- EssilorLuxottica (Mason, OH)
- …eyecare industry. Discover more by following us on LinkedIn. GENERAL FUNCTION The Manager - Provider Relations ( Medicaid Contracting and Network) is responsible ... the Network and Contracting needs as they relate to Medicaid & Medical/Surgical plans. The Manager will...but not limited to Reimbursement increases, Network adds, and Change of Ownership. Collaborate with Contracting and Operations teams… more
- Regency Integrated Health Services (Fort Worth, TX)
- …Center - Fort Worth, TX Position Type Full Time Description Overview The Assistant Business Office Manager (ABOM) works under the direction of the Business ... responsibility and financials of the facility. Essential Functions: Will assist the Business Office Manager with accounts receivables, deposits, residents trust… more
- Pair Team (Livermore, CA)
- …connecting them to high-quality care. Pair Team cares for the highest-need Medicaid recipients through a community-led model. We build local partnerships with ... proprietary data-driven technology platform, Arc, for care coordination. Through Medicaid MCOs, we provide healthcare for hard-to-reach, high-need individuals, while… more
- Alliance For Better Health Care LLC (Syracuse, NY)
- …The Social Care Manager is the direct point of contact for Medicaid Members with ongoing HRSNs and is responsible for conducting their eligibility assessments ... delivery of HRSN and other services to thousands of Medicaid Members. Transformative in nature, this novel Program will...and across historically marginalized communities. As a 2019-2024 Albany Business Review's Best Places to Work and a 2021-2024… more
- RHA Health Services (Asheville, NC)
- …use challenges, join our team at RHA Health Services! The CAP Nurse Manager works collaboratively with the CAP Social Worker, families, healthcare providers, and ... responsible for conducting assessments, completing the annual multidisciplinary and Change of Status assessments, coordinating care, monitoring service delivery, and… more
- The Columbus Organization (Mount Holly, VT)
- Description Case Manager Full-Time Everyone has a story -a future YOU can help write. Be a part of the story by joining a leader and innovator in Case Management ... Organization has been at the forefront of case management, driving meaningful change and delivering compassionate, person-centered care across the nation. As a… more
- PacificSource (Boise, ID)
- …utilize each person's talents and strengths. The Provider Network Dental Program Manager serves as PacificSource's Medicaid dental industry and benefits subject ... responsibility to provide key support for the administration of PacificSource's Medicaid dental benefit. Responsibilities include managed dental care entity (or… more
- Corporation for Supportive Housing (New York, NY)
- Senior Program Manager , Metro Team Location: New York, NY (Hybrid) Who we are: For over 30 years, CSH has changed the lives of people who have been marginalized and ... to their doorsteps. CSH has proven supportive housing can change the lives of individuals, families, and communities. We...CSH is now accepting applications for a Senior Program Manager (SPM) based in New York. Applicants must reside… more
- PacificSource (Springfield, OR)
- …processes, and payment integrity. Provide strategic leadership for line of business across the organization. Ensure consistent achievement of government contractual ... processing life cycle. Effectively lead claims cost containment team. Deliver business requirements and collaborate in developing and enhancing processing platforms… more
- Providence Health & Services (Renton, WA)
- …and coordinating with revenue cycle, finance, reimbursement, and legal counsel. Change Manager : Ensure timely and appropriate communication to employees, ... Job Description Calling All Esteemed Financial Counseling Leaders: Drive Lasting Change in Healthcare Revenue Cycle! Do you excel in navigating complex regulatory… more
- St. Elizabeth's Medical Center (Riverside, CA)
- SUMMARY: Under the direct supervision of the Program Manager , the Consumer Services Coordinator (CSC) is responsible for coordinating the services and supports that ... Hemet, Homeland, Lake Elsinore, Menifee, Nuevo, and Quail Valley. Mileage reimbursement for business travel is paid out on a monthly basis. HOURLY RANGE: $25.6712-… more
- Polaris Pharmacy Services (Covina, CA)
- …therefore schedules may change as determined by the needs of the business . BENEFITS for full time Employees Medical, Dental, and Vision insurance 401 (k) ... PPS billing Conduct census balancing and payor verification Verify insurance and Medicaid coverage Knowledge of Dual Coverage, MCR D, and Commercial Plans pertaining… more
- Regency Integrated Health Services (Cuero, TX)
- …monthly and ensures that appropriate follow up action is taken. Communicates with the Business Office Manager and Administrator on a regular basis regarding RUG ... and timely completion of resident assessments in accordance with Medicare, Medicaid , OBRA and other payer program requirements. Ensures assessments accurately… more
- PacificSource (Medford, OR)
- … business : Commercial and Medicare: Oregon, Idaho or Montana, and Washington; Medicaid and DSNP: Oregon. Certified Case Manager Certification (CCM) as ... care provider, and other service delivery professionals. The case manager is able to enhance these services by maintaining...core values which guide us in how we do business : We are committed to doing the right thing.… more
- Jobskey Consultancy (Nashville, TN)
- …Performance Leader PERMANENT WORK FROM HOME Job Description: The Market Performance Manager for Individual & Family Plans (IFP) is the market-level business ... for executing a comprehensive market strategy that builds the business and develops short/long range goals and business...deliver targeted growth and earnings. The role will drive change leadership to best align the localization strategy within… more
- Rotech Healthcare Inc. (Deland, FL)
- …required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.) Assists with updating respiratory grid ... equipment requests Provides technical assistance to customers Verifies Medicare, Medicaid , and private insurance coverage information Works with outside agencies… more
- PacificSource (Portland, OR)
- …industry jargon to appropriate audiences. Function as liaison with pharmacy benefit manager , pharmacies, physicians, and others in order to apply benefits, and ... Prepare and process member-submitted pharmacy claims in the pharmacy benefit manager 's claims processing system. Ensure all coverage determinations are processed in… more
- Pair Team (Riverside, CA)
- …Team At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled ... Those Who Need It The Most TechCrunch: Building for Medicaid 's regulatory moment with Neil Batlivala from Pair Team...building a team of deeply passionate individuals ready to change primary care operations for those who need it… more
- Healogics (Livingston, TX)
- The rewards at Healogics are immense, starting with the important work we do to change patients' lives. We also understand that meaningful work is hard work, and we ... and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Functions/Responsibilities: (Percentage time… more
- Atlantic Health System (Morristown, NJ)
- …an integral member of the practice site leadership team, supporting the Practice Manager , Practice Administrator and Managing Physician in the day to day clinical ... events. Assumes management responsibilities in the absence of the Practice Manager or Practice Administrator. Participates in the interviewing, hiring and… more
