- Beth Israel Lahey Health Behavioral Services (Danvers, MA)
- …standards of care are met through: ongoing consultation with the Medical Director ; application of Quality Assurance and Customer Service Programs, ... procedures relative to fee structure, fee collection, and prior approval for managed care and other insurance carriers. Assures seamless communication between… more
- St. Croix Hospice (Sedalia, MO)
- … needs. Assigns appropriate hospice personnel to case as needed. Conferences with Medical Director or Hospice Physician regarding any questions about an ... to apply.The Manager of Clinical Services is responsible for ensuring that patient care is coordinated and managed appropriately. The Manager of Clinical… more
- RestoraCare Staffing (Houston, TX)
- …actions to achieve continuous improvement in both areas. Refers cases and issues to Care Management Medical Director in compliance with department procedures ... management, case management, performance improvement, disease or population management and managed care reimbursement. Understanding of pre-acute and post-acute… more
- City and County of San Francisco (San Francisco, CA)
- …including psychiatric services. The Behavioral Health Services (BHS) Deputy Medical Director of Managed Care provides effective leadership and strategic ... the partnership with the areas of service under the Director of Managed Care . +...clinical responsibilities with the remaining 70-90% dedicated to Deputy Medical Director responsibilities, which include: + Supports… more
- The Mount Sinai Health System (Manhattan, NY)
- … Director School Based Health Centers **Grade:** Faculty **Reports to:** Deputy Medical Director of Primary Care , Mount Sinai Adolescent Health Center ... to be a partner with the MSAHC Medical Director ; + Working knowledge and understanding of managed care and healthcare financing; + Personal qualities of… more
- Burrell Behavioral Health (Springfield, MO)
- Job Description: Job Title: Director of Managed Care Enrollment Services Location: Missouri: Springfield, St. Louis, Columbia, Kansas City, Kirksville; ... where you can grow your leadership skills and advance your career? Join our team as the Director of Managed Care Enrollment Services! As the Director of … more
- AccentCare, Inc. (TX)
- Overview Find Your Passion and Purpose as a Director Managed Care Contracting Reimagine Your Managed Care Contracts Career With Us Working for a ... 30 hours per week and their families, including: * Medical , dental, and vision coverage * Paid time off...spending and health savings accounts Qualifications Be the Best Director Managed Care Contracting You… more
- Randstad US (Columbus, OH)
- …at least five of which were in a senior leadership position. **OVERVIEW** The Director is responsible for the overall success of each assigned Managed In-House ... efficiencies, new business development and client relations. In addition, the Director will support Cella Inc. with consulting, training, networking and business… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …policy and process changes as well as staff performance audits. They assist the Managed Care Director in the development and implementation of productivity ... Sea Mar's network of services includes more than 90 medical , dental, and behavioral health clinics and a wide...have any questions regarding the position, email Ana Owens, Managed Care Director at ###@seamarchc.org… 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 have ... requirements + The unique complex needs of the foster care population + Medicaid Managed Care...functions + Perform other secretarial duties as requested by Medical Director . + Any other related duties… more
- National Vision (Duluth, GA)
- …posting. What Would You Do? The Specifics. + Under the general direction of the Managed Care Operations Director , oversees the daily review of the integrity ... growth is a reality. National Vision is hiring a Managed Care QA Auditor to join our...Learning management systems is preferred. + Working knowledge of medical terminology. + Experience with revenue cycle management is… more
- Sharp HealthCare (San Diego, CA)
- …and maintaining spreadsheets and databases. **What You Will Do** Under the direction of the Director of Managed Care Finance and Supervisor of Managed ... or equivalent work experience. + Previous experience in a managed care setting. + Working knowledge of...setting. + Working knowledge of hospital, physician and health care operations. + Experience in medical management… more
- Hawaii Pacific Health (Honolulu, HI)
- …The department also performs additional services in collaboration with the managed care services department including referral management, patient steerage, ... peer equity. Starting Hourly Rate: 30.47 **Position** Analyst - Analytics Managed Care **Category** Administrative **Employment Type** Employee **Location**… more
- UNC Health Care (Raleigh, NC)
- …of liaison between the UNC Health Rex Chief Medical Officer and the Medical Staff, and managed care companies on provider privileging, credentialing, and ... are in compliance with regulatory and accrediting bodies. The Director is responsible for the overall management of the...all delegated credentialing agreements tied to managed care contracts advises the Chief Medical Officers… more
- AmeriHealth Caritas (Harrisburg, PA)
- …**Job Brief** Healthcare Data Analyst needed for our PerformCare Harrisburg, PA office. Managed Care experience preferred. You must live within 90 minutes of ... care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral… more
- Molina Healthcare (Phoenix, AZ)
- …+ 5 years in a Medical Director role. + 4 years HMO/ Managed Care experience, including Utilization and/or Quality Program management. + 5 years ... Disease Management. + Leads the health plan's analysis of medical care cost and utilization data. Leads...managed care administrative experience to include NCQA… more
- AdventHealth (Maitland, FL)
- …and/or changes related to denial prevention measures for our contracted managed care payers. The Medical Director is responsible for providing physician ... role you'll contribute:** As the physician advisor, the Executive Medical Director of Revenue Cycle educates, informs,...denials and intervenes with attending and/or consulting physicians and managed care medical directors, as… more
- Rady Children's Hospital San Diego (Murrieta, CA)
- …funded position with an end date of 06/30/26** JOB SUMMARY: The Enhanced Care Management (ECM) Supervisor manages the daily operations of the satellite ECM Program ... to the main ECM Program staff. Participates in interdisciplinary case conferencing care planning. Facilitates and ensures that all ECM members receive all ECM… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …School of Medicine and Grady Health System announces an opening for Grady Emergency Care Center Medical Director . Grady Memorial Hospital's Emergency Care ... center, a 20 bed state of the art emergency medicine- managed observation unit, the designated regional disaster coordinating center,...to patients within the ECC meets the standards of care . The medical director will… more
- University of Colorado (Aurora, CO)
- Medical Director Department of Family Medicine Innovation Practice - Open Rank - 31241 Faculty **Description** **University of Colorado | CU Anschutz Medical ... **School of Medicine | Department of Family Medicine** **Family Physician -** ** Medical Director Department of Family Medicine Innovation Practice** **Open Rank… more
