- 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
- Penn Medicine (Plainsboro, NJ)
- …up to date knowledge of insurance requirements pertinent to patient service and managed care .Assists practice manager with developing policy and procedures ... Are you living your life's work? Summary: + The Managed Care Plan Coordinator provides support to...stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition… more
- Trinity Health (Fresno, CA)
- …Reporting to the Director CVHP Operations, CVHP Operations, this position coordinates care and service for defined patient populations across the acute care ... continuum for CVHP members. This includes discharge planning, utilization management, care coordination, and support for resource utilization. This position works… more
- Molina Healthcare (WA)
- …Experience** 3+ years of healthcare or health plan supervisory experience. Managed Care operations experience. Prior Medical Assistant experience. **Preferred ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… 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
- 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
- Elevance Health (Topeka, KS)
- **Location:** Candidate must live within the state of Kansas The ** Managed Care Coordinator - Foster Care ** is responsible for performing telephonic or ... face-to-face history and program needs assessments using a tool with pre-defined questions...pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for… 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
- Elevance Health (Plano, TX)
- …responsible for supporting the department regarding all aspects of the corporate insurance program . **How you will make an impact:** Primary duties may include but ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… 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 (Palo Alto, CA)
- …social work, care coordination and discharge planning. + Knowledge of managed care and commercial insurance, Medi-Cal, Medicare, and other third-party ... work-life balance while honoring its commitment to delivering evidence-based and patient-centered care . We are seeking a results-driven manager to further… 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