- Staffing Solutions Organization (Albany, NY)
- …Albany, NY** **Division of Health Plan Contracting & Oversight (DHPCO) Item 1347** ** Managed Long Term Care (MLTC) Complaints Unit** **Summary:** The person in ... the Division of Health Plan Contracting and Oversight's Bureau of Consumer Service's Managed Long Term Care Complaints Unit. Additional duties include: +… more
- Staffing Solutions Organization (Albany, NY)
- …reflection of our clients and the people they serve. **Social Care Contract Manager (Senior Healthcare Data Specialist ) in Albany, NY** **Division of Program ... making you an integral part of the team. + Provide technical assistance, contract management, and performance monitoring of Social Care Networks. One of… more
- Luke Staffing (El Paso, TX)
- …of experience within the last four years working in a hospital, insurance network, or managed care environment where at least 50% of the time was spent focused ... **MEDICAL CREDENTIALING SPECIALIST ** **SITE OF SERVICE:** . William Beaumont Army...to effectively communicate with all patients and other health care providers. . **Physical Capability:** Shall be physically capable… more
- Staffing Solutions Organization (Albany, NY)
- …which is a reflection of our clients and the people they serve. **Housing Contract Manager (** **Senior Healthcare Data Specialist ) in Albany, NY** **Division of ... LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed...**50% Onsite 50% Remote** **Summary:** The Bureau of Social Care and Community Supports works to integrate health and… more
- AccentCare, Inc. (Dallas, TX)
- Overview Managed Care Contract Specialist Location: Dallas Corporate Office Position: Managed Care Contract Specialist Position Type: ... Salary: $55,000 to $63,000 per year DOE Find Your Passion and Purpose as a Managed Care Contract Specialist What You Need to Know Reimagining Your Career… more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring ... contract language for Commercial, Medicare and Medi-Cal managed care . + Acts as a liaison...and beyond. **Req ID** : 11981 **Working Title** : Managed Care Compliance Specialist -… more
- Merck (North Wales, PA)
- …with wholesaler/distributor and stakeholders in the development and pull through of all managed care contract , price, eligibility, and chargeback activities, ... **Job Description** The Central Contract Services (CCS) Senior Specialist will...and Excel **Preferred** + 3+ years business experience in Managed Care Contracting or Pharmaceutical industries. **Required… more
- JPMorgan Chase (Columbus, OH)
- …center of high-impact collaboration with senior leaders and industry experts. As the Contract Specialist within JP Morgan's Asset Management you are an ... Take charge of the contract management process for JP Morgan's diverse investment...Mutual Funds, Global Liquidity, 529, Commingled, ETF, Alternatives and Managed Account businesses. This includes responsibility for the approval… more
- Valor Health (Bowling Green, KY)
- Clinical Pharmacist Specialist - Primary Care Bowling Green,...patients utilizing rules set forth by the VA for co- managed care . + Completes any and all ... Healthcare is seeking a dynamic and passionate Clinical Pharmacist Specialist (CPS) to provide care at the...preferred. Specific requirements could vary based on individual VA contract . + Must be credentialed and remain in good… more
- Guidehouse (San Antonio, TX)
- **Job Family** **:** Financial Account Specialist **Travel Required** **:** None **Clearance Required** **:** Ability to Obtain Public Trust **What You Will Do** ... components. * Provides oversight and executive level management to overcall contract operations often involving multiple projects/tasks and groups of personnel at… more
- HCA Healthcare (Campbell, CA)
- …of health plan economics analyses, metrics and health plan reporting in a Managed Care environment relating to the financial, quality and operational performance ... Come join our team as a Health Plan Economics Specialist . We care for our community! Just...for Health plan Metrics, Analytics and Reporting for a Managed Care organization + Develop and maintain… more
- Nebraska Public Power District (Brownville, NE)
- …the way they impact the District. Categories primarily impacting one business will be managed by a Strategic Sourcing Specialist I. Assist in the development and ... and terms and conditions, the need for a complex contract and legal review, , review and update complex...have significant impact across multiple businesses will be primarily managed by a Strategic Sourcing Specialist II.… more
- Spokane County (Spokane, WA)
- …the timelines established for service delivery and to meet the Washington State Health Care Authority (HCA), DOH, Managed Care Organization (MCO), and SCRBH ... Housing & Community Support Specialist 1 Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4913284) Apply Housing & Community Support … more
- Dignity Health (Bakersfield, CA)
- …efforts related to claims overpayments, underpayments, and billing issues within a managed care service organization. This role involves review/ensuring accurate ... Perform an analysis of the claims processing by reviewing contract , system configuration, benefits, financial risk (DOFRs), and manual...claims research, analysis, or a related role within a managed care or healthcare environment - Proven… more
- Molina Healthcare (Rockford, IL)
- …will have the following experience-** + Live in Illinois and are familiar with Managed Care in Illinois and how HHF operates. + Background/experience in business ... Molina Healthcare is hiring a Sr Specialist in our Government Contracts department. This role...field. **Required Experience** + 3 years' experience in a managed care environment. + Experience demonstrates strong:… more
- Molina Healthcare (Miami, FL)
- …ensure effective and efficient business results. * Trains and monitors newly hired Contract Specialist (s). * Participates in other VBC related special projects ... and supporting JOC's. * Clearly and professionally communicates VBC contract terms to VBC providers. * Coordinates preparation and... field including, but not limited to, provider's office, managed care , or other health care… more
- Prime Healthcare (Denville, NJ)
- …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications 1. Minimum of four years hospital… more
- Prime Healthcare (Garden City, MI)
- … contracts. Qualifications + Preferred four years hospital managed care /commercial collector experience. + Knowledge of contract interpretation + Familiar ... to join our corporate team! Responsibilities The Account Resolution Specialist focused is responsible for the timely follow-up of... focused is responsible for the timely follow-up of Managed Care and Commercial accounts. Communicates clearly… more
- Prime Healthcare (Garden City, MI)
- … Specialist , is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with health ... reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications EDUCATION, EXPERIENCE, TRAINING 1.… more
- Prime Healthcare (Garden City, MI)
- …Specialist , Billing is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. #LI-BM2 Qualifications 1. Minimum of four years… more
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