- HHS Technology Group, Inc. (Atlanta, GA)
- …applied Agile experience, applied Scrum Master experience Expertise in some/all the following: Medicaid - MMIS - Health care Experience managing projects of ... matters relating to the project and serve as a liaison for certification, collaborating with other contractors, and stakeholders....a new system being built in which you project managed it from project kickoff to go-live. Project Management… more
- 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
- 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
- Molina Healthcare (Albuquerque, NM)
- …**Required Experience:** + 3-5 years' experience in healthcare industry, preferably in the Medicaid Managed Care Programs + Previous healthcare marketing ... Tribal Liaison , specifically with in-depth knowledge of Managed Care . Candidates for this role must...grassroots/community outreach experience **Preferred Experience:** + Experience in the Medicaid Managed Care Programs +… more
- CDPHP (Albany, NY)
- …via the telephone line, fax machine and mail. The Medicaid Special Programs Care Manager typically works in the telephonic managed care setting but ... of quality, clinical and cost outcomes. In addition, the Medicaid Special Programs Registered Nurse Care Manager...patients with social needs preferred. + Experience in home care , medical office setting or managed health… more
- New York State Civil Service (Albany, NY)
- …the ability to administer meetings. The incumbent will also interact and collaborate with Medicaid Global Cap, Managed Care Long Term (MLTC) rate setting, ... NY HELP No Agency Health, Department of Title Medicaid Redesign Analyst 2 - 62296 Occupational Category...supervise financial and systems analysts within the Bureau of Managed Care Reimbursement within OHIP's Division of… more
- EssilorLuxottica (Mason, OH)
- Manager- Business Data ( Medicaid Reporting) Date: May 6, 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
- 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
- Elevance Health (Columbia, SC)
- …10 years of experience including at least 8 years of in-depth experience in managed care operations is required; or any combination of education and experience, ... **Operations Director - Medicaid ** **Location:** Columbia, South Carolina. This position will...a close coordination between internal departments and an effective liaison role with Health Plan support services. **How you… more
- Children's Home Healthcare (Richardson, TX)
- …but not limited to healthcare providers, case managers, care coordinators, managed care organizations (MCO), Medicaid representatives for the state ... behaviors. 17. Ability to interface and serve as a liaison between patients, referrals sources, the state and MCOs....of the patient, provides navigation across the continuum of care , including assisting with MCO or Medicaid … 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 (North Las Vegas, NV)
- …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
- 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
- Commonwealth Care Alliance (Boston, MA)
- …degree preferred or equivalent work experience - 3-5 years of experience - Managed Care experience (preferably Medicare/ Medicaid ). - Experience in health ... liaison between CCA and its providers including primary care practices, specialists, physician organizations, hospitals, ancillary and LTSS providers. Key… 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
- CVS Health (Richmond, VA)
- …The Behavioral Health Clinical Liaison is a clinical leader in the Medicaid plan focusing on integrating member care , clinical coordination, leading the ... the Central Region of Virginia. - Minimum 2+ years experience required working for a managed care organization (MCO). - Minimum 5+ years clinical experience - 5+… more
- CVS Health (Richmond, VA)
- …Alleghany, or Alleghany County) + 2+ years experience required working for a managed care organization (MCO). + 2+ years experience with delivery/ supervision ... care more personal, convenient and affordable. POSITION SUMMARY The BH Clinical Liaison is a clinical leader in the Medicaid plan focusing on utilization… more
- Centene Corporation (Indianapolis, IN)
- …in conflict management or data reporting and evaluation. Experience working in managed care , utilization management, case management, or quality improvement ... must reside in Indiana **Position Purpose:** Serve as a liaison for external groups and providers regarding clinical information...of clinical nursing experience, preferably in a large primary care office or clinic setting working with Medicaid… more
