- Baptist Memorial Health (Memphis, TN)
- …Minimum : Knowledge of health care issues, trends, legal compliance and managed care with emphasis in all components and nursing operations. About Baptist ... Develops, administers, manages, and implements all nursing and related patient care activities for areas of accountability. Works in close collaboration with… more
- Rolls Royce (Indianapolis, IN)
- …Work Package Manager (WPO) and Sub-System Manager (SSM), and Integrated Product Team Lead (IPTL) to balance load and capacity across the IPT.Ensure project risks ... (technical, cost, supply chain and timescale) are identified, managed (including integration of risk activities in the project plan), and escalation of risks in… more
- VitalCore Health Strategies (Munising, MI)
- …Career with VitalCore Health Strategies! VitalCore Health Strategies (VCHS), an industry leader in correctional healthcare, has an opening for a Hub Director- Upper ... provide guidance, leadership, and oversight of all aspects of correctional medical care . This includes, but is not limited to, authorization of services,… more
- Rolls Royce (Indianapolis, IN)
- …Queries (TQs), and identifying service-related product improvements. Reports to: Technical Lead - Lifecycle and Safety for T56/Helicopters. Key Accountabilities: ... Lead investigations into and identify root cause and corrective...office, home, or another remote location. It's a locally managed and flexed informal discretionary arrangement. As a minimum… more
- Rolls Royce (Indianapolis, IN)
- …AE1107C engineering efforts Facilitate Product Safety and Critical Part reviews Lead AE1107C engineering activity and develop/communicate the plan and budget for ... delivering such improvements to cost and schedule Lead the application of Systems Engineering to elicit, influence,...office, home, or another remote location. It's a locally managed and flexed informal discretionary arrangement. As a minimum… more
- Rolls Royce (Indianapolis, IN)
- …of F35 Operations, keeping in mind any export or OPSEC concerns.Support Lead FSR in executing Deployed Services and JSF Program responsibilities.Deploy as needed ... time between the office, home, or another remote location. It's a locally managed and flexed informal discretionary arrangement. As a minimum we're all expected to… more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... within the Managed Care department by ensuring compliance with...Care experience preferred. **About Us** Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care… more
- Fresenius Medical Center (Waltham, MA)
- **Sr Director Managed Care and Payor Strategy** **PURPOSE AND SCOPE:** The Senior Director of Managed Care & Payor Strategy is a strategic leader ... responsible for driving initiatives that strengthen relationships with Managed Care Payor Organizations and optimize contractual performance. This role leads a… more
- Bristol Myers Squibb (Princeton, NJ)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as all aspects with evaluating implications of and reporting Managed Care data required for US and...Care rebate systems (REACT$ and vendor interfaces) + Lead and assist with special projects as required (IRA,… more
- Dignity Health (Bakersfield, CA)
- …shared goals. Responsibilities include: - Collaborate with the Chief Medical Officer, Managed Care and executive leadership to develop, implement, and oversee ... Leadership to ensure consistent physician/APP interactions and experience with all internal Managed Care operations such as enrollment, claims operations and… more
- St. Luke's Health System (Boise, ID)
- …for decision-makers. + Lead complex or special assignments related to managed care financial analysis. + Provide analytic support across various departments ... the states of Idaho, Oregon, Utah and Arizona only.** The Director, Managed Care Analytics is responsible for the creation and development of detailed financial… more
- Hawaii Pacific Health (Honolulu, HI)
- …organizational and communication skills, you might be the ideal candidate to be our next Managed Care Representative. In this role, you will provide managed ... pediatric specialty hospital. It is well recognized as Hawai'i's leader in the care of women, infants...equivalent. One (1) year clerical experience in a health care setting. Experience with managed care… more
- Elevance Health (Bryson City, NC)
- **CFSP Managed Care Coordinator** **Sign-on Bonus: $2500** **We are currently seeking people in the following counties and look forward to speaking with you!** ... thrive in safe, stable, and nurturing homes._ The **CFSP Managed Care Coordinator** is responsible for the...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Huron Consulting Group (Chicago, IL)
- …rewarding path forward. As the Healthcare Consulting Senior Director - Managed Care & Payment Strategy, you will: + Lead complex healthcare consulting ... design, ACO development (eg, MSSP, ACO REACH, Commercial shared risks), Medicaid managed care participation. Experience with population health initiatives such… more
- Elevance Health (Halifax, VA)
- ** Managed Care Coordinator** **Sign On Bonus-$1000** **Location:** The locations for this position will be Lynchburg, Roanoke, Pittsylvania, or Halifax Virginia. ... an accommodation is granted as required by law._ The ** Managed Care Coordinator** is responsible for the...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Cedars-Sinai (CA)
- …Los Angeles and beyond. **Req ID** : 11588 **Working Title** : Claims Examiner - Managed Care **Department** : MNS Managed Care **Business Entity** ... system (Epic Tapestry preferred) preferred. **About Us** Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care , specialized… more
- Sedgwick (Helena, MT)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Managed Care Client Service Director (REMOTE) Are you looking for an ... opportunity to join a global industry leader where you can bring your big ideas to...path. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- Elevance Health (Wallingford, CT)
- **Senior Health Economist - Managed Care ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... Health family of brands, offering clinical programs and primary care options for seniors. We are a team of...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Molina Healthcare (Cleveland, OH)
- …Qualifications** + At least 6 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent ... **JOB DESCRIPTION** **Job Summary** Provides lead level support for accurate and timely intake...for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all… more
- Molina Healthcare (Cambridge, MA)
- …experience **Required Experience** + Minimum of five (5) years' experience in a managed care environment (including Medicare, Medicaid and other State governed ... Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations.… more
