- Bishop McCarthy Center (Vineland, NJ)
- Employee Heath/ Managed Care ...Control Registered Nurse has oversight over functions of the employee health program which include pre employment ... screening, employee verification, annual PPD testing, Covid testing, work related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to insurnace companies for continued stay… more
- Dignity Health (Bakersfield, CA)
- … Health 's Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative ... options including medical dental and vision plans for the employee and their dependents Health Spending Account...benefits, provider contracts, and enrollment of members. Coordinates with health plan partners, Managed Care … more
- Hawaii Pacific Health (Honolulu, HI)
- …As the Specialist, you will be responsible for providing comprehensive managed care information related to Hawai'i Pacific Health contracted health ... Managed Care - Utilization Mgmt **Category** Administrative **Employment Type** Employee **Location** Hawaii Pacific Health , Honolulu, HI **Req ID** 26099 more
- WTW (New York, NY)
- …our two business segments, Health , Wealth and Career and Risk and Broking. The Managed Care Growth Leader is the primary client lead managing the totality of ... Willis Towers Watson (WTW) relationship for clients within the Managed Care Industry. This individual is accountable...Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care … more
- e CancerCare (Nashville, TN)
- …or equivalent experience . Skills: Health care reimbursement experience in a health system, consulting firm, or with a managed care payer preferred. ... and providers. Team member will work closely with the Managed Care department team in generating and...representative of those that must be met by an employee to successfully perform the essential functions of this… more
- Hawaii Pacific Health (Honolulu, HI)
- …No **Minimum Qualifications:** High School or equivalent. One (1) year clerical experience in a health care setting. Experience with managed care and ... might be the ideal candidate to be our next Managed Care Representative. In this role, you...planning and a commitment to delivering the highest quality health care to Hawai'i's people. **Location:** Kapiolani… more
- Hawaii Pacific Health (Honolulu, HI)
- …No **Minimum Qualifications:** High School or equivalent. One (1) year clerical experience in a health care setting. Experience with managed care and ... might be the ideal candidate to be our next Managed Care Representative. In this role, you...planning and a commitment to delivering the highest quality health care to Hawai'i's people. **Location:** Kapiolani… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and ... than 150 skilled nursing, assisted living, independent living, behavioral health , and long-term care facilities deliver sophisticated...timely filing of all managed care claims on their assigned caseload… more
- The Cigna Group (Bloomfield, CT)
- …(HPD) residency is a holistic program that provides resident a great foundation in managed care , with a focus in clinical strategy within client account ... written and verbal communications + Strong career interest in Managed Care pharmacy + Required: Please upload...Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health … more
- MaineGeneral Health (Waterville, ME)
- Job Summary:MaineGeneral Health is a leading health care system proud of the culture of excellence, compassion, and collaboration that extends to our ... our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects...to resources for a healthy lifestyle and help manage health care costs. + Employees have access… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …Due to continued growth, CommuniCare Health Services is currently recruiting for a Managed Care Cash Poster to join our team. PURPOSE/BELIEF STATEMENT The ... than 150 skilled nursing, assisted living, independent living, behavioral health , and long-term care facilities deliver sophisticated...Managed Care Cash Poster position is responsible… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Managed Care Rebate Analyst Date: Oct 12, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57682 **Who we ... are** Together, we're on a mission to make good health more affordable and accessible, to help millions around...to make a difference with. **The opportunity** The Senior Managed Care Rebate Analyst is responsible for… more
- Hawaii Pacific Health (Honolulu, HI)
- …- Analytics Managed Care **Category** Administrative **Employment Type** Employee **Location** Hawaii Pacific Health , Honolulu, HI **Req ID** 24578 ... **Job Description** Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics,… more
- 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 ... requirements + The unique complex needs of the foster care population + Medicaid Managed Care...Dental insurance + Employee assistance program + Employee discount + Flexible spending account + Health… more
- Sutter Health (Goleta, CA)
- …relevant experience **SKILLS AND KNOWLEDGE:** A broad knowledge base of health care delivery and case management within a managed care environment. ... presenting to the Emergency Department. Strives to promote patient wellness, improved care outcomes, efficient utilization of health services and minimized… more
- Prime Healthcare (Dallas, TX)
- …Responsibilities The successful candidate will have substantial experience working with managed care plans on reimbursement issues. This may include ... payor relations efforts through joint operations committees or experience with managed care contracts. #LI-RK1 Qualifications EDUCATION, EXPERIENCE, TRAINING… more
- The Cigna Group (Bloomfield, CT)
- …enable informed provider decisions. The Physician Engagement Pharmacy Resident will gain managed care proficiency through in-depth longitudinal rotations and as ... items relating to provider engagement. + Provide patient and health care professional education and medication information....written and verbal communications + Strong career interest in Managed Care pharmacy + **Required: Please upload… more
- ManpowerGroup (Columbia, SC)
- **Title: Coordinator, Managed Care I** **Location: 4101 Percival Road Columbia SC 29229 US (Hybrid)** **Duration: 04+ Contract** **Pay Range $25.00 to ... - 5:00 PM)** We are looking for a "Coordinator, Managed Care I" to join one of...health interventions, and ensure members receive quality, cost-effective care . The Clinical Review Specialist will review medical necessity,… more
- Select Medical (Canonsburg, PA)
- **Overview** **Patient Account Representative ( Managed Care Medicaid Claims)** **_Starting at $16.50 per hour_** **_C_** **_ommensurate with experience_** ... in a professional fashion. **Responsibilities** + Investigate and follow-up on all open Managed Care Medicaid Claims account balances overdue for 45 days or… more
- ManpowerGroup (Columbia, SC)
- + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site work required for the first week, followed by remote work. + **Hours:** ... network utilization, and benefit plans. + Promote enrollment in care management programs or health and disease...and take all employment actions without regard to an employee 's race, color, national origin, ancestry, sex, sexual orientation,… more