- National Vision (Lawrenceville, GA)
- …is praised, and career growth is a reality. National Vision is currently looking for a Managed Care Poster to join our growing team! The role is responsible ... see their best to live their best. We help people by making quality eye care and eyewear more affordable and accessible. National Vision is one of the largest… more
- Bank of America (New York, NY)
- Equity Research Analyst/ Associate- Health Care Facilities and Managed Care New York, New York **Job Description:** **About Us:** At Bank of America, we are ... sector to gain exposure to the business. The Health Care Facilities and Managed Care ...our teammates. To view the "EEO is the Law" poster , CLICK HERE (https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf) . To view the "EEO… more
- S&P Global (New York, NY)
- …Compliance Division. This position will report into the of Commercial Head Managed Services but work closely with the Sales, Operations, Technology / Product ... and legal review. + Development and execution of a Managed Services commercial strategy with an emphasis on managing...our customers to achieve shared goals. **Benefits:** We take care of you, so you can take care… more
- Ascension Health (Carmel, IN)
- …universal bed model is an innovative care delivery system that allows patient care to be managed in one setting room post-operation to discharge. DUTIES FOR ... **Ascension St. Vincent Heart Center** + **Location: Carmel, IN** **Progressive Cardiac Care ** **Critical Care ** **Benefits** Paid time off (PTO) Various health… more
- Highmark Health (Harrisburg, PA)
- …or Master's degree in Social Work and 3 years experience in Acute or Managed Care / experience with Medicaid or Medicare populations. OR + Bachelor's degree ... in Social Work with five years experience in Acute or Managed Care / experience with Medicaid or Medicare populations **Preferred** + Experience working with… more
- Ascension Health (Kokomo, IN)
- …. + Function as a liaison for management staff, administration, physicians, managed care companies, community organizations, and other customers. + Coordinate ... **Details** + **Department:** Primary Care + **Schedule:** Day Shift, Monday-Friday 8am-5pm + **Hospital:** Ascension Medical Group, Clinic + **Location:** Kokomo,… more
- Ascension Health (Baltimore, MD)
- …clinical hours per week** + **Practice Detail: Join our team of primary care physicians and mid-level providers** + **EMR System: eCW** + **Facility: Ascension Saint ... to ensure the success of efforts to improve cost effectiveness and quality of care provided to patients. + Accepts patient referrals from other physicians. Acts as… more
- Ascension Health (Milwaukee, WI)
- …. + Function as a liaison for management staff, administration, physicians, managed care companies, community organizations, and other customers. + Coordinate ... recommendations for process improvement. + Provide referrals/support for follow-up care for patients who are uninsured or underinsured. **Requirements** Licensure… more
- Houston Methodist (Houston, TX)
- …Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, formulary processes and medication reconciliation activities while ... include precepting pharmacy students and pharmacy residents on clinical patient care rotations within areas of responsibility and contributing to fulfilling the… more
- Houston Methodist (Houston, TX)
- …Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, formulary processes and medication reconciliation activities while ... include precepting pharmacy students and pharmacy residents on clinical patient care rotations within areas of responsibility and contributing to fulfilling the… more
- Highmark Health (Dover, DE)
- …working with developmental disabilities population + Medicare and Medicaid experience + Managed care experience **SKILLS** + Working flexible hours to meet ... as the single point of contact for members to coordinate all of the member's care needs across the various service delivery systems and community supports. This is a… more
- Highmark Health (Dover, DE)
- …in home clinical or case management experience + Medicare and Medicaid experience + Managed care experience **SKILLS** + Leadership skills and be able to relate ... staff and assisting in the day to day activities as needed. + Ensure care is medically appropriate, high quality, and cost effective. + Conduct frequent ride-alongs… more
- Ascension Health (Brighton, MI)
- …ASAM criteria. + Complete all pre-certifications for the admission to the assigned level of care of the potential client with the managed health care ... Conduct assessments providing necessary data to receive reimbursement for such services from managed health care plans and other insurance plan administrators. +… more
- Highmark Health (Pittsburgh, PA)
- …population health workflows and capture of optimal VBR earnings. Support the development of managed care / CMS strategies and initiatives to adapt to ongoing ... the network related to value-based programs to ensure optimal patient care and reimbursement outcomes. **ESSENTIAL RESPONSIBILITIES** + In collaboration with Sr.… more
- S&P Global (Dallas, TX)
- …Role:** **Grade Level (for internal use):** 09 **About the Role** **The Team:** The Managed Services team is responsible for managing and supporting our Managed ... involves being a member of the database team within Managed Services which is responsible for maintaining managed...our customers to achieve shared goals. **Benefits:** We take care of you, so you can take care… more
- Ascension Health (St. Louis, MO)
- …the day to day issues and crises that arise regarding business developments, managed care , labor relations, transactions and other topics. You will partner ... etc. + Support issues that arise in regards to labor relations or managed care + Draft communications materials (eg, media statements, talking points,… more
- Highmark Health (Erie, PA)
- …the absence of the management. **ESSENTIAL RESPONSIBILITIES:** + Establishes a well- managed , child oriented learning environment which is healthy, interesting and ... Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( _https://www.eeoc.gov/sites/default/files/migrated\_files/employers/ poster \_screen\_reader\_optimized.pdf_ ) We endeavor to make this site… more
- Healthfirst (TX)
- …+ Work experience within the healthcare industry + Experience with Medicare or Medicaid managed care plan products such as, Family Health Plus (FHP), Eastern ... information via telephonic efforts in support of Healthfirst's Medicare Advantage Plan, Complete Care (MAP), Managed Long Term Care Plan (MLTC) Senior… more
- Organon & Co. (Plymouth Meeting, PA)
- …utilization while meeting the needs of customers. + Understanding of the local managed care and reimbursement environment relevant to various customer segments ... their current practice structure, business model, and key influencers (ex: Managed Care Organization/payers, Management Service Organizations (MSOs), employers,… more
- Healthfirst (NY)
- …as medical records review; claims processing; utilization/case management in a clinical practice or managed care organization; managed care plan products ... Social Services and Center for Medicare & Medicaid Services (CMS) regulations pertaining to managed care ; nursing experience in an acute, sub-acute or long-term … more