- 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 ... Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I Core… more
- Cedars-Sinai (CA)
- …respect to regulatory and contract language for Commercial, Medicare and Medi-Cal managed care . + Acts as a liaison with health plans and current CSHS ... **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program… more
- Robert Half Office Team (New Hyde Park, NY)
- …Assist in gathering necessary documentation, summaries, and insurance information for managed care operations. * Serve as the liaison between the managed ... * Ability to work collaboratively with healthcare teams and act as a liaison for managed care operations. * Detail-oriented approach to updating records and… more
- Elderwood (Waverly, NY)
- …The candidate is the primary liaison between the SNF and the HMO Managed Care Insurance Companies. This includes all types of communication (eFax, email, ... Salary $ 20 / $ 22 Overview Managed Care Coordinator Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/RN MDS… more
- Dignity Health (Bakersfield, CA)
- …shared goals. Responsibilities include: - Collaborate with the Chief Medical Officer, Managed Care and executive leadership to develop, implement, and oversee ... Leadership to ensure consistent physician/APP interactions and experience with all internal Managed Care operations such as enrollment, claims operations and… more
- Commonwealth Care Alliance (Boston, MA)
- …Bachelor's Degree or equivalent experience **Experience (Required)** + 3-5 years + Managed Care experience + Experience in health plan provider relations. ... liaison between CCA and its providers including primary care practices, specialists, physician organizations, hospitals, ancillary and LTSS providers. Key… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Managed Care Specialist Job Summary Handles credentialing and enrollment processes for healthcare providers and facilities. This role is critical to the ... of Western Kentucky Healthcare System (WKHS) and the Jennie Stuart Health Managed Care Department, supporting accurate provider setup and alignment with… more
- Athena Health Care Systems (Worcester, MA)
- …All individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow federal and state ... We are hiring a Marketing and Business Development Liaison to join our team with Hospice of...$83,200 plus an incentive program. Here at Athena Health Care Systems, our employees are the heart of our… more
- Athena Health Care Systems (East Windsor Hill, CT)
- …All individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow federal and state ... We are hiring a Marketing and Business Development Liaison to join our team with Athena Home...Hartford, Tolland, and Windham Counties. Here at Athena Health Care Systems, our employees are the heart of our… more
- Commonwealth Care Alliance (Boston, MA)
- …Strong claims experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/Medicaid) + Experience in health plan ... for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital,… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …HMO, Medi-Cal/Medicare and health services. Knowledge of principles and practices of health care service delivery and managed care , Medi-Cal eligibility and ... English and Spanish.** JOB SUMMARY: This position will serve as a liaison between RCHSD members/families, medical providers, and behavioral health providers. The PCC… more
- HCA Healthcare (Nashville, TN)
- …for clinical and non-clinical audiences + Comprehensive knowledge of formulary managed care systems, principles and practices **What qualifications you ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Insight Global (Los Angeles, CA)
- …Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements * 5+ years health care IT experience in Managed Care Reporting ... a member of Decision Support Services Team at FPG. The BSA acts as liaison among stakeholders in order to elicit, analyze, define and document requirements for… more
- First Atlantic Health Care (South Portland, ME)
- …reimbursement for various payer sources including, but not limited to, Medicare, MaineCare and Managed Care * Maintain daily census and mix goals per facility ... Admissions Liaison The primary purpose of your job position...timely collection of clinical data relevant to the patient/resident's care , MDS completion and care plan development.… more
- Covenant Health Inc. (Knoxville, TN)
- …(3) of business office or related experience with knowledge of Medicare and managed care billing guidelines. Strong computer skills required. Knowledge and/or ... Overview Patient Account Billing Liaison , CMG Business Office Full Time, 80 Hours...Shift Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top… more
- Novo Nordisk (Seattle, WA)
- …and medical field support to Medical, Sales and Marketing, as well as Managed Care and Government by using academic/professional credentials and scientific ... least two years' experience in a health-related system, pharmaceutical company, or managed care environment required + Relevant clinical and/or therapeutic… more
- Allaire Rehab & Nursing (Freehold, NJ)
- …+ Maintain a working knowledge of Federal and State regulations and reimbursement ( Managed Care , Medicare, and Medicaid). + Provide assistance with new ... Allaire Health Services is looking for a Marketing Liaison to join our incredible New Jersey team!...admissions process. + Maintain a strong working knowledge of managed care referral processes. + New Jersey… more
- Molina Healthcare (MI)
- …+ 3-5 years' experience in healthcare industry, preferably in the Medicaid Managed Care Programs + Previous healthcare marketing and/or grassroots/community ... locality with reliable transportation. **Preferred Experience:** Experience in the Medicaid Managed Care Programs Experience with behavioral health and/or… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …position prefers proficiency in Arabic, Dari-Farsi, Farsi or Pashto** JOB SUMMARY: The Lead Care Manager (LCM) operates a as a member of the patient's Enhanced ... Care Management (ECM) team and is responsible for coordinating...the family for ECM and may act as a Liaison or coordinator for PCP's, Specialists, Behavioral Health providers,… more
- Trinity Health (Columbus, OH)
- …critical thinking and problem-solving abilities + Familiarity with Medicare regulations and managed care systems + Proficiency in multitasking across various ... Full time **Shift:** Day Shift **Description:** As a Home Care Coordinator at Trinity Health at Home and Mount...at Trinity Health at Home and Mount Carmel Home Care , you'll deliver exceptional, compassionate care to… more