- City of New York (New York, NY)
- …(hospitals, physician groups and pharmacies), city agencies, client advocates, and MAXIMUS (the state managed care enrollment broker for the managed ... as the Executive Director , of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under the executive… more
- MaineGeneral Health (Waterville, ME)
- …We are actively seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects ... of reimbursement, managed care contracts, and payer enrollment . The successful candidate will have a deep understanding of healthcare finance, regulatory… 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... Care Liaison Inform and coordinate PCP (Primary Care Physician) changes Assist with plan enrollment ,… more
- ManpowerGroup (Columbia, SC)
- Our client is seeking **Coordinator, Managed Care II** (React.js, redux Javascript) a to join their team. **Title: Coordinator, Managed Care II** ... Director , Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data collection/input into system for clinical… more
- Albany Medical Center (Albany, NY)
- …Expertise with NCQA Credentialing Standards, Compliance + Familiarity with Managed Care Health Insurance Plans, credentialing, and enrollment + Works with ... ongoing auditing & monitoring of credentials files. The Provider Enrollment Specialist Serves as a high functioning member of...- required + 1-3 years in Medical Staff, and/or Managed Care credentialing - required + Proficiency… more
- US Tech Solutions (Columbia, SC)
- …(Medical Director , Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). + Participates in data collection/input into system for ... reviews. Serves as member advocate through continued communication and education. Promotes enrollment in care management programs and/or health and disease… more
- US Tech Solutions (Columbia, SC)
- … Director , Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data collection/input into system for clinical ... reviews. Serves as member advocate through continued communication and education. Promotes enrollment in care management programs and/or health and disease… more
- Elevance Health (San Juan, PR)
- …**Preferred Skills, Capabilities, and Experience:** + Leadership experience working in the managed care /healthcare insurance industry most notably in a call ... ** Director I Customer Care - Multi**...Carelon Global Solutions, formerly Legato Health Technologies is a managed service delivery organization, providing information technology and business… more
- Athena Health Care Systems (Waterford, CT)
- We are hiring a full-time Therapeutic Recreation Director (TRD) to join our dynamic care team at Bayview Health Care in Waterford! This is not a department ... within the company. As a TRD, you assist the Director in planning, organizing, developing, and implementing the overall...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- SSM Health (St. Louis, MO)
- …valuation and net revenue analytics. + Collaborates with the revenue cycle, managed care finance, and government reimbursement teams to address concerns ... and opportunities identified in the monthly close process. Collaborates with Continuum of Care (CoC) finance director to support the monthly close process as… more
- CenterLight Health System (Flushing, NY)
- …health management, utilization review, quality assurance or discharge planning (preferably within a managed care , home care or community health organization) ... JOB PURPOSE: The Director of Clinical Intake oversees all clinical activities...+ Minimum two (2+) years of experience in MLTC/ Managed Care with preparation of Uniform Assessment… more
- UPMC (Pittsburgh, PA)
- UPMC Mercy Hospital is searching for a Unit Director to oversee our 6A Addiction Medicine Unit! Are you passionate about making a significant impact in healthcare ... individual to join our team as our next Unit Director for the 6A Withdrawal Management department. This is...part of a leading healthcare organization that prioritizes patient care and staff well-being. About UPMC Mercy: Mercy is… more
- Boston College (Chestnut Hill, MA)
- …Jesuit, Catholic university located six miles from downtown Boston with an enrollment of 9,484 full-time undergraduates and 5,250 graduate and professional students. ... billion, and an endowment in excess of $3.5 billion. **Job Description** **Resident Director - Anticipated Openings** The mission of the Office of Residential Life… more
- University of Connecticut (UConn) (Storrs, CT)
- …Assistants in an area of approximately 400-700 residents. The Hall Director facilitates residential students' personal, interpersonal, and intellectual growth. The ... Residence Hall Director (HD) is a full-time, 12-month live-in, professional staff...Approximately 70% of the undergraduate student population resides in university- managed housing between the Storrs and Stamford Campus. We… more
- Sutter Health (Sacramento, CA)
- …knowledge base of health care delivery and case management within a managed care environment required. + Comprehensive knowledge of local, state and federal ... Health! **Organization:** SHSO-Population Health Services-Valley **Position Overview:** Responsible for Care Coordination operations for Sutter area Hospitals and/or campuses,… more
- HCA Healthcare (Las Vegas, NV)
- …Our staff and administration live out our vision! We change the life of one to care for the lives of many. Jump-start your career as a Director of Campus ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...make a difference. We are looking for a dedicated Director of Campus Operations to be a part of… more
- North Shore Community Health (Salem, MA)
- … management. + Pharmacy services. + Substance abuse disorder treatment. + Nurse care management. + Insurance enrollment assistance. NSCH operates service sites ... about their healthcare options and that referrals, insurance verifications, and virtual care pathways are efficiently managed . + Provides hands-on leadership to… more
- Valor Health (Copperas Cove, TX)
- …the VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Completes any and all clinical reminders "due" at the time of ... Clinic Medical Director Copperas Cove, TX (http://maps.google.com/maps?q=336+Town+Square+Copperas+Cove+TX+USA+76522) Apply Description About Us Our mission is… more
- Community Health Systems (Franklin, TN)
- …customers include, but are not limited to: Practice Management from all regions, Managed Care , Acquisitions, PPSI, Provider Enrollment , Medical Staff ... times. + An understanding of health plan/hospital and physician managed care commercial and Medicare reimbursement methodologies...part of the application or hiring process, contact the director of Human Resources at the facility to which… more
- Molina Healthcare (Meridian, ID)
- …related field. **Required Experience** * 7-10 years' experience in Healthcare Administration, Managed Care , and/or Provider Services. * 3-5 years' experience ... or related field. **Preferred Experience** Experience with Medicaid and Medicare managed care plans. **Preferred License, Certification, Association** N/A To… more