- Molina Healthcare (Louisville, KY)
- …Experience** + 7+ years of business analysis or systems experience, + 6+ years managed care experience. + Demonstrates expertise in a variety of concepts, ... have worked in US Healthcare government programs such as Medicare, Medicaid, the Affordable Care Act, or similar, with experience in one or more of these programs.… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the ... Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing,...rates with health plans. PRINCIPLE DUTIES AND RESPONSIBILITIES: 1. Lead payor negotiations and manage team that will evaluate… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and ... timely filing of all managed care claims on their assigned caseload...working with the CBO cash collections team, CBO cash posting team, Business Office Manager, Regional Director of Finance,… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …is responsible for timely and accurate posting of all payments received for managed care . This position also posts zero (take back) remits and will need ... growth, CommuniCare Health Services is currently recruiting for a Managed Care Cash Poster to join our...to be the expert of their payers for cash posting and also understand the various nuances in remittance… more
- Molina Healthcare (Farmington, NM)
- …ABILITIES** : * 5-7 years customer service, provider service, or claims experience in a managed care setting. * 5+ years experience in managed healthcare ... discuss and resolve issues related to utilization management, pharmacy, quality of care , and correct coding. * Independently delivers training and presentations to… more
- Houston Methodist (Houston, TX)
- …competency and professional pathway progression. + Communicates updates/changes to processes, managed care information, throughput, etc., in a timely manner. ... and developing staff + Ability to cultivate relationships and lead cross-functional teams within the Revenue Cycle + Assertive...to manipulate large amounts of data + Familiarity with managed care terminology and payor adjudication such… more
- University of Washington (Seattle, WA)
- …management and integrity of clinical trial research in the program. The research projects managed by this position are complex. The Lead CTS position requires ... Fred Hutchinson Cancer Center. This is a hybrid position. Posting Date: 10/28/2024 Closing Info: Closes On 11/04/2024 Salary:...of Hematology and Oncology, is looking to hire a Lead Clinical Trials Specialist ( Lead CTS). **POSITION… more
- University of Washington (Seattle, WA)
- …& CONSTRUCTION Appointing Department Web Address: https://facilities.uw.edu/catalog/construction Posting Date: 10/25/2024 Closing Info: Closes On 11/03/2024 ... (https://hr.uw.edu/benefits/wp-content/uploads/sites/3/2018/02/benefits-classified-staff-20210208.pdf) Looking for stability with year-round employment? Our **Electrician Lead ** position will provide you with one main job… more
- BrightSpring Health Services (Englewood, CO)
- …supervisory and home infusion experience a plus + Working knowledge of Managed Care , Commercial, Government, Medicare, and Medicaid reimbursement; knowledge of ... healthcare professionals. The Revenue Cycle Management Ancillary Services Team Lead will be capable of performing all activities related...or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact… more
- BrightSpring Health Services (Englewood, CO)
- …(2 years of experience at Amerita is acceptable) and working knowledge of Managed Care , Commercial Insurance, Medicare and Medicaid reimbursement, and Cash ... collections as well as assist with the receiving, batching, posting , balancing and archiving payments and adjustments to accounts...of CPR+ software a plus + Working knowledge of managed care , commercial insurance, Medicare and Medicaid… more
- University of Washington (Seattle, WA)
- Req #: 239596 Department: HARBORVIEW - MAINTENANCE Posting Date: 10/14/2024 Closing Info: Open Until Filled Salary: $7,094 - $9,458 per month Shift: First Shift ... has an outstanding opportunity to hire a **Control Technician Lead - Electronics Shop** . **WORK SCHEDULE** + 40 hours...is well known for innovations and excellence in trauma care and its centers of emphasis: Trauma, Burn, Neurosciences,… more
- Molina Healthcare (Paducah, KY)
- …**N** **C** **E:** + 3+ years of medical record abstraction experience + 3+ years managed care experience. + Advanced knowledge of HEDIS and NCQA. **PR** **E** ... **Job Description** **Job Summary** Molina's Quality Improvement Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects,… more
- BP Americas, Inc. (Chicago, IL)
- …teams to support and drive customer and business solutions! This role will lead Castrol's trade programs implementation for the Key & National Accounts and Wakefield ... support for the IMI application is properly secured. + Lead and oversee the continued development strategy and support...program activities. + Ensure trade program funds are properly managed and that operations adhere to bp Control and… more
- Capgemini (New York, NY)
- Marketing/Advertising Business Development Lead - Financial Services Digital Marketing Choosing Capgemini means choosing a company where you will be empowered to ... / Atlanta GA** **Job Description** **Title:** Marketing/Advertising Business Development Lead - Financial Services Digital Marketing Choosing Capgemini means… more
- AbbVie (Florham Park, NJ)
- …lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For ... acts as single point of contact and accountable operational lead from DSS. Coordinates associated DSS study teams to...could affect timelines of own, as well as studies managed by the team. Anticipates and identifies issues that… more
- Prime Therapeutics (Columbus, OH)
- …years of directly related experience. + Related professional experience in the managed care , healthcare, or insurance industries. + Analytical/problem solving ... of that. It fuels our passion and drives every decision we make. **Job Posting Title** Lead Business Analyst-REMOTE **Job Description Summary** Serves as liaison… more
- AbbVie (Branchburg, NJ)
- …lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For ... Business technology team! As an Manufacturing Site Infrastructure Operations Lead in AbbVie Business Technology Solutions (BTS), you'll have opportunities… more
- Capital One (Mclean, VA)
- Center 3 (19075), United States of America, McLean, Virginia Lead Machine Learning Engineer As a Capital One Machine Learning Engineer (MLE), you'll be part of an ... quality data for training and testing GenAI models; we care about how it's created, what's in those datasets,...models and application code. + Ensure all code is well- managed to reduce vulnerabilities, models are well-governed from a… more
- Delaware North (Jacksonville, FL)
- **The Opportunity** Delaware North Global Headquarters is hiring a Technology Operations Lead to join our Information Technology team at EverBank Stadium in ... Jacksonville, Florida. As a Technology Operations Lead , you will support and maintain all technology-related software...what we believe at the time of this job posting , that we would be willing to pay for… more
- Elevance Health (Columbus, OH)
- …Certification as a Case Manager is preferred. + Participation in the American Association of Managed Care Nurses preferred. + Prior managed care ... to interpret and apply member contracts, member benefits, and managed care products strongly preferred. For candidates...compensation for this role at the time of this posting . This range may be modified in the future… more