manager serves as a member of the Pharmacy Leadership Team and provides… more
- EY (Portland, OR)
- …help to build a better working world. Integrated Risk Management (IRM) Managed Services Center Senior Analyst (Senior) The risk landscape is continuously changing ... only protect the enterprise but create value. The opportunity Clients retain IRM Managed Services to assist them with transforming their risk functions and providing… more
- Molina Healthcare (Pasadena, TX)
- …to those candidates with previous experience working with the LTSS population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our ... provide consultation, resources and recommendations to peers as needed. Care manager RNs may be assigned complex...care , including at least 1 year experience in care management, managed care , and/or… more
- ChenMed (Richmond, VA)
- …for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired This position requires possession and maintenance ... great people to join our team. Job Profile Summary The Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who works with our highest complexity… more
- Elevance Health (Greensboro, NC)
- …Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. We are unable to accommodate LCSW-A, ... for employment, unless an accommodation is granted as required by law. The Manager I Care Management ( Manager I GBD Special Programs) is responsible for… more
- Humana (Bloomington, IL)
- …health field. Certified Case Manager (CCM). Previous experience working in a managed care field. Five (5) or more years of previous management/supervisor ... care coordinators and behavioral health professionals responsible for care management. The Manager , Care Management, works within specific guidelines and… more
- Highmark Health (Dover, DE)
- …Experience working with developmental disabilities population Medicare and Medicaid experience Managed care experience SKILLS Working flexible hours to meet ... contact for members to coordinate all of the member's care needs across the various service delivery systems and...in home clinical or case management experience Certified Case Manager (CCM) Licensed Bachelors Social Worker (LBSW) Licensed Masters… more
- Mount Sinai Health System (New York, NY)
- …payor within the patient population; b. Provides the clinical information requested by the managed care companies as part of the concurrent review in a timely ... Job Description RN/Case Manager MSH Case Management FT Days The Case...fashion. c. Provides clinical information requested by the managed care companies in accordance with contractual… more
- Stanford Health Care (Menlo Park, CA)
- …discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. Overview Stanford Health Care (SHC) is seeking a licensed Architect to ... architectural vision, clearly articulating the design character of Stanford Health Care facilities to design teams, consultants, vendors, and project partners.… more
- Organon & Co. (Charleston, SC)
- …compliance issues. Required Education, Experience and Skills BA/BS. Two plus years of managed care account manager or equivalent experience. Customer ... with analytical capabilities. Highly developed Leadership Skills. Working Knowledge: Managed Care Operations, Contracting Strategy, Healthcare Systems Structure… more
- Centene Corporation (Oklahoma City, OK)
- …live in Oklahoma. Schedule: M-F, 8-5 CST; occasional after-hours based on plan needs. Managed care + clinical experience in L&D, OB, or NICU. Strong ... maternal-child clinical knowledge to support compliance and care quality. Experience guiding teams. Able to adjust quickly...adjust quickly to changing priorities. Position Purpose: Manages the care management team and the care coordination… more
- Penn Medicine (Philadelphia, PA)
- …practice revenue cycle management/oversight. Ensure practice alignment with all standards. Managed Care /Payer Management - Support implementation of managed ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...Are you living your life's work? Job Title: Practice Manager Department: OB-GYN MFM PAH Location: 800 Walnut Street… more
- Penn Medicine (Philadelphia, PA)
- …practice revenue cycle management/oversight. Ensure practice alignment with all standards. Managed Care /Payer Management - Support implementation of managed ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- Legend Biotech USA, Inc. (Raritan, NJ)
- …in the treatment of multiple myeloma.Legend Biotech is seeking MES Project Manager as part of the Manufacturing Excellence team based in Raritan, NJ.Role ... OverviewThe MES Project Manager will be part of Manufacturing Science and Technology...projects and ensures that quality, risk, cost, time are managed within the overall approved plan to drive delivery… more
- Houston Methodist (Katy, TX)
- …staff competency and professional pathway progression. Communicates updates/changes to processes, managed care information, throughput, etc., in a timely manner. ... At Houston Methodist, the Manager Revenue Cycle position is responsible for the...after ongoing revenue cycle analysis. Meets with payors and/or Managed Care to discuss aged accounts, adjudications… more
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