- St. Luke's University Health Network (Allentown, PA)
- …and ensuring active governance across the vendor pool Deliver a structured managed contract process from determining needs, assisting in vendor selection, ... regardless of a patient's ability to pay for health care . The IT Vendor and Contracts Manager ...attainment, reporting and governance. At an operational level, the Manager directs contract consultations and negotiations, including… more
- PIH Health (Whittier, CA)
- …for training employees to perform accurate and timely follow up of Commercial and Senior Managed care claims and all payer mix through resolution. Serves as a ... resource on PM computer systems and Contract specific regulations. Assists with follow up, assists with...credit balances, and correspondence from various Medi-Cal and or Managed Care HMO Plans. Review of Medi-Cal… more
- Compass Group (Fort Washington, PA)
- …include inventory, ordering and receiving + Knowledge of P&L accountability and contract - managed service experience is desirable + Proficient in menu ... Everything we do means more when it's served with care . The exceptional care and culinary artistry...exposition cooking needed + Knowledge of P&L accountability and contract - managed service experience is desirable + ServSafe… more
- Vertex Pharmaceuticals (Boston, MA)
- …discuss and incorporate contracting strategies and tactics, and understand the various types of managed care contracting. This is a highly visible role that will ... Job Description Reporting to the Director, Contract Operations, this role is responsible for the...including but not limited to specialty pharmacy, provider and managed care payors is required (health plans,… more
- Compass Group (New York, NY)
- …sanitation, food cost controls, and presentation Previous P&L accountability or contract - managed service experience is desirable Strong supervisory, leadership, ... operation of Food & Nutrition Services in an Acute Care Hospital. The Traveling Associate Director of Food and...This is an exciting opportunity for an energetic entrepreneurial manager who is constantly seeking a better way to… more
- Compass Group (Buffalo, NY)
- …food cost controls, and presentation + Previous P&L accountability or contract - managed service experience is desirable + Strong supervisory, leadership, ... operation of Food & Nutrition Services in an Acute Care Hospital. The Traveling Associate Director of Food and...This is an exciting opportunity for an energetic entrepreneurial manager who is constantly seeking a better way to… more
- Elliott Davis (Nashville, TN)
- …care and specialty physician practices, clinical research organizations, continuing care retirement communities, managed service organizations, and health IT. ... CPA firm. Job Summary: The role of Audit Senior Manager is to oversee the audit process for a...with our firms' private equity practice to support health care portfolio companies throughout their business life cycle. Tasks… more
- Compass Group (Fort Washington, PA)
- …to include inventory, ordering and receiving Knowledge of P&L accountability and contract - managed service experience is desirable Proficient in menu development, ... Everything we do means more when it's served with care . The exceptional care and culinary artistry...with exposition cooking needed Knowledge of P&L accountability and contract - managed service experience is desirable ServSafe certified… more
- Pyramid Consulting, Inc. (Wolfforth, TX)
- Immediate need for a talented Senior LTSS Service Care Manager (RN) . This is a 06+months contract opportunity with long-term potential and is located in ... team meetings and 1:1 w/ preceptor, team lead and manager . Day to day, task change regularly, you may...and 1+ years of case management experience in a managed care setting. Knowledge of utilization management… more
- Elevance Health (Fayetteville, NC)
- …Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. We are unable to accommodate LCSW-A, ... Anticipated End Date: 2025-08-22 Position Title: Manager I Care Management Team (DSS...accordance with federal/state law, scope of practice regulations or contract , the requirements are: Requires an active and current… more
- MedPro Healthcare Staffing (Downey, CA)
- …as a liaison between the patient's family and healthcare organization Strives to promote self- managed care and the use of healthcare resources in the most ... Requirements Eighteen months of recent experience in an Acute Care Case Manager setting Active RN License...Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract , Travel Nursing, Case Manager , Case Management,… more
- Lakeland Care, Inc. (Fond Du Lac, WI)
- Join our award winning culture as we serve members in your area! Position Summary: The Care Manager (CM), as part of an interdisciplinary team (IDT) with a RN ... Care Manager (RN CM), serves Lakeland Care...want to live in. With long-standing roots as a managed care organization (MCO), we provide long-term … more
- PacificSource (Portland, OR)
- …SUCCESS PROFILE Work Experience: Minimum five (5) years of experience in the health care , managed care , or the NEMT industry required. Experience with ... Medicaid programs and managed care strongly preferred. Education, Certificates, Licenses: Bachelor's degree in business, health care administration, or a… more
- Lakeland Care, Inc. (Madison, WI)
- …our award winning culture as we serve members in your area! Position Summary: The RN Care Manager (RN CM), as part of an interdisciplinary team (IDT) with a ... Care Manager , serves Lakeland Care 's (LCI)...want to live in. With long-standing roots as a managed care organization (MCO), we provide long-term … more
- HomeFirst (San Jose, CA)
- …and exercise empathy toward those we serve.They apply this same passion in their care and attention for the details, contract compliance, and pursuit of ... Category Nonprofit - Social Services Description POSITION : Motel Program Manager , Scattered Sites PROGRAM/LOCATION: Motel Programs, San Jose, CA (Alura/Casa… more
- University of Southern California (Pasadena, CA)
- …accountable for ongoing leadership and operations of the assigned area(s) and for nursing care safety and quality. The Assistant Nurse Manager uses sound human ... and unit-based quality improvement activities and provides input on standard of care . The Assistant Nurse Manager supports comprehensive patient and family… more
- University of Southern California (Los Angeles, CA)
- …and documents avoidable delays in the M drive. *Maintains awareness of current managed care contract requirements. *Participates in appeal process. *Performs ... In collaboration with the interdisciplinary team, provides care coordination services evaluating options and services required to meet an individual's health care… more
- Sodexo (Irving, TX)
- Role Overview Sodexo is seeking a dynamic and results-oriented Territory Manager - Hospitals for the states of Texas and Louisiana, to join our team. In this ... You will lead the full sales cycle-from initial connection to contract signature-while influencing client strategy and strengthening long-term partnerships. At… more
- Corvel (Lawrenceville, GA)
- …Demonstrated experience in management or supervision Training within the insurance industry, managed care or related field preferred PAY RANGE: CorVel uses ... The Account Manager is responsible for interacting with customers on...to service staff and post on the Intranet Manage contract renewals/price increases; coordinate with the AE and/or management… more
- LucyRx (Bethesda, MD)
- …Account Management experience Strong knowledge of PBM programs, pharmacy benefits, and managed care principles. Excellent customer service skills to maintain a ... with some overnight stays. LucyRx is an independent, next-generation pharmacy benefit manager (PBM) redefining prescription care . Fueled by innovation and… more
