- Elevance Health (Richmond, VA)
- ** Managed Care Coordinator ** Location:...of position, as required by applicable state law and contract . **How you will make an impact:** + Responsible ... meet with members face to face is required. The ** Managed Care Coordinator ** is responsible...experience may be required based upon state law and contract requirements. **Preferred skills, capabilities, and experiences:** + BA/BS… more
- ManpowerGroup (Columbia, SC)
- …to assist their team. This is an Onsite role. **Industry: Healthcare Industry** **Title: Managed Care Coordinator UM II** **Location: ONSITE - Columbia SC** ... critical thinking skills. + Experience in case management or care coordination and telephonic care experience is...healthcare needs of our members **Notes:** + NON SCA CONTRACT TO HIRE MONDAY-FRIDAY, 8AM-4:30PM OR 8:30AM-5PM + PANEL… 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
- 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 (El Paso, TX)
- …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
- LA Care Health Plan (Los Angeles, CA)
- …LAC; and provision of in-service orientation meetings with providers. Responsible for monitoring managed care contracts for renewals and expirations. (30%) ... achieve that purpose. Job Summary The Provider Network Account Coordinator II works directly with the Contract ...experience in contract and/or regulatory analysis in managed care or healthcare industry. At least… 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
- Humana (Springfield, IL)
- …BONUS for new associates! $2000 payable following 90 days employment. 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
- State of Massachusetts (Boston, MA)
- …in the Commonwealth. Projects include scheduled and emergency repairs to all DCAMM managed buildings. * Trades-person's contracts for building or system repairs ... square feet of state buildings. As an agency, we care for the people of our state and the...in the public construction workforce. *_Position Summary_* The Construction Coordinator IV (CC IV) is a Project Coordinator… more
- Upstone Materials (Rugby, ND)
- Commercial Coordinator Date: 25 Jan 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
- Trinity Health (Livonia, MI)
- …preferred. + Working knowledge of governmental reimbursement criteria. Knowledge of third party/ managed care contracts related to THAH services preferred. ... work a holiday rotation, two per year** **Position Purpose:** The Customer Care Center (C3) Intake Coordinator is responsible for communicating, coordinating,… more
- State of Colorado (Denver, CO)
- Youth Corrections Medical Operations Coordinator (Nurse V) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4573875) Apply Youth Corrections ... Medical Operations Coordinator (Nurse V) Salary $108,540.00 - $151,968.00 Annually Location...is the agency statutorily mandated to provide for the care and supervision of youth committed by the District… more
- Kelsey-Seybold Clinic (Houston, TX)
- …Degree **Experience** Required: 5 years of working experience in a Managed Care environment as Senior Analyst, Coordinator , OR Supervisor or Advance Degree ... and coaching and other duties as assigned. **Job Title: Supervisor, Managed Care Claims** **Location: Pearland Administrative Office** **Department:** **Claims**… 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
- 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
- Hackensack Meridian Health (Edison, NJ)
- …effectively communicating specifics to persons involved on all levels. Utilizes current managed care contract matrix, different insurancesystems and ... positive change. **Responsibilities** A day in the life of an Office Coordinator at Hackensack Meridian Health includes: + Organizes and prioritizes daily workload… more
- Banner Health (Tucson, AZ)
- …Educates other health care providers, payors and patients on concepts of managed care , managed care networks, transplant networks, individual ... Name:** Bone Marrow Trans-Peds-Hosp **Work Shift:** Day **Job Category:** Clinical Care Designing the workplace to help nurses. We've redesigned scheduling and… more
- Banner Health (Phoenix, AZ)
- …Educates other health care providers, payors and patients on concepts of managed care , managed care networks, transplant networks, individual ... **Department Name:** Pre-Liver Trans-Hosp **Work Shift:** Day **Job Category:** Clinical Care Great options and great opportunities. Banner Health has both the… more
- Actalent (Rancho Cordova, CA)
- Clinical Care Coordinator 1 Job Description: Primary responsibility is to make 25+ outreach calls per day to Medi-Cal members to offer care management ... Equivalent Required Experience: + One year working in a managed care environment or health insurance +...IN CALIFORNIA Schedule: Monday - Friday, 8am to 430pm Contract Term: 6 months to start - high probability… more