- Childrens Health System of Texas - TRINITY TOWERS (Dallas, TX)
- …Offering Non-Clinical Profession Professional Specialty Finance Job ID 16916795 Job Title Managed Care Contract Analyst Weekly Pay $1970.0 Shift Details Shift ... point of view Collaborate with other departments to prioritize and ensure Managed Care contract performance and all related analytic needs are met for the… more
- Monster (Nashville, TN)
- Job Title: Managed Care Specialist Location: Nashville TN Duration: Multi Year Rate: $23/hr. on 1099 Responsibilities: Our client is looking to hire a Managed ... Responsibilities Determine individual and family eligibility for our Client's care programs. Assist in coordinating and communicating schedules to internal/external… more
- Monster (Nashville, TN)
- About the Role We are seeking Managed Care Specialists to join our Member Services team. This hybrid role involves both in-office and remote work in Nashville, ... is mandatory. Key Responsibilities Determine individual and family eligibility for care programs. Assist in coordinating and communicating schedules with internal… more
- CoxHealth (Springfield, MO)
- …plan, direct, or coordinate medicine and health services in hospitals, clinics, managed care organizations, public health agencies, or similar organizations. Job ... and evaluation of performance. The Nurse Practitioner provides advanced nursing care and treatment to patients and performs physical examinations; orders diagnostic… more
- Novo Nordisk Inc. (Forrest City, AR)
- …elements in the market to identify and leverage business opportunities Analyze impact of managed care in the territory and its effect on prescribing decisions, ... objectives and align to audience needs Leverage understanding of impact of managed care in the territory and how it affects physicians prescribing decisions, and… more
- buyer (New York, NY)
- …list of products, including, but not limited to, New York State Medicaid Managed Care , Medicare, Child Health Plus, Exchange, Partnership in Care ... minimum of 5 years of Case Management experience in a health care and/or Managed Care setting required.Minimum of 2 years managerial/leadership experience in… more
- Eisai, Inc (Nutley, NJ)
- …to Neuroscience and Oncology products.Experience with utilization of outcomes studies in managed care or large healthcare organization environment.As a condition ... provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through… more
- buyer (New York, NY)
- …list of products, including, but not limited to, New York State Medicaid Managed Care , Medicare, Child Health Plus, Exchange, Partnership in Care ... in researching, reviewing and interpreting laws and regulations.3-5 years of Medicaid Managed Care or Managed Care Special Needs Plan experience.Prior… more
- UnitedHealth Group (Corpus Christi, TX)
- …costs that can be used in determining the feasibility of pursuing local managed care opportunities. When directed, gathers information about marketplace pay and ... our team in Mcallen, TX. Optum is a clinician-led care organization that is changing the way clinicians work...work and live. As a member of the Optum Care Delivery team, you'll be an integral part of… more
- Lundbeck (San Diego, CA)
- …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager, sales operations, account management is a plus. ... the Business Guides the identification of local market systems of care , patient flow, reimbursement, and provides innovation solutions Identifies strategic… more
- UnitedHealth Group (Indianapolis, IN)
- …or exposure to discharge planning Experience in a telephonic role Background in managed care *All employees working remotely will be required to adhere ... Optum is a global organization that delivers care , aided by technology to help millions of...directly improve health outcomes by connecting people with the care , pharmacy benefits, data and resources they need to… more
- Merck & Co. (Rahway, NJ)
- …and economic modelling. Key responsibilities also include overseeing the development of American Managed Care Pharmacy (AMCP) dossiers for US payers and Global ... studies to characterize disease burden and epidemiology, treatment patterns, health- care resource utilization and costs, physician and patient satisfaction surveys,… more
- Daiichi Sankyo, Inc. (Denver, CO)
- …state, REMS and safety information with respect to DSI marketed products.Collaborate with managed care counterparts or MSLs to provide ongoing clinical updates ... creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging… more
- UnitedHealth Group (San Antonio, TX)
- …standards of care , preventative health, and Star measures Experience in managed care working with network and provider relations Financial analytical ... team in San Antonio, TX. Optum is a clinician-led care organization that is changing the way clinicians work...work and live. As a member of the Optum Care Delivery team, you'll be an integral part of… more
- buyer (New York, NY)
- …list of products, including, but not limited to, New York State Medicaid Managed Care , Medicare, Child Health Plus, Exchange, Partnership in Care ... Empower. Unite. Care .MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care . We believe that Health care is a right, not… more
- buyer (New York, NY)
- …list of products, including, but not limited to, New York State Medicaid Managed Care , Medicare, Child Health Plus, Exchange, Partnership in Care ... Empower. Unite. Care .MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care . We believe that Health care is a right, not… more
- Clever Care Health Plan (Huntington Beach, CA)
- …issued by the California BRN required. *Certified Case Manager (CCM) preferred *Certified Managed Care Nurse (CMCN) preferred Skills *2-3 years in case ... management, disease management, managed care , or medical or behavioral health settings *High level of critical thinking and problem-solving skills *Strong work… more
- Clever Care Health Plan (Huntington Beach, CA)
- …offices. Bachelors degree or minimum two (2) years' experience in health plan, managed care or equivalent experience. Knowledge of CMS Star Programs, HEDIS, ... incredible 112% year-over-year membership growth. Who Are We? Clever Care was created to meet the unique needs of...to making healthcare accessible for underserved communities. At Clever Care , you'll have the opportunity to make a real… more
- Kaiser (Arlington, VA)
- … Care settings.Experience in acute care , skilled nursing facility, long-term care of managed care settings.Experience with computer software programs ... population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that… more
- Lucile Packard Children's Hospital (Palo Alto, CA)
- …others. * Ability to solve problems and identify solutions. * Knowledge of managed care environment and patient service delivery systems and knowledge of ... Group: Exempt Benefits Eligible: Yes Remote Eligible: No Department: Palliative Care Program Scheduled Weekly Hours: 20 At Lucile Packard Children's Hospital… more
