- Saint Francis Health System (Tulsa, OK)
- …Tulsa, OK Schedule: Monday - Friday | 8:00am - 5:00pm Job Summary: The Manager , Managed Care oversees the modeling, rate development and negotiation ... but not limited to the execution, implementation, and performance of all managed care agreements. Minimum Education: Bachelor's degree in Business Administration… more
- Cedars-Sinai (Los Angeles, CA)
- …people throughout Los Angeles and beyond. **Req ID** : 10223 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting all facets of...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- Cardinal Health (Carson City, NV)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for reviewing, auditing… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the ... of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms and… more
- UCLA Health (Los Angeles, CA)
- Description UCLA Health is seeking a Program Manager to join the Managed Care Operations team. Reporting to the Assistant Director, this role supports ... (IPA, medical group, or health plan preferred). + Strong background in managed care operations, project management, and performance monitoring. + Proficiency… more
- UCLA Health (Los Angeles, CA)
- …UCLA Health is seeking a dynamic Program Manager to support the Managed Care Operations team. This role is instrumental in overseeing the execution ... regulations, support UAT initiatives, and participate in strategic planning related to managed care operations. Salary Range: $83,800 - $179,400 annually… more
- Beth Israel Lahey Health (Plymouth, MA)
- …making a difference in people's lives.** Job Summary: Under the direction of the Sr. Managed Care Coordinator and Practice Manager initiate and process ... patients and practice support staff to coordinate, and process all specialty care managed care referral authorization requests in compliance with APG's,… more
- e CancerCare (Nashville, TN)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... Job Purpose: Manager of Payor Contracting is responsible for reviewing,...compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
- Lundbeck (Providence, RI)
- …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager , sales operations, account management is ... Psychiatry Area Sales Manager - Connecticut/Rhode Island Requisition ID: 6513 Location:...+ Guides the identification of local market systems of care , patient flow, reimbursement, and provides innovation solutions +… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …education, and public health coverage case management. Under the direction of the Managed Care Manager and Coordinator, they pro-actively contact customers, ... #27077 Position Summary: Full-Time Customer Service Representative position available for our Managed Care department in Vancouver, WA. The Customer Service… more
- Humana (Kissimmee, FL)
- …A good understanding of AHCA regulations, NCQA and Medicaid guidelines + Managed care experience + Certified Case Manager (CCM) + Bilingual Creole or Spanish ... of our caring community and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or… more
- Diversicare Healthcare Services & Diversicare Ther (Birmingham, AL)
- …* We ensure the highest level of customer service to the managed care plan. * The case manager provides center case management/utilization review and ... \#BSC123 **Responsibilities** **Responsibilities** * This position requires multi-tasking to ensure managed care authorizations are received at the highest level… more
- Sutter Health (Modesto, CA)
- …standards, contract negotiations and document management. Provides contract administration oversight for managed care provider network. The manager 's role in ... care contract terminology, provisions, and various reimbursement methodologies including managed care risk contracting + Ability to systematically analyze… more
- Corewell Health (Grand Rapids, MI)
- …5 years of relevant experience, clinical nursing and or case management/ managed care or related field + CRT-Case Manager , Certified About Corewell Health As ... through the application of educational concepts / skills and preventive care in a managed care environment. Essential Functions + Assesses internal and… more
- City of New York (New York, NY)
- … NM-III, to function as the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under the ... (MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and Third-Party Health...NY, 11238 Hours/Schedule: 9 am - 5 pm ADM MANAGER -NON-MGRL FRM M1/M2 - 1002C Qualifications 1. A baccalaureate… more
- Travelers Insurance Company (Hartford, CT)
- …Opportunity?** Responsible for the coordination, and implementation, of the workers compensation managed care program for a specific state to assist ... policyholders and agents with the enrollment process. Responsible for managed care processes including state panel production, issue tracking and support of… more
- Hilton (Salem, OR)
- …of a Revenue Management Consolidated Center \(RMCC\) that is offering owned, managed , and franchised Hilton hotels world\-class revenue management talent and tools\. ... As a Senior Revenue Manager , Full Service RMCC you will support the team...consistently grow market share and outperform competitors\. On the Managed team reporting to Director, RMCC Americas, you will… more
- CommuniCare Health Services Corporate (Akron, OH)
- …to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and ... timely filing of all managed care claims on their assigned caseload...cash collections team, CBO cash posting team, Business Office Manager , Regional Director of Finance, MDS, Case Management, and… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- Capgemini (Dallas, TX)
- …by Capgemini. **Job:** _Infrastructure_ **Organization:** _CIS US MS_ **Title:** _SACM Manager 2 - Infrastructure Managed Services_ **Location:** _GA-Atlanta_ ... **Job Title** : SACM Manager 2 **Location** : Atlanta, Dallas, King of...cryopreservation + Social well-being benefits like subsidized back-up child/elder care and tutoring + Mentoring, coaching and learning programs… more
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