- A-Line Staffing Solutions (Atlanta, GA)
- …insurance or professional business environment. 1-year of experience in health insurance managed care environment is preferred. Aptitude with Microsoft Office ... HEALTHCARE COMPLIANCE COORDINATOR JOB SUMMARY: Review calls submitted through the...Hours: Monday - Friday 8:30 am - 5pm 6-month contract -to-hire opportunity Benefits are available to full-time employees after… more
- ConsultNet (Valhalla, NY)
- …Support AssociateWhite Plains, NYDirect Hire$50-$55K plus benefitsJoin our team as a Customer Care Coordinator where you will play a pivotal role in delivering ... of technology talent and solutions, our expertise spans across project services, contract -to-hire, direct placement, and managed services both onshore and… more
- AdventHealth (Maitland, FL)
- …KS 66204** **This position is in Kansas City** **The role you'll contribute:** The Managed Care Coordinator is a responsible member of a multi-disciplinary ... the team:** . Provide documentation to internal departments on managed care contract requirements and...General knowledge of healthcare, hospital and provider operations, and managed care payer contracts and… more
- Elevance Health (Arlington, VA)
- …insightful analytics to improve the delivery of care . The **Case Manager ( Managed Care Coordinator )** is responsible for overall management of member's ... plan within the scope of position, as required by applicable state law and contract . **How you will make an impact:** + Performing telephonic or face-to-face history… more
- McLaren Health Care (Auburn Hills, MI)
- We are looking for a Managed Care Coordinator to join us in leading our organization forward. McLaren Health Care is one of Michigan's fastest growing ... Summary:** Responsible for implementing, operationalizing and administration of third-party payor/ Managed Care agreements within all market segments for… more
- Elevance Health (Roanoke, VA)
- The **Foster Care Managed Case Manager** is responsible for overall management of member's individual service plan within the scope of position, as required by ... applicable state law and contract . **How you will make an impact:** + Working...an impact:** + Working with children within the Foster Care System + Responsible for performing telephonic or face-to-face… 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
- Queen's Health System (Honolulu, HI)
- … contracts , financial analysis methods, accounting principles, and health care delivery systems. o Knowledge of requirements specific to government-funded health ... RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: * Coordinates and administers contracts with healthcare insurance providers for The Queen's...to make recommendations to maximize cost and quality of care . * Serves as a liaison with third party… more
- Prime Healthcare (Ontario, CA)
- …staff person to maintain the physical/original and electronic managed care contract files. The Contract Coordinator II must effectively interact with ... base of Microsoft Excel. + Familiarity with CPT and Diagnostic codes, Medicare guidelines and Managed Care contracts . + Ability to interact at a professional… more
- Immigration and Customs Enforcement (Conroe, 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
- Sharp Electronics Corporation (Santee, CA)
- **Overview** The Contract Coordinator position is responsible for the timely and accurate creation and processing of contract billing, in compliance with all ... procedures. **Responsibilities** + Ensure completeness and accuracy of maintenance contract documents including MICAS (meter automation) requirements and valid… 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
- Trinity Health (Darby, PA)
- …manage the appeal process in an effective manner in accordance with requirements of managed care contracts , federal and state laws, and department policies ... or clinical rationale + Assists in corresponding and communicating with external managed care (IBC, Aetna, etc.) and regulatory organizations (Medicare,… more
- Sharp HealthCare (San Diego, CA)
- …of available community resources and current standards of clinical practice. + Knowledge of managed care and Health Plan contracts . + Understanding of the ... as a case manager or discharge planner interacting with managed care payers. + Experience with InterQual...+ Act as a resourceDemonstrates knowledge of Health Plan contracts and Health Plan benefits Coordinates services and supplies… more
- AmeriHealth Caritas (Philadelphia, PA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... for contracting and provider set-up questions/issues. + Assists the Contract Management Coordinator as necessary to assess...member, provider, and finance operations in a healthcare or Managed Care Organization. + 1 to 2… more
- Delta Dental of Iowa (Johnston, IA)
- Government Programs Care Coordinator Johnston, IA (http://maps.google.com/maps?q=9000+Northpark+Drive+Johnston+IA+USA+50131) Apply Job Type Full-time Description ... outreach, performance improvement, and goals related to Government Programs contracts . This includes care coordination and case...Hawki, and Medicare Advantage plans. You will collaborate with managed care companies, the Iowa Department of… more
- Motion Recruitment Partners (Tampa, FL)
- Onboarding Coordinator Tampa, FL **Hybrid** Contract $24/hr - $25/hr Grow your career as an Onboarding Coordinator with an innovative global bank in Tampa, ... FL. Contract role with strong possibility of extension. Will require...financial services worldwide. Will be processing Statement of Work contracts and data/invoicing changes related to those SOWs being… more
- Weyerhaeuser (Ruston, LA)
- …growth and yield, and silvicultural systems * Field forestry experience * Contract administration experience (both preparing contracts and managing the ... Weyerhaeuser is searching for a Research Progeny Test Coordinator to join our Tree Improvement team in...data audits and treatment application according to workplans * Contract administration for different research projects * Conduct research… more
- Humana (Richmond, VA)
- …experience + Experience with health promotion, coaching and wellness + Previous managed care experience + Certification in Case Management + Motivational ... community and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs...in the negotiation or the administration of a Medicaid contract on behalf of the state and/or Family and… more
- State of Indiana (Indianapolis, IN)
- Medicaid/Medicare Coordinator Date Posted: Jun 25, 2024 Requisition ID: 445663 Location: Indianapolis, IN, US, 46202 Work for Indiana Begin a fulfilling career with ... percent of the state's budget to ensure vital health care coverage to approximately 1 in 4 Hoosiers. OMPP...role will manage and develop the State Medicaid Agency Contracts (SMACs), working to develop increased alignment between Medicare… more
