- 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
- 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
- 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
- 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
- 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
- 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
- HealthCare Support (Bronx, NY)
- …Bachelor of Science in Nursing Completed NYSED-approved infection control coursework Managed long-term care insurance experience beneficial Case Management ... Manager of Care Delivery - RN HealthCare Support is actively seeking a Manager of Care Delivery - RN to fill an opening with a leading healthcare organization in… 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
- 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
- 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
- NORTHEAST TREATMENT CENTER (Wilmington, DE)
- …utilizing required instruments within appropriate timelines. Conduct periodic reviews with managed care companies for authorization of treatment. Assist client's ... utilizing required instruments within appropriate timelines. Conduct periodic reviews with managed care companies for authorization of treatment. Assist client's… 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
- Houston Eye Associates (Houston, TX)
- …(required); two years medical office experience (preferred) with knowledge of managed - care issues: Medicare, Medicaid, and 3rd-party payers; basic knowledge ... EXPERIENCE Preferred: Training in business office activities (required); two years medical office experience (preferred) with knowledge of managed - care issues. more
- Monster (Gulfport, MS)
- …insurance procedures and contracts, experience with Medicare, Medicaid, Commercial insurance and Managed Care billing. Use computers to enter, access and ... accounting principles and cost reimbursement principles relating to long-term care . Supervise office assistant and/or receptionist (if applicable); meet public… more
- Sprenger Wellspring Silver Maple (Lorain, OH)
- …Ascertains knowledge of patient pay source and make visits appropriately. Ensures managed care patients have authorizations prior to visits. Submits schedules ... Nurse BASIC PURPOSE A clinically competent, Licensed Practical Nurse (LPN) delivers care to patients in their place of residence through the nursing process… more
- SR International, Inc. (Phoenix, AZ)
- …behavioral/mental health, and Tribal *Healthcare delivery system nationally and locally * Managed care processes *Acute nursing processes including assessment, ... in concurrent and retrospective review; CCI, lnterQual, HCPCS and CPT Coding; managed care medical review experience. Certification in CPT Coding is a plus.… more
- HealthCare Support (Odessa, TX)
- …HealthCare Support is actively seeking a Case Manager to fill an opening with a Managed Care Company in Odessa, TX . Daily Responsibilities for Case Manager: ... and risk assessment interventions per program guidelines. LTSS service care manager will have 3 days of travel for...and high risk members and recommends a plan of care for the best outcome Acts as liaison and… more
Related Job Searches:
Associate Director Managed Care,
Associate Managed Care Analyst,
Care,
Director Managed Care Navista,
Excess Risk Managed Care,
Managed Care Coordinator,
Managed Care Coordinator Clinician,
Managed Care Leader,
Managed Care Representative Workers,
Senior Managed Care Analyst