- 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …At Emory Healthcare we fuel your professional journey with better benefits , valuable resources, ongoing mentorship and leadership programs for all types ... you want to be. We provide: + Comprehensive health benefits that start day 1 + Student Loan Repayment...Contract Modeling, Implementation, and Validation: + Responsible for the configuration and build of payor contract models within StrataJazz… 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 (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
- System One (Dayton, OH)
- …of medical coding or medical billing experience required + Managed Care experience is required, preferably associated with benefits coding, claims ... processing, and / or benefit configuration Competencies, Knowledge and Skills: + Advanced computer skills with Microsoft Suite + Proven understanding of database… 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
- Henry Ford Health System (Troy, MI)
- …PPO plan and an HMO plan. Our team members enjoy a number of additional benefits , ranging from dental and eye care coverage to tuition assistance, family forming ... of provider contracting; builds rates and reimbursement terms, manage configuration process for accurate reimbursement, maintain database related to reimbursement… more
- NTT DATA North America (Merced, CA)
- …related to training staff + Minimum of 3 years of experience in a managed health care environment + Bachelor's degree in Business Administration, Health ... vendor relationship management, performance of the most complex product configuration tasks, and participation in future planning activities. **Key...Care , Information Technology, Information Science, or a related field… more
- Motion Recruitment Partners (Lawrenceville, GA)
- …solutions. Your primary focus will be on ensuring the effective deployment, configuration , and ongoing support of Intune for endpoint management and security within ... Intune solutions for endpoint management, including device enrollment, policy configuration , and application deployment. + Implement security policies and… more
- Motion Recruitment Partners (Minneapolis, MN)
- …agents, repositories and management servers in a highly-available, load-balanced configuration + Oracle database systems administration including RAC and ASM ... design of data structures and database complies with enterprise build and configuration standards and processes + Install, configure, and maintain Oracle database… more
- Molina Healthcare (Hartford, CT)
- …the functionality of Health Plan Operations. * Directly manages the Plan's benefit configuration , claim payment policies and the maintenance or modification ... * 7-10 years' experience in Healthcare Administration, Health Plan Operations, Managed Care , and/or Provider Services. * Experience managing/supervising… more
- Marriott (Bethesda, MD)
- …is led by regional TA teams. **Technical Configuration :** System builds and configuration are managed by HRIS and IT. **Tier 1 Support:** Recruiter and ... + Drive and support system administration activities, ensuring that technical configuration , release management, and ongoing system support are executed by the… more