- UNC Health Care (Morrisville, NC)
- …through Policy analysis. Reviews billings and claims payments according to managed care contracts as needed. 4. Contract Negotiation- Provide assistance ... well-being of the unique communities we serve. Summary: The Managed Care Coordinator assists in...Bachelor's degree, requires two (2) years of experience with managed care contracts and provider… more
- UNC Health Care (Morrisville, NC)
- …improve the health and well-being of the unique communities we serve. Summary: The Managed Care Coordinator (analyst) supports UNC Health's network strategy ... by developing, maintaining, and analyzing physician contract models and performing ad hoc system (hospital and...Bachelor's degree, requires two (2) years of experience with managed care contracts and provider… more
- TEKsystems (Hartford, CT)
- The Managed Care Coordinator is responsible for supporting managed care credentialing, contracting, and reimbursement initiatives across multiple ... role functions as a key liaison between payers, internal departments, and the Managed Care team to ensure accurate contracting, credentialing, analytics, and… more
- Elevance Health (New Bern, NC)
- **CFSP Managed Care Coordinator ** **Sign-on...CFSP Program, as required by applicable state law and contract . **How you will make an impact:** + Provide ... children and families thrive in safe, stable, and nurturing homes._ The **CFSP Managed Care Coordinator ** is responsible for the overall management of the… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will ... of clinical information to support and determine medical necessity criteria and contract benefits. * Utilize allocated resources to back up review determinations. *… more
- Robert Half Office Team (New Hyde Park, NY)
- Description We are looking for a dedicated Patient Care Coordinator to join our team. In this role, you will play a vital part in ensuring smooth communication ... position within the healthcare industry, offering an opportunity to support managed care processes and improve patient experiences. Responsibilities: *… more
- Humana (Effingham, IL)
- …with resources appropriate for the care and wellbeing of members. The LTSS Care Coordinator ( Care Coach 1) employs a variety of strategies, approaches, ... techniques to manage a member's health issues. The LTSS Care Coordinator ( Care Coach 1)...care services, Home and Community-Based Services (HCBS), and/or managed care organizations. + Intermediate to advanced… more
- Pine Acres Rehabilitation & Care Center (West Des Moines, IA)
- …working knowledge of Federal and State regulations, as well as reimbursement processes ( Managed Care , Medicare, Medicaid). * Assist with new employee orientation ... Care Center is actively seeking an Admissions/Marketing Coordinator to join our team! This role plays a...regarding the admissions process. * Stay updated on managed care referral processes. * Participate in… more
- Elevance Health (Viroqua, WI)
- …is granted as required by law._ Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and Milwaukee County to offer the ... **LTSS Service Coordinator (Case Manager)** **$5,000 Sign-on Bonus** **Hiring near...federal requirements. Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and… more
- Sharp HealthCare (San Diego, CA)
- …of available community resources and current standards of clinical practice. + Knowledge of managed care and Health Plan contracts . + Understanding of the ... as a case manager or discharge planner interacting with managed care payers. + Experience with InterQual...+ Act as a resourceDemonstrates knowledge of Health Plan contracts and Health Plan benefits Coordinates services and supplies… more
- System One (Las Vegas, NV)
- …healthcare-related field preferred + Three (3) years of experience in case management and/or managed care required + Experience in a Medicare and/or Medicaid ... Job Title: LTSS Coordinator - Nevada Location: Nevada Type: Contract Compensation:...managed care environment preferred Post-acute, home care ,… more
- Sharp Electronics Corporation (Charlotte, NC)
- …prepare necessary reports for internal and external stakeholders. - Coordinate with Contract Coordinator on billing issues, customer inquiries, and support ... **Overview** The Sales Coordinator / Sales Order Processing and Billing Coordinator...accuracy of order documents, including leasing requirements and maintenance contracts . - Enter orders into SAP ECC and CRM… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Coordinator , Education Programs (NY HELPS), Box OEP-135/14606 Occupational Category No Preference Salary Grade ... Policy is seeking candidates to fill the position of Coordinator , Education Programs to lead the Office of Educational...aid, transportation aid, BOCES aid, Smart Schools Bond Act, Contract for Excellence, and other programs totaling over $6… more
- UNC Health Care (Morrisville, NC)
- …of the unique communities we serve. Summary: Serves as the program coordinator and liaison for 340B-related matters in conjunction with the Pharmacy Manager. ... relationships (accounting, legal, national) and external relationships (wholesalers, manufacturers, contract pharmacies, and third-party administrator [TPA] vendors) as needed.… more
- University of Miami (Miami, FL)
- …reports to the Director of the Division of CME and provides support for courses managed by the Division. The Senior Program Coordinator works closely with CME ... has an exciting opportunity for a full-time Sr. Program Coordinator to work in Miami, FL. The Sr. Program...records + Assist CME Manager in executing negotiated hotel contracts including room rates, determination of date availability and… more
- Carle Health (Peoria, IL)
- …manner and in compliance with established standards of the State of Illinois, Managed Care Organizations, related contracts , and UnityPlace. + Provides ... Overview Under the general supervision of the Supervisor, Care Coordination, will provide behavioral/physical health assessment and treatment planning, case… more
- Casa de Amparo (San Marcos, CA)
- …we want to hear from you! GENERAL FUNCTION: The Development & Volunteer Coordinator performs a variety of skilled administrative and coordination duties in support ... inventory tracking, and timely distribution, in partnership with the Special Events Coordinator . + Maintain donor database and update in-kind item wish lists for… more
- John Muir Health (Walnut Creek, CA)
- **Job Description:** The Pharmacy 340B Coordinator acts as the 340B subject matter expert and provides oversight to all 340B Program Covered Entities, ensuring that ... health record (eg Epic) + Experience overseeing a 340B contract pharmacy program (preferred) Certifications/Licensures: + Requires pharmacy technician licensure… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- … Coordinator -2\_R-001894) to apply. + Assesses Managed Care Entity (MCE) compliance with contract deliverables. + Reviews ... case documents, audit summaries, and reports. + Coordinates law enforcement requests, managed care investigations, external audit requests, referrals, tips, and… more
- Sea Mar Community Health Centers (Seattle, WA)
- …of instructions furnished in written, oral, diagram, or schedule form. + Familiarity with managed care organizations. What We Offer: Sea Mar offers talented and ... Sea Mar is a mandatory COVID-19 and flu vaccine organization Admissions Coordinator : Posting #27550 Hourly Rate: $26.45 - 28.90 Position Summary: Full-time… more
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