- Cedars-Sinai (CA)
- …people throughout Los Angeles and beyond. **Req ID** : 5668 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- Roper St. Francis (Ladson, SC)
- …Roper St. Francis Office Park, Ladson, SC** **Shift: 8:00am-5:00pm** **Job Summary:** The Manager of Managed Care is responsible for implementing and ... overseeing the daily operations of managed care programs and initiatives and the...programs and initiatives and the provider credentialing and enrollment program . This role ensures effective management of relationships with… more
- City of New York (New York, NY)
- … NM-III, to function as the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under ... Program (MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and Third-Party Health Insurance. Ensuring that the three… 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 ... physicians of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract… more
- Sutter Health (Goleta, CA)
- …knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of ... Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. Oversees the management… more
- Elevance Health (Richmond, VA)
- ** Managed Care Coordinator** Location: Candidate must reside within 50 miles of Richmond, VA. While primarily remote, occasional travel to meet with members face ... to face is required. The ** Managed Care Coordinator** is responsible for overall...+ Responsible for performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions… more
- ManpowerGroup (Columbia, SC)
- **Title: Coordinator, Managed Care I** **Location: 4101 Percival Road Columbia SC 29229 US (Hybrid)** **Duration: 04+ Contract** **Pay Range $25.00 to ... - 5:00 PM)** We are looking for a "Coordinator, Managed Care I" to join one of...cases to appropriate internal departments (eg, Medical Director, Case Manager , Quality of Care Referrals). + Participate… more
- World Wide Technology (St. Louis, MO)
- …to all full-time employees: + Health and Wellbeing: Heath, Dental, and Vision Care , Onsite Health Centers, Employee Assistance Program , Wellness program ... / projects. + Selling, managing, designing, implementing and/or supporting large Managed Services offerings. + Experience in driving successful customer engagements.… more
- Comcast (Centennial, CO)
- …in development and meeting of departmental budget. Responsible for sales program management activities coordinating among a wide range of cross-functional resources. ... necessary. **Other duties and responsibilities as assigned.** + Maintains program sales plans and program record. Works...and works to ensure objectives and success criteria are managed and achieved. Assists in the development and monitoring… more
- Rising Ground (New York, NY)
- … managed care programs Job Responsibilities: + Interaction with Accounting Manager and Program Directors for development of the yearly budget + Monitoring ... variances of expenditures against budget and advising accounting manager and program directors + Work with Health Services billers to reconcile their billings +… more
- ManpowerGroup (Columbia, SC)
- + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site work required for the first week, followed by remote work. + **Hours:** ... service requests. The individual will also provide health management program interventions, utilizing clinical proficiency, claims knowledge, and comprehensive… more
- Bishop McCarthy Center (Vineland, NJ)
- Employee Heath/ Managed Care / Infection Control Registered Nurse has oversight over functions of the employee health program which include pre employment ... related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to insurnace companies… more
- IHG (Atlanta, GA)
- Responsible for the performance of the AMER Luxury and Lifestyle managed and franchise portfolio of hotels with total annual revenues exceeding USD $2billion. Manage ... with quality and operational standards. + Act as key Owner Relationship Manager and drive owner engagement; be the escalation point for owner relationships… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Initiatives Program Manager...partners. At least 1 year of experience in leading program /project teams. Preferred: Managed care ... the safety net required to achieve that purpose. Job Summary The Care Management Initiatives Program Manager II is responsible for leading and managing a… more
- State of Massachusetts (Boston, MA)
- The* Program Manager for Primary Care Strategy & Data*will primarily serve as a data analyst, quantitative specialist, and project manager to support ... new primary care sub-capitation payment model for MassHealth Accountable Care Organizations (ACOs).The program manager will work incollaboration… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II (ALD) Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services ... achieve that purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading...Required: At least 6 years of relevant Project Management, Program Management, Health Care Administration, Research or… more
- LA Care Health Plan (Los Angeles, CA)
- …product performance. Preferred: Knowledge of healthcare product types inclusive of managed care and insurance products. Additional duties include: Drives ... Medi-Cal Product Solutions Manager II Job Category: Sales & Marketing Department:...Required: Experience serving Medi-Cal population. Preferred: Understanding of Medi-Cal managed care model, eligibility requirements, benefits, enrollment… more
- HCR Home Care (Liverpool, NY)
- …in the Health Home Program . This position is designated as a higher-skilled Care Manager , capable of exceeding the basic tenants of care management. ... effectively reduce duplicative services. + Consult with the physicians, Managed Care Organizations and other members of...of clients no longer engaged in the Health Home Program . + Represent Care Management on agency… more
- Stanford Health Care (Menlo Park, CA)
- …discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** Position Title: Program Manager , Design Records and Archive ... projects and facility management within the healthcare network. This Program Manager role requires a strong background...to ensure project goals are met.** **Locations** **Stanford Health Care ** **What you will do** + Provides program… more
- LA Care Health Plan (Los Angeles, CA)
- Clinical Quality Program Manager III Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... safety net required to achieve that purpose. Job Summary The Clinical Quality Program Manager is responsible for identifying, implementing, and guiding projects… more