• Assistant Director , Managed

    UCLA Health (Los Angeles, CA)
    …Internet search capabilities, Microsoft Word, Excel and Access * Extensive understanding of Managed Care systems (ie EZ Cap, Diamond, Tapestry, IDX) ... Description The Assistant Director , Managed Care Operations...ongoing operations of financial and administrative policies, procedures and systems to achieve the goals set by leadership for… more
    UCLA Health (10/23/24)
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  • Director of Reimbursement & Managed

    MaineGeneral Health (Waterville, ME)
    …We are actively seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects ... Job Summary:MaineGeneral Health is a leading health care system proud of the culture...of reimbursement, managed care contracts, and payer enrollment. The successful candidate will… more
    MaineGeneral Health (09/06/24)
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  • Senior Director , Managed

    CaroMont Health (Gastonia, NC)
    …oversight of all clinically integrated network activities on behalf of CaroMont Health System . Includes insurance products, managed care contracts, wellness ... Senior Director initiates and maintains relationships with managed care organizations, providers, governmental payors and... leadership experience within a major payor and/or health system . Managed care contracting experience… more
    CaroMont Health (11/03/24)
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  • Director Managed Care

    Dignity Health (Bakersfield, CA)
    care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals ... design, build and growth of the department. Experience with IPA or network managed care , EZCAP and analytics strongly preferred. **Position Summary:** Provide… more
    Dignity Health (10/16/24)
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  • System Director of Managed

    Fairview Health Services (St. Paul, MN)
    …Finance **Experience** *10+ years of healthcare experience in managed care , negotiating and contracting for integrated delivery systems . Demonstrated ... position has ultimate accountability for effective and timely execution of all managed care contract negotiations and contract execution for hospital, physician… more
    Fairview Health Services (10/25/24)
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  • Manager Managed Care

    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 ... team accountable for completing work accurately and timely. Keep Director informed on issues and progress. 7. Maintain contracts,...data analytics preferred. * Knowledge of managed care organizations and integrated health systems . *… more
    Henry Ford Health System (10/05/24)
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  • Executive Director , Office of Mail Renewal…

    City of New York (New York, NY)
    …to function as the Executive Director , of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under the ... for independent initiative, decision making, and judgement, the Executive Director (ED) is responsible for the administration of three...Managed Care Program (MCP), interfaces with managed care delivery systems comprised… more
    City of New York (10/25/24)
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  • Adolescent Medicine - Physician - Medical…

    Mount Sinai Health System (New York, NY)
    …the MSAHC Medical Director ; + Working knowledge and understanding of managed care and healthcare financing; + Personal qualities of integrity, credibility, ... Based Health Centers **Grade:** Faculty **Reports to:** Deputy Medical Director of Primary Care , Mount Sinai Adolescent...System is one of the largest academic medical systems in the New York metro area, with 48,000… more
    Mount Sinai Health System (10/09/24)
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  • Per Diem Mental Health Counselor

    Gateway-Longview (Williamsville, NY)
    …set forth in the client's treatment plan. + In collaboration with the program supervisor/ director , Managed Care Organization (MCO) and the child and family, ... and supports. + Work collaboratively with the child and family system of care which could include, Residential, Behavioral Health Clinic, Foster Care more
    Gateway-Longview (10/17/24)
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  • Managed Care Negotiator II

    BayCare Health System (Clearwater, FL)
    …+ Facilitates issue resolution with internal and external stakeholders. + Collaborates with system 's executives and Managed Care management. **BayCare offers ... **Join the team that is revolutionizing health care - BayCare Health System ** Our... care throughout the communities we serve. **Title:** Managed Care Negotiator II (Must reside in… more
    BayCare Health System (08/08/24)
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  • Nurse Auditor / Revenue Cycle, FT, Mon - Fri, days

    Omaha Children's Hospital (Omaha, NE)
    …audits with representatives of third-party agencies and negotiate equitable settlements. Involving Director of Managed Care when appropriate. + Analyzes ... to ensure accuracy and in compliance with regulatory requirements, hospital and system policies and procedures. This position will complete audits to ensure that… more
    Omaha Children's Hospital (10/04/24)
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  • Director , Behavioral Health, Health Plans

    VNS Health (Manhattan, NY)
    care management Director or above leadership role within a managed care organization required + Proven experience in developing and implementing ... performance through regular audits and other evaluative measures to maintain high-quality care standards. + Plans leadership and medical director meetings as… more
    VNS Health (09/04/24)
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  • Managed Care Specialist, OP Adult…

    RWJBarnabas Health (Elizabeth, NJ)
    care caseload, as assigned + Provide verbal update on overall status of managed care caseload to program director /designee, as requested + Provides ... in identifying non-compliant clinicians and doctors + Maintain query system in managed care database...authorizations due to expire + Enter insurance changes into system as needed + Alert Director or… more
    RWJBarnabas Health (11/01/24)
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  • Per Diem Billing Associate & Managed

    Beth Israel Lahey Health (Boston, MA)
    …you're making a difference in people's lives.** The per diem Billing Associate and Managed Care Coordinator will be supporting the Orthopedics Department at Beth ... to work remote. **Job Description:** **Job Summary:** + Uses systems and billing knowledge to assist in all aspects...physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations… more
    Beth Israel Lahey Health (10/09/24)
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  • Director , Inpatient System

    Alameda Health System (Oakland, CA)
    Director , Inpatient System Care Management + Oakland, CA + Highland General Hospital + SYS Care Coordination + Full Time - Varies + Management + Req ... the Vice President of Care Management, the Director of Inpatient System Care ...and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case… more
    Alameda Health System (10/03/24)
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  • Medicaid Managed Care Liaison

    Abbott House (Bronx, NY)
    Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have ... experience, expertise, and knowledge of: + The child welfare system + Foster care healthcare requirements +...requirements + The unique complex needs of the foster care population + Medicaid Managed Care more
    Abbott House (10/19/24)
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  • Analyst - Analytics Managed Care

    Hawaii Pacific Health (Honolulu, HI)
    …The department also performs additional services in collaboration with the managed care services department including referral management, patient steerage, ... peer equity. Starting Hourly Rate: 30.47 **Position** Analyst - Analytics Managed Care **Category** Administrative **Employment Type** Employee **Location**… more
    Hawaii Pacific Health (10/16/24)
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  • Managed Care Coordinator UM II

    ManpowerGroup (Columbia, SC)
    + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site work required for the first week, followed by remote work. + **Hours:** ... + Identify and make referrals to appropriate staff (eg, Medical Director , Case Manager, Preventive Services, etc.). + Participate in data collection/input… more
    ManpowerGroup (10/30/24)
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