- Childrens Health System of Texas - TRINITY TOWERS (Dallas, TX)
- …Offering Non-Clinical Profession Professional Specialty Finance Job ID 16916795 Job Title Managed Care Contract Analyst Weekly Pay $1970.0 Shift Details Shift ... point of view Collaborate with other departments to prioritize and ensure Managed Care contract performance and all related analytic needs are met for the… more
- Rady Children's Hospital San Diego (Temecula, CA)
- …health condition(s), reinforce teaching and/or provide coaching to sustain teaching and Care Plan from Care Management Team, and help patients/families develop ... patient families to adopt healthy behaviors. The CHW supports providers and the Care Management Team through an integrated, holistic approach to care management… more
- Merck & Co. (St. Petersburg, FL)
- …degree with minimum 5 years' experience in Sales, Marketing, or Managed Care within the Pharmaceutical industryValid driver's licenseReside within ... key thought leaders or influential customers in large group practices, hospitals, or managed care organizationsProven ability to manage, lead, coach, and inspire… more
- Commonwealth Care Alliance (Boston, MA)
- …have): - 8+ years of direct experience in a healthcare or health plan environment, managed care preferred, with at least 6 years of experience in a leadership ... operational decision making - Knowledge of and experience with managed care organizations, areas of expertise and approaches - Demonstrated commitment… more
- LE Cox Medical Centers (Lake Spring, MO)
- …direct, or coordinate medicine and health services in hospitals, clinics, managed care organizations, public health agencies, or similar organizations.Education: ... and evaluation of performance. The Nurse Practitioner provides advanced nursing care and treatment to patients and performs physical examinations; orders diagnostic… more
- LE Cox Medical Centers (Lake Spring, MO)
- …plan, direct, or coordinate medicine and health services in hospitals, clinics, managed care organizations, public health agencies, or similar organizations. * ... and evaluation of performance. The Nurse Practitioner provides advanced nursing care and treatment to patients and performs physical examinations; orders diagnostic… more
- Bryan Health (Lincoln, NE)
- …resource regarding Medicare/Medicaid rules, regulations and policies; 3 rd party and managed care contracts, and authorization for post-acute services. EMERGENCY ... Medicare/Medicaid rules, regulations, and policies; 3 rd party and managed care contracts; discharge planning; and length of stay. UTILIZATION MANAGEMENT… more
- Stanford Health Care (Palo Alto, CA)
- …of expected and actual revenue and contractual allowances for all payors including managed care , Medicare, Medi-Cal, commercial, and self pay payors. Oversee the ... and state filings. Work with other finance executives including VP of Managed Care and VP of Patient Financial Services to identify/optimize revenue enhancement… more
- Commonwealth Care Alliance (Boston, MA)
- …Master's Degree preferred Required Experience: + 5-7 years + Experience working in a health care or managed care setting with specific background in contract ... negotiations and management. + Specific background in complex managed care provider contracting including Health Systems, Physician Hospital Organizations,… more
- National Health Care Associates (Ridgefield, CT)
- …be experienced in skilled nursing business office management including: + Medicaid, Medicare and Managed Care Billing + Revenue Cycle Management in the areas of ... responsibilities + Thorough knowledge of Medicare, Medicaid, Pending, Applied Income, and Managed Care reimbursement regulations + Ability to manage multiple… more
- Commonwealth Care Alliance (Boston, MA)
- …active RN license required Required Experience: - 7-10 years - 8-10 years of managed care operations experience, including a minimum five (5) years of leadership ... delivery Required Knowledge, Skills & Abilities: - Medicare and Medicaid managed care experience - Demonstrated knowledge of federal and state regulations… more
- Lucile Packard Children's Hospital (Palo Alto, CA)
- …others. * Ability to solve problems and identify solutions. * Knowledge of managed care environment and patient service delivery systems and knowledge of ... Group: Exempt Benefits Eligible: Yes Remote Eligible: No Department: Palliative Care Program Scheduled Weekly Hours: 20 At Lucile Packard Children's Hospital… more
- Pyramid Consulting, Inc (Tallahassee, FL)
- …and Technology Experience: Skills- Minimum 2 years of healthcare or managed care experience. Comfortable with high-volume inbound/outbound calls. Fluent ... Immediate need for a talented Bilingual Care Coordinator . This is a 06 Months...calls to members to discuss and follow up on care /service plans. Coordinate care activities with healthcare… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …and utilization management and/or discharge planning experience. Thorough knowledge of managed care , utilization management, discharges planning, and continuous ... **NATIONAL LEADERS IN PEDIATRIC CARE ** Ranked among the top 10 pediatric hospitals...nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. Here world-class experts in… more
- Daiichi Sankyo, Inc. (New York, NY)
- …responsible for managing medical care in various settings including managed care organizations, pharmacy benefit management companies, payer groups, or ... creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging… more
- Stanford Health Care (Pleasanton, CA)
- …area. + Knowledge of Medical Terminology such as Medicare, Medi-Cal, Workers Comp, Managed Care (HMO, PPO, POS, etc.), Children's Health Programs (CCS, GHPP, ... (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Patient Access Services...coverage or existing financial resources to pay for medical care and services. Handles routine customer service inquiries and… more
- Commonwealth Care Alliance (Boston, MA)
- …management Desired Experience (nice to have): - Experience working with managed care organizations, value-based programs, or community-based behavioral health ... for BH providers, promoting alignment with CCA's mission and supporting high-quality, coordinated care for members. In this role, the Program Manager acts as an… more
- Commonwealth Care Alliance (Boston, MA)
- …experience in provider relations, network management, or healthcare operations within a managed care organization, health plan, or integrated delivery system. - ... vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines...for Commonwealth Care Alliance's SCO and One Care lines of business. This role is responsible for… more
- Stanford Health Care (Palo Alto, CA)
- …+ Knowledge of payer landscape, including Medicare, Medicaid, Workers' Compensation, Managed Care , or other Commercial insurance **These principles apply ... Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Patient Account Representative (PAR) is responsible for the… more
- Commonwealth Care Alliance (Boston, MA)
- …use **Desired Experience (nice to have):** + 5+ years in health plan or managed care settings **Required Knowledge, Skills & Abilities (must have):** + Ability ... 024800 Clin Alli-Community Health Services **Position Summary:** Commonwealth Care Alliance's Community Health Services (CHS) Department is...social determinants of health (SDOH) for enrollees in One Care (ICO) and Senior Care Options (SCO)… more
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