- Commonwealth Care Alliance (Boston, MA)
- …Bachelor's Degree or equivalent experience **Experience (Required)** + 3-5 years + Managed Care experience + Experience in health plan provider relations. ... liaison between CCA and its providers including primary care practices, specialists, physician organizations, hospitals, ancillary and LTSS providers. Key… more
- Commonwealth Care Alliance (Boston, MA)
- …Strong claims experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/Medicaid) + Experience in health plan ... for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital,… more
- Organon & Co. (Savannah, GA)
- **Job Description** **The Position** The Medical Science Liaison is a field-based professional with scientific, clinical and therapeutic area expertise responsible ... and scientific support for Organon's Dermatology programs. The Medical Science Liaison engages in scientific exchange with medical and scientific experts, including… more
- Sun Pharmaceuticals, Inc (Portland, OR)
- …and regional thought leaders/healthcare professionals (HCPs) as well as payers and managed care accounts, providing the consistent delivery of educational and ... to these HCPs and also, internal SUN sales and managed markets constituents. Duties and Responsibilities: + Interact with...with others + Comply with all applicable SUN Health Care Compliance SOPs and US regulations Qualifications: + Doctorate… more
- Stony Brook University (Stony Brook, NY)
- …clinical and all potential medical interventions. + Demonstrates an understanding of managed care trends, payer regulations and Medicare/ Medicaid criteria for ... medical supplies and equipment. + Serves as an office liaison to outside nurses for patients on home telemonitoring....Experience in Care Management + Experience in Managed Care /Insurance Industry/MD Office. + Certified in… more
- Commonwealth Care Alliance (Boston, MA)
- …experience in provider relations, network management, or healthcare operations within a managed care organization, health plan, or integrated delivery system. - ... initiatives that enhance operational engagement, member access, provider satisfaction, and value-based care outcomes, while serving as the primary liaison for… more
- Commonwealth Care Alliance (Boston, MA)
- …role ensures providers are well-informed, engaged, and supported in delivering high-quality, coordinated care in alignment with the health plan's model of care ... ensure alignment on branding, strategy, design, and content + Act as primary liaison with external vendors + Facilitate Communications Team in content creation as… more
- Stony Brook University (Stony Brook, NY)
- …C-Suite Executives + Experience in Care Management + Experience in Managed Care /Insurance Industry/MD Office + Working knowledge of medical terminology + ... and denial notification. Individual will also serve as a liaison between hospital departments to improve department function and...Knowledge of regulatory requirements ie CMS, EMTALA, Managed Care , etc. + Bi-lingual + Experience… more
- Caris Life Sciences (Tempe, AZ)
- …PowerPoint presentations, briefing materials, and executive summaries for Sales, Marketing, Managed Care , and Billing initiatives. + Attend/Travel to select ... senior commercial or C-suite executives. + Experience in Sales, Marketing, or Managed Care environments, preferably within the healthcare or life sciences… more
- The Joint Commission (Oakbrook Terrace, IL)
- …management responsibility and no direct reports. People and other resources are managed indirectly as part of cross-functional team delegation required to complete ... the Joint Commission at speaking engagements and as a liaison to various professional organizations. + Maintains and expands...of quality and safety in the delivery of patient care . + Convenes advisory groups. + Initiates, coordinates, and… more
- Organon & Co. (Dover, DE)
- …and challenges within National, Regional and local payer market including: government programs, managed health care and evolving health care systems. + ... of district to meet budgetary requirements. + Serve as liaison between district, field sales management, and other departments...difference for women, their families and the communities they care for. We have an important portfolio and are… more
- Luke Staffing (El Paso, TX)
- …of experience within the last four years working in a hospital, insurance network, or managed care environment where at least 50% of the time was spent focused ... well enough to effectively communicate with all patients and other health care providers. . **Physical Capability:** Shall be physically capable of standing and/or… more
- Sharp Electronics Corporation (Downers Grove, IL)
- …with the implementation of Service Plans. The Service manager is the liaison between the Sales Team, Solution Architects, End Users, General Contractors, Equipment ... printers, to a proven suite of advanced workflow and managed IT services. **Compensation for this position** The compensation...of financial support tools. + Employee Assistance Plan to care for you and your family's mental and behavioral… more
- Progress Rail Services Corp. (Albertville, AL)
- …to compliance risks and enlist support from the top down; - IT Liaison for import, export and customs operations activities, including discover and implementation ... exporter or service provider, such as a customs broker, consulting or managed service firm; - Hands-on engagement/experience with the USDA, BIS, US Customs,… more
- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have ... Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I Core… more
- Cedars-Sinai (CA)
- …respect to regulatory and contract language for Commercial, Medicare and Medi-Cal managed care . + Acts as a liaison with health plans and current CSHS ... **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program… more
- AdventHealth (Maitland, FL)
- …Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; governmental ... key contract data elements which are populated into the Managed Care database including addition of new...ensures expeditious handling of related issues. + Support and Liaison * Supports and serves as liaison … more
- Elderwood (Amherst, NY)
- …The candidate is the primary liaison between the SNF and the HMO Managed Care Insurance Companies. This includes all types of communication (eFax, email, ... Salary Pay: $18.50 - $23.07 / Hour Overview Managed Care Coordinator Overview The Managed Care Coordinator assists and supports the LPN/RN MDS… 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
- Molina Healthcare (Dayton, OH)
- …integrity and other cost recovery processes + Direct PM experience in Managed Care Operations (claims, system configuration, provider data management preferred) ... and appreciates the member environments we serve + Exposure to all Managed Care industry functional departments **JOB QUALIFICATIONS** **Required Education** +… more
