- iCare Health Solutions Enterprise (Miami, FL)
- …NextGen Contract Utility, supporting both traditional fee-for-service (FFS) reimbursement and managed care models, including capitated, global payment, and ... ensure seamless implementation of negotiated agreements Act as the liaison between Managed Care , Revenue Cycle, IT, and Clinical Operations for contract-related… more
- NYC Health Hospitals (New York, NY)
- …list of products, including, but not limited to, New York State Medicaid Managed Care , Medicare, Child Health Plus, Exchange, Partnership in Care ... overpayment/underpayment opportunities by data mining, investigation, and quality review on benefit and/or provider configuration , rate loads, rate assignments,… more
- EY (New York, NY)
- …processes for tax-related tasks. Your Key Responsibilities Manage large-scale managed services programs and/or tax transformation projects. Manage digital tax ... tax technology strategy and road mapping Lead implementation and configuration of direct and indirect tax systems Review tax...teams. Learn more. We offer a comprehensive compensation and benefits package where you'll be rewarded based on your… more
- Raytheon Technologies (Marlborough, MA)
- …information under this program/contract. Security Clearance: None/Not Required Raytheon Company, Managed by Collins Aerospace Collins Aerospace, an RTX company, is a ... software development environment Experience in a Linux environment Experience with configuration management tools (Git/Bitbucket) Prior experience working in a lab… more
- Fidelity Investments (Jersey City, NJ)
- …and help you live your best life at work and at home. These benefits include comprehensive health care coverage and emotional well-being support, market-leading ... or other large GRC platforms in a financial services environment Managed large risk/compliance transformation or technology enablement programs Bachelors' Degree or… more
- Microsoft (Dulles, VA)
- …in 32 countries and millions of servers. Our foundation is built upon and managed by a team of subject matter experts working to support services for more ... issues. Accurately records and tracks changes to designs following established configuration management and provides guidance to other engineers documenting these… more
- ITC Worldwide (Raleigh, NC)
- …II, MSP Role: Account Executive - IT ( MSP ) Account Executive - for managed IT service provider seeking an experienced Account Executive with a hunter mentality to ... take control of your earning potential. UNCAPPED COMMISSION OPPORTUNITY + Base + Benefits The ideal candidate will have a deep understanding of IT services,… more
- Dignity Health (Bakersfield, CA)
- …information. Responsibilities may include: - Develop all hierarchy levels in managed care platform for customer setups and configuration - Review and verify ... and adhere to all Policies and Procedures for the benefit workflow within the managed care...questions **Qualifications** **Minimum Qualifications:** - 3+ years experience with benefits configuration , set up, or implementation -… more
- Molina Healthcare (Provo, UT)
- …adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either ... + Utilize QNXT to research claims history, provider contract setup, and benefits configuration . + Work cross-functionally with Configuration , Claims,… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …compliance and oversight of Medicare Part D laws, regulations and reporting requirements, benefit configuration and benefit transition process, and drug ... reviews and coding to be submitted to the Pharmacy Benefit Manager, New Contract Year formulary evaluation, and rebate...activities as assigned by the Pharmacy Director Qualifications: + Managed Care experience preferred, but not required… more
- Elevance Health (Cincinnati, OH)
- …**Minimum Requirements:** + Requires BA/BS in Pharmacy. + Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; ... Health family of companies providing unparalleled level of service in pharmacy benefits . By leveraging the power of new technologies, our strong, clinical-first lens… more
- Sprinklr (WA)
- …Learn more about our culture here: The Sprinklr Way. **Job Description** **Meet Our Managed Services Team!** Our Managed Services Team at Sprinklr drives product ... our team to reach their full potential. **Consultant Roles We Hire For:** Our Managed Services Team commonly hires for three Consultant roles: + ** Managed … more
- Amazon (Seattle, WA)
- …innovative solutions for managing complex large scale deployments including configuration , service migration, dependency detection and management and more. As ... employees in over 190 chapters globally. We have innovative benefit offerings, and host annual and ongoing learning experiences,...one-on-one mentoring and thorough, but kind, code reviews. We care about your career growth and strive to assign… more
- Molina Healthcare (Omaha, NE)
- …SKILLS & ABILITIES** + 1 - 2 years' experience in Managed Care + Background in provider contracts, pricing configuration , claim adjudication or reimbursement ... conditions. + Performs unit and/or end-user testing for new configuration , programming enhancements, new benefit designs, new...**PREFERRED EXPERIENCE** + 3 - 5 years' experience in Managed Care + Experience researching and resolving… more
- Molina Healthcare (Fort Worth, TX)
- …* 5 to 10 years progressive experience * Delivery systems experience supporting managed care service * Compute, Storage, SQL Server, Oracle, ETL, ERP ... Nexus 1000V switches. * Knowledge for expert delivery and configuration of vSphere (various versions) * Knowledge for expert...Data Warehouse. * Knowledge on technology roadmap. * Has managed large team size. * Advanced knowledge in related… more
- Marriott (Bethesda, MD)
- …Systems Engineer with experience in Cloud ERP and EPM to lead the design, configuration , functional implementation and support of a target state Cloud ERP and EPM ... cloud application suite with the role being responsible for detailed implementation, configuration , and optimization of Cloud ERP and EPM systems. This role involves… more
- Martin's Point Health Care (Portland, ME)
- …to reporting and analysis of health care data ideally in the areas of managed care , health care delivery, code sets, and/or reimbursement + Experience in ... Join Martin's Point Health Care - an innovative, not-for-profit health care...transmission processes + Participates in vendor research, software installation, configuration support, and interface development applications as needed +… more
- Intermountain Health (Juneau, AK)
- …pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy, home care , long term care , population health, consumer and patient ... Principal analyst is responsible for providing overseeing technical support, configuration , integration, and maintenance for various healthcare applications and… more
- LA Care Health Plan (Los Angeles, CA)
- …in designing, developing, generating and analyzing ad hoc/production reports in Healthcare/ Managed Care setting. Preferred: Experience as a Clinical Data ... select the correct information for calculating basic rates, table configuration , and graphical presentations. Must demonstrate an aptitude in...the market. The range is subject to change. LA Care offers a wide range of benefits … more
- McLaren Health Care (Flint, MI)
- …(5) years' experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions (eg accounting/finance, reinsurance, EDI, marketing, administration, medical ... (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of McLaren...but not limited to, membership, claims processing and plan benefits management. Assists where necessary or through project management… more
