- Molina Healthcare (Las Vegas, NV)
- **Molina Healthcare of Nevada** is hiring for a ** Managed Care , Gov Contracts Sr. Specialist** . This role can be worked remotely from anywhere in the ... Candidates Will Have The Following Experience:** + Reading, interpreting, and responding to Managed Care regulatory bodies and contracts . + Project… more
- BlueCross BlueShield of Tennessee (Knoxville, TN)
- …+ Knowledge of contract language and reimbursement methodologies, managed care business processes, case\-mix adjustment, medical terminology, utilization ... + Implementing processes and changes needed to maintain regulatory compliance, contract compliance or to improve quality\. + Handling escalated provider enrollment… more