- ManpowerGroup (Columbia, SC)
- …Javascript) a to join their team. **Title: Coordinator , Managed Care II** **Location: Columbia SC /Remote** ** Contract ** Job Summary: Reviews and ... Our client is seeking ** Coordinator , Managed Care II**...information to support and determine medical necessity criteria and contract benefits. Provides telephonic support for members with chronic… more
- ManpowerGroup (Columbia, SC)
- Our client, a leading healthcare organization, is seeking a Managed Care Coordinator UM II to join their team. As a Managed Care Coordinator UM ... which will align successfully in the organization. **Job Title:** Managed Care Coordinator UM II...regarding healthcare delivery systems. + Maintain current knowledge of contracts and network status of all service providers. **What's… more
- Elevance Health (Roanoke, VA)
- ** Managed Care Coordinator ** **Sign-on...of position, as required by applicable state law and contract . **How you will make an impact:** + Responsible ... Wytheville, Galax, Bristol, Lee, Washington, Abingdon and Buchanan.** The ** Managed Care Coordinator ** is responsible...experience may be required based upon state law and contract requirements. + Travels to worksite and other locations… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will ... of clinical information to support and determine medical necessity criteria and contract benefits. * Utilize allocated resources to back up review determinations. *… more
- US Tech Solutions (Columbia, SC)
- …SC nursing license. + Case management experience preferred. + Transition of Care experience preferred. + Prior experience working for a health insurance company ... of clinical information to support and determine medical necessity criteria and contract benefits. + Provides telephonic support for members with chronic conditions,… more
- US Tech Solutions (Columbia, SC)
- …Nurse UM II** **Location: Columbia SC 29229** **Duration: 3+ month's Contract ** **Job Description:** + Reviews and evaluates medical or behavioural eligibility ... clinical information to support and determine medical necessity criteria and contract benefits. Provides telephonic support for members with chronic conditions, high… more
- Fresenius Medical Center (Franklin, TN)
- …coordination, and administration of contracting and pricing procedures. This includes contract terms and conditions, products and prices for various market segments ... supporting analysis, documentation and reports + to support negotiations of contract terms and department administration. + Maintains complete, accurate, and… more
- Immigration and Customs Enforcement (Eloy, AZ)
- …Managers, BH Medical Assets Support Team), and other IHSC personnel (ie, Field Medical Coordinator , Managed Care Coordinator , etc.), other health ... civil servants, and contract staff. The IHSC provides on-site direct patient care to ICE detainees at 20 detention facilities throughout the country and manages… more
- Kelly Services (Horsham, PA)
- Kelly Science and Clinical FSP is currently seeking a Business and Contract Operations Coordinator for a long-term engagement with one of our Global ... paid time off, including holiday, vacation, and sick/personal time. The Business and Contract Operations Coordinator will support the Business Strategy and … more
- Phillips 66 (Houston, TX)
- **Phillips 66 & YOU - Together we can fuel the future** The ** Contract Coordinator / Advisor** is responsible for assisting in the oversight of all analysts ... oversight of analyst work and training/redirecting where needed to ensure that all contract related processes are efficiently and accurately managed by the team.… more
- CVS Health (Monroeville, PA)
- …a mail service pharmacy in Monroeville area has an opportunity for a full-time Payer Contract and Website Coordinator . The Payer Contract and Website ... as well as problem resolution and maintenance of system interactive websites. The Payer Contract and Website Coordinator will also be responsible for Payer … more
- Option Care Health (Salt Lake City, UT)
- …Legal, Sales, and any other departments that are involved with or impacted by managed care contracts . Complete credentialing applications when necessary for ... of importance and/or time spent)** Manage the negotiation of managed care and health system contracts...new contract access as back up to contract coordinator . Participate in regional meetings as… more
- Sea Mar Community Health Centers (Lacey, WA)
- …mix, funding sources, AR, billing and reimbursement. + In collaboration with the Managed Care Coordinator and Utilization & Referral Manager, effectively ... 3%, timely and accurate submission of encounters and ledgers, contract compliance and maximizing in clinic collections. + Be...manage the clinic's utilization management and managed care programs to achieve… more
- State of Massachusetts (Boston, MA)
- *_Executive Office of Housing and Livable Communities (EOHLC)_*__*_is seeking a Contract Coordinator in the Division of Housing Stabilization!_* *_AGENCY ... Coordinator II will function as the Continuum of Care Grants Coordinator for the Massachusetts Balance...providers and clients if needed in relation to the contracts and projects managed in this position.… more
- The County of Los Angeles (Los Angeles, CA)
- DEPUTY DIRECTOR, MENTAL HEALTH (UC) - MANAGED CARE OPERATIONS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4843984) DEPUTY DIRECTOR, ... MENTAL HEALTH (UC) - MANAGED CARE OPERATIONS Salary $176,297.52 - $274,178.64...Management. This role is responsible for budgeting, financial strategy, contract negotiations, and network management to ensure adequate service… more
- Humana (Springfield, IL)
- …Sterling, Rock Falls, Morrison, Prophetstown, Dixon, or LaMoille areas. The LTSS Care Coordinator employs a variety of strategies, approaches and techniques ... to manage a member's health issues. The Care Coordinator understands own work area professional...and/or Home and Community based services and/or working with managed care organizations. + Intermediate to advanced… more
- Upstone Materials (Rugby, ND)
- Commercial Coordinator Date: 23 Feb 2025 Location: Rugby, GB, CV21 1BE Company: COLAS RAIL UK Make your mark with Colas Rail UK At Colas Rail, differences matter. ... way you want. + We have a culture of care , from safe working environments to diversity and inclusion....role To provide commercial support to Colas Rail Services contracts ; ensuring accurate recognition of revenue and cost is… more
- State of Massachusetts (Boston, MA)
- …Commonwealth's assets, which include 61 million square feet of state buildings. As an agency, we care for the people of our state and the future of our planet. * We ... ** *_G_**_eneral Statement of Duties and Responsibilities_* The Physical Security Coordinator provides for the safety and security of employees and visitors… more
- Banner Health (Phoenix, AZ)
- …Educates other health care providers, payors and patients on concepts of managed care , managed care networks, transplant networks, individual ... Name:** Pre-Kidney Trans-Hosp **Work Shift:** Day **Job Category:** Clinical Care Great careers are built at Banner Health. We're...today to build your career. As a RN Transplant Coordinator , you will call upon your experience as a… more
- Stony Brook University (East Setauket, NY)
- …of hospital inpatient and outpatient billing requirements (UB-04, 837i) + Knowledge of managed care insurance contracts and reimbursement methodologies. + ... Revenue Cycle Coordinator **Position Summary** At Stony Brook Medicine the...RevElate Patient Accounting Systems. + Proficiency with an Acute Care Hospital Contract Management System. + Medical… more