- Rady Children's Hospital San Diego (San Diego, CA)
- …of the department, this position requires proficiency in Dari and Arabic Language** 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...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… 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
- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 217 **Position:** Manager Managed Care Contracting **Union Code:** 00 - ... Primarily responsible to manage third party contracting. Include being the lead contact for third party contracting, assisting in developing payer strategy,… 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...different business areas and give you the opportunity to lead and support key initiatives. In addition to these… more
- CommuniCare Health Services Corporate (Akron, OH)
- …to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and ... timely filing of all managed care claims on their assigned caseload...cash collections team, CBO cash posting team, Business Office Manager , Regional Director of Finance, MDS, Case Management, and… more
- Weatherford (Houston, TX)
- …products as well as global fulfillment of operational spare parts. The Plant Manager is responsible for all aspects operating the COE facility, including providing ... direct and support employees at the facility. The Plant Manager will also be responsible for achieving the assigned...of parts responsible for OTD + Ensure proper use, care and preventative maintenance for all workshop equipment providing… more
- Catholic Health Services (Melville, NY)
- …contract updates to understand impacts to reimbursement from federal, state, and managed care payers. Corrects transactions and transfers balances to responsible ... and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network… more
- LA Care Health Plan (Los Angeles, CA)
- …Required: Experience serving Medi-Cal population. Preferred: Understanding of Medi-Cal managed care model, eligibility requirements, benefits, enrollment ... Medicare Product Solutions Manager III Job Category: Administrative, HR, Business Professionals...processes, and regulatory requirements governing Medi-Cal managed care plans. Understanding of … more
- Chiesi (Cary, NC)
- Lead Data Manager Date: Sep 14, 2024...and **CAR** E (products and services that support special care and consumer-facing self- care ). We are proud to ... Every one of us is Chiesi." **Purpose** + To lead data management activities of the assigned project(s) ensuring...high complex studies and/or support specific activities of studies managed by other data managers or consultants + To… more
- CVS Health (Columbus, OH)
- …health care more personal, convenient and affordable. **Position Summary:** As a Lead Director, Technology Platform Supplier Manager at CVS Health, you will ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...including management of SLAs, True-ups, notification windows, etc. + Lead execution of policy requirements for managed … more
- LA Care Health Plan (Los Angeles, CA)
- …analysis and database technology. Preferred: Experience and understanding of Managed Health- care Information systems, subsystems and applications. Skills ... Lead PL/SQL Developer Job Category: Information Technology Department:...with other departments to enhance customer satisfaction. Must understand Managed Health Care Information systems, subsystems and… more
- LA Care Health Plan (Los Angeles, CA)
- …initiatives: With moderate guidance and supervision from manager : Serve as LA Care business project lead in external stakeholder meetings on behalf of the ... supporting Community Health projects designed to improve both the managed care performance of the LA County...As part of the Community Health team, the Program Manager will help LA Care and its… more
- Stanford Health Care (Palo Alto, CA)
- …terminology, eligibility and enrollment requirements for Medicare, Medi-Cal, Workers' Comp, Managed Care (HMO, PPO, POS, etc.), Children's Health Programs ... service inquiries and concerns with immediate escalation to a manager as necessary. Processes necessary admission/registration paperwork and obtains...as necessary. + A role model of patient centric care . + Takes an active, lead role… more
- Walmart (Hoboken, NJ)
- …you'll do Walmart Connect's Sales Leadership team is seeking an experienced Team Lead to help scale and grow Food supplier/advertiser partnerships to both Walmart ... while also navigating Walmart's teams. The candidate will have managed and scaled businesses in the past and has...the past and has the capability to manage and lead a small but high-performing team. Ideal candidates will… more
- LA Care Health Plan (Los Angeles, CA)
- …Experience Required: At least 4 years of experience in Program/Project Management in a managed care setting or Top 10 management consulting role in Healthcare ... Manager II will serve as a resource to lead stakeholders to successfully complete project deliverables on time,...and optimal procedures. Working knowledge of Department of Health Care Services (DHCS), Department of Managed Health… more
- Lakeview Health Services (Geneva, NY)
- …Join our Team! EMPLOYMENT OPPORTUNITY ($2,000 SIGN ON BONUS) Title : Health Home Plus Care Manager Job Requisition No.: 1683 Program : Care Management, ... consistent with Health Home requirements and coordinating with the Managed Care organizations for HARP members ....two (2) years of experience as a Health Home care manager serving the SMI or SED… more
- Elderwood (Buffalo, NY)
- Salary $68,640 - $93,600 Overview Elderwood IPA is seeking an RN Care Manager to join our incredible growing team of professionals in Buffalo, NY. Why should you ... referral program Responsibilities In the role of an RN Care Manager , You will partner with the...home care , case management, discharge planning or managed care + Minimum of one (1)… more
- Lakeview Health Services (Ithaca, NY)
- …their goals and advancing their lives? Join our Team! EMPLOYMENT OPPORTUNITY Title : Care Manager Job Requisition No.: 1698 Program : Care Management, ... Essential Job Functions Overview With general supervision of the Care Management Program Manager , works from a...consistent with Health Home requirements and coordinating with the Managed Care organizations for HARP members .… more
- Commonwealth Care Alliance (Boston, MA)
- …on direct manager **Experience Preferred:** + Experience working in a managed care organization preferred **Knowledge, Skills & Abilities:** + Thorough ... Role is Important to Us:** The Enterprise Senior Project Manager is a key project delivery leadership role in...skills + Excellent problem-solving ability + Thorough understanding of managed care /Medicare plan operations preferred + Excellent… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services Location: Los ... $152,762.00 (Mid.) - $188,015.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...that purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading and managing a… more