- Christus Health (Canton, TX)
- …budget, ensuring data accuracy, preparing financial analyses, handling complex customer service issues and maintaining provider/staff communications. ... collections, CPT, ICD9 and HCPCS coding and medical group operations, as well as managed care concepts. Ability to recognize and communicate variances in key… more
- The Computer Merchant, LTD. (Reston, VA)
- …EXPERIENCE: * High School diploma with 5+ years of prior relevant experience * Customer service -focused attitude * Current Secret clearance * Ability to maintain ... help desk, deskside support, Windows workstation engineering and maintenance, managed print services, ITSM, Active Directory services, and video...user where a ticket has been dispatched from the Service Desk or identified by the on-site user base… more
- National Vision (Lawrenceville, GA)
- …hard work is praised, and career growth is a reality. We are hiring for a Managed Care Customer Service Representative to join our growing team! ... their best. We help people by making quality eye care and eyewear more affordable and accessible. National Vision...line by line the details in order to determine customer 's responsibility and insurance responsibility. + Completes a high… more
- Dignity Health (Bakersfield, CA)
- …**Operational & Clinical Oversight** + Provide strategic guidance for Managed Care Provider Relations, Customer Service , and Clinical Oversight ... Responsibilities** This role is the key clinical leader for Managed Care Services within the Population Health...that supports containing costs while continually improving quality of care and levels of service . Dignity Health… more
- Centene Corporation (Yonkers, NY)
- …diploma or GED, required. 2 to 5 years prior experience in managed care , sales, customer service or related experience preferred. Basic computer skills. ... through the New York State of Health (NYSOH), Medicaid Managed Care , Child Health Plus, Medicare, MLTC,...'s care management approach. **HIGHLY PREFERRED** + ** Customer Service ** + **Community Outreach** + **Sales… more
- Centene Corporation (Latham, NY)
- …diploma or GED, required. 2 to 5 years prior experience in managed care , sales, customer service or related experience preferred. Basic computer skills. ... "metal" products offered through the New York State of Health (NYSOH), Medicaid Managed Care , Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability to answer… more
- Beth Israel Lahey Health (Boston, MA)
- …not just taking a job, you're making a difference in people's lives.** The Managed Care Coordinator will support the ObGyn Department at Beth Israel Deaconess ... Medical Center in Boston, MA. The Managed Care Coordinator role is a hybrid...offering ideas, identifying issues, and respecting team members. + ** Customer Service :** Ability to provide a high… more
- Bristol Myers Squibb (Madison, NJ)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... and budgets) as well as all aspects with evaluating implications of and reporting Managed Care data required for US and Puerto Rico government pricing… more
- Omaha Children's Hospital (Omaha, NE)
- …employer including veterans and people with disabilities. **A Brief Overview** The Sr. Managed Care Contract and Revenue Analyst will conduct complex and ... detailed analysis and modeling of managed care contracts for the organization. This...to maximize reimbursement. + Promote a culture of collaborative, customer -focused service delivery with both internal and… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …AA Preferred: BA Type of Experience Required: Healthcare, Marketing, customer service Preferred: Training, Managed Care , public speaking, customer ... skills + Able to work in a fast paced environment + Managed long term care knowledge + Medicaid knowledge + Medicare knowledge SCOPE INFORMATION # Direct… more
- PVH Corp. (Bridgewater, NJ)
- …Brands, Value Chain, Data & Analytics and Corporate), delivering a reliable and consistent managed service experience to business. The mission is to unify our ... fits within the wider Global Infrastructure & Operations department. Operations & Service Management is responsible for **Application Managed Services (L2)** ,… more
- LA Care Health Plan (Los Angeles, CA)
- …Assistance Services Council (PASC) managed care product lines. The Customer Solution Center Service Representative I handles first level calls involving ... Solution Center Service Representative I Job Category: Customer Service Department: Customer Solution...type a minimum of 40 words per minute. Preferred: Managed care or health plan experience. Skills… more
- Hartford HealthCare (Hartford, CT)
- …across functional areas . Superior analytic and problem solving skills . Customer service focus _We take great care of careers_. With locations around the ... **Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street… more
- HCA Healthcare (Nashville, TN)
- …for clinical and non-clinical audiences + Comprehensive knowledge of formulary managed care systems, principles and practices **What qualifications you ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- Travelers Insurance Company (Downers Grove, IL)
- …analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to optimize claim results. Travelers' PNP Programs ... Team provides coverage for Community Associations, Healthcare Institutions and Providers, Managed Care Organizations, Life and Health Underwriters and Public… more
- CDPHP (Latham, NY)
- …of that experience. Under the direct supervision of a licensed pharmacist, the Managed Care Pharmacy Technician (Pharmacy Tech) is responsible for administering ... refine skills necessary to respond to customers. + Must possess strong customer service orientation and the ability to interface effectively with internal and… more
- LA Care Health Plan (Los Angeles, CA)
- …center, including a minimum of 2 years of general claims inquiry or managed care specialty line of business experience. Customer service training in a ... Solution Center Service Representative III Job Category: Customer Service Department: Customer Solution...$69,045.00 (Mid.) - $82,867.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …Service Representative - Posting #27077 Position Summary: Full-Time Customer Service Representative position available for our Managed Care department ... health care services. + Strives to increase customer health care service utilization,...meeting established departmental and organizational goals and ensuring that customer access to the Managed Care… more
- WellSpan Health (York, PA)
- …and payer regulations. Represents the System in a professional manner using excellent customer service practices in the performance of all duties. **Duties and ... present to ensure timely reimbursement. Assists with coordination of care and/or transfers to higher levels of care...CPT coding. + Insurance knowledge. + Computer skills. + Customer service skills preferred. + Able to… more
- Palo Alto Networks (Dallas, TX)
- …advisor to our customers to help ensure efficient Palo Alto Networks' Unit 42 Managed Services adoption. In this role, you will work closely with CISOs, Security ... Engineers, and Operations teams within mid-to-large enterprises to implement best-in-breed Managed Detection and Response & Managed Threat Hunting services.… more
