- Medix (Bronx, NY)
- Job Title: Field Operations Specialist Day-to-day: Travel to ~10...high school degree. BA/BS recommended. 2-3 years in a managed care or home care ... business community. Responsibilities: Travel to member homes and conduct in-home care management visit Communicate effectively with members/caregivers and Plan Team… more
- NationsBenefits, LLC (Plantation, FL)
- …or Associate's Degree desired Healthcare credentialing experience or Experience with a managed care organization or Experience with provider relations or ... Experience in a related healthcare field Understanding of managed care preferred Familiarity with NCQA credentialing processes preferred Basic to intermediate… more
- WinnCompanies (Baltimore, MD)
- WinnCompanies is looking for an Occupancy Specialist II to join our team at Chase Hous e , a 189-unit affordable housing community located in Baltimore, MD. In this ... are run and delivered timely. Ensure all prospect information is maintained and managed in a waitlist and in compliance with regulations, including but not limited… more
- Macpower Digital Assets Edge (Los Angeles, CA)
- …and MS Access is required. Previous experience with Medi-Cal and Medicare in a managed care environment. Strong analytical and team building skills. Ability to ... Job Summary: The Customer Solution Center Audit Readiness Specialist II is responsible for the execution, oversight, and monitoring of the guidelines and protocols… more
- Medecins Sans Frontieres (New York, NY)
- …Sans Frontires (MSF) is an independent international organization that provides medical care to the people who need it most. The organization cares for ... mission. Role Overview The Global Health Strategic Advocacy and Campaign Specialist will jointly lead the conceptualization, development, and execution of public… more
- Guidehealth (Rockford, IL)
- …and outside the exam room for all patients. Job Description The Manager, Clinical Care is primarily responsible for the day-to-day operations of an integrated ... Primary Care Provider visit, DME and Home Health Services, Specialist appointments, and community resources/social services are provided as indicated. Ensuring… more
- Alameda Alliance For Health (Alameda, CA)
- …initiating communication between departments to ensure action, cooperation, and compliance of managed care operations . Member Services Representative I This ... the types of services the Alliance offers to the Member within the managed care system. Provide clarification about issues regarding patient and physician… more
- Kyowa Kirin North America (New Orleans, LA)
- …opportunities and adaptability to changing market conditions. Demonstrated understanding of managed care landscape and how it influences/impacts business. Strong ... supporting appropriate multidisciplinary support of the patients via their care network. They will also work closely with the...HCPs within their geographic area. The Rare Disease Sales Specialist must be able to analyze local and regional… more
- JAS (New York, NY)
- …ensures compliance with US laws and regulations, as well as JAS Forwarding operations procedures. This position is responsible for completion of all import and ... for the Entry Processing sector, ensuring team successfully complies with JAS customer care standards Partner with the local central dispatching team to oversee the… more
- County of San Mateo, CA (San Mateo, CA)
- …informed care , for examples. Knowledge of Medi-Cal and Medicare regulations and managed mental health care . Strong knowledge of Avatar, EPIC and other tools ... homeless outreach mental health programs throughout the county, supervising the program specialist for the Crisis and Outreach Team, and conducting trainings and… more
- Bizzell Group (Mountain View, CA)
- …multiple areas, including health solutions, workforce innovation, global programs, managed services, and facilities management. Our expert staff and consultants ... and has a platform at the forefront of Facilities Maintenance and Operations (M&O), merging advanced technology with strategic consulting to revolutionize facility… more
- ComForCare (Fort Mill, SC)
- … operations Establish and implement marketing initiatives Negotiate contracts with managed care companies, government agencies and other payers that ensure ... At ComForCare Home Care , we value our employees like family. We...written communication skills Previous experience as a business relationship specialist or business liaison is a bonus Compensation: $0.25… more
- Trinity Health (Columbus, OH)
- …22 states, 94 hospitals, and 133,000 colleagues nationwide. We know that exceptional patient care starts with taking care of our colleagues, so we invest in ... in Columbus. Learn more at www.experiencecolumbus.com! About the job: Regulatory Specialist designs, directs and facilitates implementation of effective systems to… more
- Brilliant Corners (San Diego, CA)
- Location : This role will support a catchment of managed care homes located in, but not limited to: El Cajon, Bonita, Jamul, Poway, Romona, Oak Hills, Hesperia, ... We develop, own, and manage multi-family supportive housing and licensed residential care homes. We implement a broad array of scattered-site, one-on-one supportive… more
- Stony Brook University (Commack, NY)
- Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook Medicine, as a Managed Care Provider Enrollment Specialist , you ... Meeting House Lane Medical Practice, PC._ **Duties of a Managed Care Provider Enrollment Specialist ...to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital… more
- MSC Industrial Supply Co. (Albuquerque, NM)
- …are a leading North American distributor of metalworking and maintenance, repair, and operations (MRO), products and services. We offer more than 2 million products ... hours per day.- - BRIEF POSITION SUMMARY: The _Vendor Managed Inventory (VMI) Specialist_ ensures customer satisfaction through solutions...MSC customer solutions and sales associates through execution of CARE program. + CARE is defined as… more
- MSC Industrial Supply Co. (Eau Claire, WI)
- …are a leading North American distributor of metalworking and maintenance, repair, and operations (MRO), products and services. We offer more than 2 million products ... Eau Claire or Chippewa Falls-** **BRIEF POSITION SUMMARY:** The **_Vendor Managed Inventory (VMI) Specialist_** ensures customer satisfaction through solutions by… more
- New York State Civil Service (Schenectady, NY)
- NY HELP Yes Agency People With Developmental Disabilities, Office for Title Program Operations Specialist 1 / Trainee - Upstate Occupational Category Other ... LinkedIn: https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all #LI-JT1 Minimum Qualifications NON-COMPETITIVE MINIMUM QUALIFICATIONS: Program Operations Specialist 1: A bachelor's degree in… more
- Huron Consulting Group (Van Buren, AR)
- …and drive physician, patient and employee engagement across the enterprise. The Huron Managed Services Coding Operations Director oversees a portfolio of clients ... Resource Management, Culture, Staff Engagement, Training and Solution Development. The Huron Managed Services Coding Operations Director leads the operations … more
- LA Care Health Plan (Los Angeles, CA)
- Enhanced Care Management Clinical Specialist II Job...care professionals in a hospital, medical group or managed care setting, such as a health ... required to achieve that purpose. Job Summary The Enhanced Care Management (ECM) Clinical Specialist II is...with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed … more
