- AmeriHealth Caritas (Dublin, OH)
- ** Special Investigator - Ohio resident** Location: Dublin, OH Primary Job Function: Compliance ID**: 34748 **Job Brief** This position is remote based but will ... care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …- Certified Fraud Examiner credential ** Special Skills** Required: Knowledge of Managed Care payment methodologies. Intermediate level of proficiency in MS ... **Responsibilities** The Sr. Fraud Investigator SIU ( Special Investigations Unit) assists...codes, insurance terms and policy interpretations. Prefer knowledge of managed health care business model and processes… more
- Molina Healthcare (New York, NY)
- …investigative and law enforcement procedures with emphasis on fraud investigations. + Knowledge of Managed Care and the Medicaid and Medicare programs as well as ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is...on allegations of FWA and/or may determine appropriateness of care . The SIU Investigator is also responsible… more
- The Mount Sinai Health System (New York, NY)
- …Partners** The Director, FPA Contract Support manages all operational aspects of professional managed care agreements. This includes but is not limited to, ... FPA Contract Support is a key member of the managed care contract operations leadership team ensuring...support business activities and revenue cycle initiatives. + Handles special projects, committee assignment as assigned by the direct… more
- The Mount Sinai Health System (New York, NY)
- …Central Billing Office (CBO) and Change Departments with key aspects of Managed Care contracting support including communication, fee schedule access, ... Oversee and supports the national payer contracts, acting as managed care liaison for internal and external...large scale notifications. 18. Assist MSHP and MSHS on special projects as assigned. 19. Performs other related duties.… more
- The Mount Sinai Health System (New York, NY)
- …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- The Mount Sinai Health System (New York, NY)
- …each payor within the patient population * Provides the clinical information requested by the managed care companies as part of the concurrent review in a timely ... fashion. * Provides clinical information requested by the managed care companies in accordance with contractual agreements. * Works collaboratively with… more
- University of Colorado (Aurora, CO)
- …Certificate. Ability to be fully credentialed with the UCH system and UPI Managed Care . **Associate Professor:** + **Education:** PhD or equivalent in behavioral ... to Anschutz Medical Campus faculty + Serve as a co- investigator and mentor on ACCORDS D&I grants providing D&I...be fully credentialed with the UCH system and UPI Managed Care . **Professor:** + **Education:** PhD or… more
- University of Colorado (Aurora, CO)
- …DEA Certificate. Ability to be fully credentialed with the UCH system and UPI Managed Care . Ability to meet the School of Medicine's criteria for associate ... appointment is as a clinician and will involve providing care for patients with diabetes, primarily type 1 diabetes,...an accredited Residency program and 7+ years' experience. + ** Special Skills:** Ability to obtain Colorado Medical License and… more
- The Mount Sinai Health System (New York, NY)
- …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, ... Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as...in procedures and policies. + Assists with or leads special projects and provides analytical support. + Performs other… more
- University of Washington (Seattle, WA)
- …divisions with assistance in managing research grant and contract proposals with special emphasis on larger award mechanisms such as NIH cooperative agreements, ... Hutch, Bloodworks NW, the Veterans Administration Puget Sound Health Care System (VAPSHCS), the NIH, other cooperating academic institution,...This position is vital in ensuring that funds are managed at a high degree of integrity and accuracy… more
- The Mount Sinai Health System (New York, NY)
- …Health Partners, Mount Sinai's population health organization, working closely with both Managed Care Contracting and Population Health clinical and operational ... and optimizing performance collaborating with key stakeholders inclusive of Managed Care Contracting, Population Health leadership, Clinical Documentation… more
- University of Pennsylvania (Philadelphia, PA)
- …related to ongoing projects, ensuring the lab's inventory and equipment are managed and fully functional. The specialist will assist the Principal Investigator ... disability, veteran status, or any other legally protected class. Special Requirements Background check required after a conditional job...use flexible spending accounts to pay for eligible health care and dependent care expenses with pre-tax… more
- The Mount Sinai Health System (New York, NY)
- …Projects and other collaborating departments to ensure grants are being properly managed . 6. Reviews and provides supplemental and amended information to extramural ... Projects for fund activation. 7. May implement, and supports special projects for the department or institute as needed....We share a common devotion to delivering exceptional patient care . When you join us, you become a part… more
- The Mount Sinai Health System (New York, NY)
- …fundraisers, and oversee preparation and coordination of in house mailings to managed prospect portfolios. Develop fundraising materials that include, but are not ... for support, stewardship reports, and program summaries. + Manage special donor stewardship projects for the Tisch Cancer Center...We share a common devotion to delivering exceptional patient care . When you join us, you become a part… more
- Daiichi Sankyo Inc. (Boston, MA)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... and study committee members for DSI clinical research programs, 2) investigator -initiated research study proposals, 3) speakers for DSI Brand Speaker programs,… more
- Stanford University (Stanford, CA)
- …to international programs, the Department of Surgery provides exceptional patient care , delivers outstanding undergraduate and graduate education, and furthers the ... This position has a complex workload that must be independently prioritized and managed to assure all requirements of the position are accomplished in a timely… more
- University of Florida (Gainesville, FL)
- …Campus (Gainesville, FL) Categories: Biology/Life Science Department: 11800000 - RE-ANIMAL CARE SERVICES Classification Title: AdvancedAnimal Care Technician III ... their staff. Plans and creates weekly technical work lists of rodent colonies managed for 1-3 Transgenic Breeding level 1 Technicians. Works closely with Transgenic… more
- CSL Behring (King Of Prussia, PA)
- …+ Deliver approved educational programs to relevant healthcare audiences (eg HCPs, Managed Care Organizations, Specialty Pharmacies, etc.). + Provide areas of ... of medical-scientific knowledge and applies subject matter expertise and experience to special projects. This opportunity with our Immunology team will entail a… more
- CSL Behring (King Of Prussia, PA)
- …+ Deliver approved educational programs to relevant healthcare audiences (eg HCPs, Managed Care Organizations, Specialty Pharmacies, etc.). + Provide areas of ... of medical-scientific knowledge and applies subject matter expertise and experience to special projects. This opportunity with our Coagulation team will entail a… more