- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must ... + Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I… more
- Graham Windham (Brooklyn, NY)
- Managed Care Liaison Job Details Level Entry...for coordinating with the Medicaid Managed Care Plan's Foster Care Liaison . + Refers ... Education Level 2 Year Degree Salary Range $48,612.00 Salary/year Managed Care Liaison Managed...Operations Supervisor and are responsible for ensuring that the Medicaid Managed Care Organizations which… more
- New Directions Youth and Family Services (Amherst, NY)
- …physicians/Medical Director. 20. Acts as the liaison between youth, parent, New Directions Medicaid Managed Care Liaison , school and other community ... building relationships and helping the young people in our care , instead of being in an office all day....provides health-related services to the youth in our Foster Care and Residential programs may be a good fit… more
- Molina Healthcare (Albuquerque, NM)
- …Key Words: Billing, Claims, Reconcile, IHS, Indian Health Services, Tribal Liaison , Medicaid , MCO, Managed Care , Tribal, Value Added, Community, Tribal ... **Required Experience:** 3-5 years experience in healthcare industry, preferably in the Medicaid Managed Care Programs Previous healthcare marketing and/or… more
- Elevance Health (Miami, FL)
- …others, with, or without, direct reports. + Experience with the Medical Review process within Medicaid or Medicare Managed Care . + Proficient in use of ... part of consideration for employment. **Nurse Medical Management Sr ( Medicaid )** + Job Family: MED > Licensed Nurse +...medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to… more
- EssilorLuxottica (Mason, OH)
- Manager- Business Data ( Medicaid Reporting) Date: Apr 7, 2024 Brand: EyeMed Vision Care Location: Mason, OH, US, 45040 **Requisition ID:** 816990 **Position:** ... than meets the eye. EyeMed is the fastest growing managed vision benefits company in the country with consistent...the way employers and their employees think about vision care . We want them to see life to the… more
- Public Consulting Group (NY)
- …supports. The incumbent will interact with other bureaus and offices within OHIP, Managed Care Plans, CMS, OMH, OASAS and other State agencies. ... Assist Division of Health Plan Contract Oversight, Bureau of Managed Long Term Care (BMLTC), Surveillance Unit...assure appropriate access and delivery of health services to Medicaid members receiving long term care service… more
- Wider Circle (Baltimore, MD)
- …in operations and management within a healthcare setting (health plan, managed care organization, etc.) + Volunteer experience + Medicaid experience a plus + ... to motivate and support each other to get the care they need, when they need it, where they...Area Manager will be responsible for implementing and managing Medicaid programs as outlined by the Implementation and Leadership… more
- Randstad US (St. Louis, MO)
- …Information Security as assigned. Required Skills/Experience: + 3+ years of experience in Managed Care /Health Insurance in a related field or managing projects ... privacy analyst (data privacy-hippa, incident response,medicare/ medicaid healthcare). + st louis , missouri (remote)...and drive assessments to completion. + Serves as a liaison in corresponding and communicating Privacy requirements with project… more
- LA Care Health Plan (Los Angeles, CA)
- …least 0-1 years of customer service experience in a corporate setting. Preferred: Managed care or healthcare experience. Skills Required: Strong verbal and ... meet all regulatory requirements for Centers for Medicare and Medicaid Services(CMS), and for SPD population. * Contacting members...member contact, including potential care coordination/continuity of care issues. (20%) Liaison to meet LA… more
- AmeriHealth Caritas (Washington, DC)
- **Special Investigator Managed Care - DMV Counties only** Location: Washington, DC Primary Job Function: Compliance ID**: 29509 **Job Brief** This position will ... care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral… more
- Bristol Myers Squibb (Boston, MA)
- …related experience (field liaison responsible for market access , worked for managed care organization, corporate or field HEOR, etc.) strongly preferred + ... Makers and Influencers, etc.) within payer organizations and to managed care professionals to ensure access to... accounts, covering all books of business (eg, Commercial, Managed Medicaid , Fee-for-Service, Medicare, PBMs, and Exchange… more
- Athena Health Care Systems (Worcester, MA)
- Clinical Admissions Liaison / Evaluator Full-Time Worcester Rehabilitation & Health Care Center - Worcester, MA Posted 4 months ago We are hiring a Clinical ... Admissions Liaison / Evaluator for our facilities in the Worcester...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- Next Step Health Care (Woburn, MA)
- …and Insurance Case Managers. + Understanding of various insurance methodologies, including Medicare, Medicaid , and Managed Care insurance. We offer a ... this type of role, preferred. + Experience in healthcare sales, clinical liaison , long-term care nurse or case manager. + Excellent communication skills. + Must… more
- Consulate Health Care (Norfolk, VA)
- …+ Three (3) years' experience in healthcare business development required. + Managed care /insurance experience preferred. + Experience with public and commercial ... | Norfolk, VA, USA | Hourly | Consulate Health Care of Norfolk | Full Time **Looking for qualified... of Norfolk!** We are searching for an **Admissions Liaison ** to join our community that is resident and… more
- Morris View Healthcare Center (Morristown, NJ)
- …guidelines. + Maintain a working knowledge of Federal and State regulations and reimbursement ( Managed Care , Medicare, and Medicaid ) . + Provide assistance ... Morrsiview Healhtcare Center is looking for a Marketing Liaison to join our incredible team! We're not...process . + Maintain a strong working knowledge of managed care referral processes. Ready to take… more
- RWJBarnabas Health (Somerset, NJ)
- …Ability to professionally inter-relate with people (ie, parents, staff, patients, Managed Care Organizations, outside agencies, etc.) familiarity with computer ... for per diem negotiation for individual patients with their respective insurance company| managed care organization + Notifies parents of availability of… more
- Elevance Health (Visalia, CA)
- …the state of California. **Preferred Qualifications** + Previous auditing experience in a managed care organization. + MediCal Medicaid experience is very ... is required, within your assigned, to provider locations.** The Provider Clinical Liaison is responsible for Patient Centered Care (PC2) program implementation… more
- Humana (Harrisburg, PA)
- …community and help us put health first** The Senior TRICARE Community Liaison (TCL) is a customer-facing Humana Military associate who is knowledgeable, professional ... the East Region - Government, beneficiaries, and providers. The **Senior TRICARE Community Liaison (TCL)** must be cognizant of the military way of life during all… more
- Centers for Independence (Kenosha, WI)
- …operations or related experience. Some understanding of long term care , disabilities, Medicaid , managed care and/or Medicare is preferred. A valid ... **Participant Liaison Field Rep** **Job Details** **Job Location** iLIFE...**Job Category** Customer Service **Description** **GENERAL FUNCTIONS** The Participant Liaison Field Rep ensures optimal service is provided to… more