- AdventHealth (Maitland, FL)
- …reports for distribution to Senior Staff, AdventHealth Florida and Multi-State Managed Care Directors and Ancillaries. * Accountable for ensuring Payer ... the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred contract language provides for...and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and… more
- CommonSpirit Health (Englewood, CO)
- …a remote position. Seeking a strong manager of technical healthcare teams for Managed Care .** **Job Summary / Purpose** The System Manager , Data ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US from clinics and hospitals...Health's Payer Strategy, Analytics & Innovation capability. The System Manager , Data Engineering oversees complex data design and the… 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 ... (MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and Third-Party Health...consultation, and technical guidance to OMR, MCP, and TPHI senior and supervisory staff. Interpret policy and procedural changes… more
- The Cigna Group (Nashville, TN)
- **The Cigna Group - Managed Care Leadership Development Program (MCLDP) - Early Career Full-Time Associate** Are you an aspiring business leader? Do you want to ... make an impact in the healthcare industry? Cigna's Managed Care Leadership Development Program (MCLDP) develops future leaders through a two-year intensive… more
- Amazon (Seattle, WA)
- Description The Managed Infrastructure team is responsible to build one of Earth's largest distributed systems - EC2 - at scale. We own the software and tooling to ... zones and our team is growing to support a senior leadership strategic initiative. AWS is the industry leader...day in the life As an SDE on the Managed Infrastructure team you will balance your time writing… more
- AmeriHealth Caritas (Detroit, MI)
- **Community Care Manager Senior , BSN...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and ... /Supervisor of the Community Care Management Team (CCMT), the Community Care Manager Sr. assists members appropriate for care coordination and case… more
- Magellan Health Services (Atlanta, GA)
- …implement solutions that directly influence quality of care . General Job Information Title Care Manager Senior - Autism ABA, Licensed/Remote - GA Grade ... health and autism benefits, community treatment resources, mental health managed care programs, and company policies and...+ Maintains an active work load in accordance with Care Manager Performance Standards. + Works with… more
- Centene Corporation (Austin, TX)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... TX, Del Rio, TX, Laredo, TX, or Uvalde, TX** ** Senior LTSS RN Case Manager - position...8 am - 5 pm (CST)** **Position Purpose:** Performs care management duties to assess and coordinate all aspects… more
- Gentiva (Milan, OH)
- …about what we do because our care matters. **Overview** We're looking for a ** Senior Patient Care Manager , RN** to join our team in **Milan, Ohio!** ... patient assessment skills; good oral and written communication; thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid, and… more
- Gentiva (Milwaukee, WI)
- …who make a lasting difference in people's lives every day. **Overview** We're looking for a ** Senior Patient Care Manager ** to join our team. You will report ... patient assessment skills; good oral and written communication; thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid, and… more
- CVS Health (Princeton, NJ)
- … care more personal, convenient and affordable. **Position Summary** The Behavioral Health Senior Manager of Network Relations is a key role on the Aetna ... of ABHNJ' s Behavioral Health Network. The Behavioral Health Senior Manager of Network Relations will report...have at least five (5) years of experience in managed care network management. Candidate must reside… more
- T. Rowe Price (Baltimore, MD)
- …invite you to explore the opportunity to join us and grow your career with us. The Senior Risk Manager , Fixed Income Risk position is a key member within T. Rowe ... monitoring, communicating/escalating, and helping to mitigate risks in portfolios managed by the firm's Fixed Income division. T. Rowe...Grade (IG) team. As the IG coverage lead, the Senior Risk Manager will often act autonomously… more
- PulteGroup (Myrtle Beach, SC)
- …or warranty experience or equivalent + Minimum of 2 years at Customer Care Manager II or equivalent Required Licensing, Registration and/or Certifications + ... Schedule, organize and execute service work through vendors collaboratively with Customer Care Coordinator. + Manage trades to completion of service requests to… more
- Centene Corporation (New York, NY)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... Medically Fragile Children.** **Position Purpose:** Assesses, plans, and implements complex care management activities based on member activities to enable quality,… more
- Centene Corporation (New York, NY)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... a fresh perspective on workplace flexibility. + Develops and continuously assesses ongoing care plans/service plans of the members with high level acuity via phone… more
- Point32Health (Canton, MA)
- …+ Bachelor's Degree or equivalent experience. + 5-7 years' work experience, preferred in managed care or other health care environment, with knowledge of ... we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Contract Manager will support all Lines of Business, including… more
- Penn Medicine (Philadelphia, PA)
- …and comprehensive patient care delivery in the ambulatory practice setting. The Senior Clinical Manager is responsible for maintaining the highest level of ... our future each day. Are you living your life's work? **Job Title:** Senior Clinical Manager Ambulatory RN **Department:** Heart Failure **Location:** Perelman… more
- CVS Health (Wellesley, MA)
- …make health care more personal, convenient and affordable. **Position Summary** The Senior Manager of Total Search will be responsible for leadership and ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...visits (Minute Clinic), and adoption of health services. The Senior Manager of Total Search will orchestrate… more
- Elevance Health (Tampa, FL)
- …within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager Senior ** is responsible for care management within the scope ... **Telephonic Nurse Case Manager Senior ** **Location: This is a...Minimum 2 years "telephonic" Case Management experience with a Managed Care Company preferred. + Managed… more
- CDM Smith (Milwaukee, WI)
- …the project planning, delivery, and closeout lifecycle. Senior Project Manager key performance indicators include revenue managed , profit delivered, cash ... CDM Smith currently has an exciting opportunity for a Senior Project Manager with previous experience managing...and execution of scope, schedule and budget for projects managed . * Completing Quality Assurance/Quality Control reviews of key… more
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