- State of Minnesota (St. Paul, MN)
- …Unit** : Human Services Dept / DHS Manager + **Division/Unit** : Health Care Administration / Managed Care Contracting and Rates + **Work Shift/Work ... **Working Title: Managed Care Contracting and Rates (MCCR) Director** **Job Class: Human Services Manager 4** **Agency: Human Services Dept** + **Job ID** :… more
- Medtronic (Mounds View, MN)
- …to enhance collaboration and ensure successful completion of projects. As the IT and Managed Services VMO Program Manager , you will ensure operational ... You will be responsible for daily interactions with large Managed Service Provider (MSP) and Business Process Outsourcing (BPO)...LIVES** + Works with the Senior Director and other Program Managers to execute the VMO strategy for Global… more
- HCA Healthcare (Nashville, TN)
- …for clinical and non-clinical audiences + Comprehensive knowledge of formulary managed care systems, principles and practices **What qualifications you ... join an organization that invests in you as a Senior Pharmacy Benefit Account Manager ? At HealthTrust, you come first. HCA Healthcare has committed up to $300… more
- CVS Health (Springfield, IL)
- …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
- Fresenius Medical Center (Waltham, MA)
- …country. **SUPERVISION:** * May be responsible for the direct supervision of Directors of Managed Care , Manager of Revenue support, Contract Managers, and ... **Sr Director Managed Care and Payor Strategy** **PURPOSE...values and philosophy. + Adheres to the FMC Compliance Program , including following all regulatory and FMS policy requirements.… more
- Dignity Health (Bakersfield, CA)
- …Summary and Responsibilities** This role is the key clinical leader for Managed Care Services within the Population Health Services Organization, responsible ... requires a physician leader with a strong understanding of managed care operations, who can collaborate effectively...of five years (5) of direct management / people manager experience in health care . + Medical… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …position prefers proficiency in Arabic, Dari-Farsi, Farsi or Pashto** JOB SUMMARY: The Lead Care Manager (LCM) operates a as a member of the patient's Enhanced ... Care Management (ECM) team and is responsible for coordinating...Quality Successful completion of a Community Health Worker training program One year exp working in a psych … more
- Penn Medicine (Woodbury Heights, NJ)
- …Maintains up to date knowledge of insurance requirements pertinent to patient service and managed care . + Assists practice manager with developing policy and ... **Department: Shared Services** **Location: Woodbury. NJ** **Hours: Full-Time** Summary: + The Managed Care Plan Coordinator provides support to the practice and… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- Elevance Health (Mason, OH)
- ** Managed Care Pharmacy Resident** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, ... new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . The ** Managed Care Pharmacy Resident** will be… more
- Elevance Health (Bryson City, NC)
- **CFSP Managed Care Coordinator** **Sign-on Bonus: $2500** **We are currently seeking people in the following counties and look forward to speaking with you!** ... thrive in safe, stable, and nurturing homes._ The **CFSP Managed Care Coordinator** is responsible for the...within the scope of position in the NC CFSP Program , as required by applicable state law and contract.… more
- Elevance Health (Halifax, VA)
- ** Managed Care Coordinator** **Sign On Bonus-$1000**...within the scope of position in the VA Foster Care Program , as required by applicable state ... an accommodation is granted as required by law._ The ** Managed Care Coordinator** is responsible for the...+ Responsible for performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions… more
- Elevance Health (Seattle, WA)
- ** Managed Care Coordinator** **Location:** The candidate should reside within Jefferson, King, or Pierce County. **Field** : This field-based role enables ... for employment, unless an accommodation is granted as required by law._ The ** Managed Care Coordinator** is responsible for overall management of member's… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street ... common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for… more
- Bishop McCarthy Center (Vineland, NJ)
- Employee Heath/ Managed Care / Infection Control Registered Nurse has oversight over functions of the employee health program which include pre employment ... related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to insurnace companies… more
- US Tech Solutions (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, etc.). ... clinical criteria to service requests or provides health management program interventions. + Utilizes clinical proficiency and claims knowledge/analysis to… more
- Guidehouse (San Antonio, TX)
- …adherence to company/client standards and communicate issues of non-compliance to Operations Manager + Monitor specialist performance to ensure they meet or exceed ... improvement for specialists, including development of and updates to program resources and providing individual coaching, feedback, and monthly performance… more
- Health Care Service Corporation (Chicago, IL)
- …of operations within 90 days of hire. + Plus 3 years' wellness or managed care experience presenting clinical issues with members/physicians. + Knowledge of the ... Role** **Job Summary** This position is responsible to provide care coordination to members via telephonic and/or field-based ...care coordination to members via telephonic and/or field-based care management to inform and educate them on health… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …We are looking to hire a dedicated and passionate Nurse Care Manager for our Behavioral Health Community Partners program . The Behavioral Health Community ... provide both preventative and reactionary services. As a Nurse Care Manager , you will use clinical expertise...by the BH CP Clinical Team Coordinator and Clinical Program Manager . Qualifications: + Licensed as Registered… more
- HCR Home Care (Canton, NY)
- …in the Health Home Program . This position is designated as a higher-skilled Care Manager , capable of exceeding the basic tenants of care management. ... effectively reduce duplicative services. + Consult with the physicians, Managed Care Organizations and other members of...and prioritize multiple assignments. Work Environment The Health Home Care Manager 2 is primarily in an… more
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