• Managed Care Representative

    Travelers Insurance Company (Hartford, CT)
    …1 **What Is the Opportunity?** Responsible for the coordination, and implementation, of the workers compensation managed care program for a specific state to ... policyholders and agents with the enrollment process. Responsible for managed care processes including state panel production,... Care Consultant in the managed care compliance activities in accordance with Workers more
    Travelers Insurance Company (06/12/25)
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  • Medical Social Worker

    Ketchikan Indian Community (Ketchikan, AK)
    …+ Knowledge: Familiarity with programmatic and clinical research strategies in managed care settings preferred. Necessary Knowledge, Skills, and Abilities ... General Information Job Title: Medical Social Worker Contact: Human Resources, ### Date Posted: 05/21/2025... (MSW) will, in accordance with the plan of care , assist the medical provider and other team members… more
    Ketchikan Indian Community (05/29/25)
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  • Social Worker - Nephrology Clinic

    Ochsner Health (Gretna, LA)
    …and/or trauma upon the patient and their support system. + Advanced knowledge of managed care and public programs such as those funded by Medicare, Medicaid, ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
    Ochsner Health (05/28/25)
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  • Social Worker , LCSW or LPC - Behavioral…

    Ochsner Health (New Orleans, LA)
    …and/or trauma upon the patient and their support system + Advanced knowledge of managed care and public programs such as those funded by Medicare, Medicaid, ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
    Ochsner Health (04/30/25)
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  • Social Worker LCSW or MSW - Lung Transplant…

    Ochsner Health (New Orleans, LA)
    …and/or trauma upon the patient and their support system + Advanced knowledge of managed care and public programs such as those funded by Medicare, Medicaid, ... in a medical social work field **Certifications** Required -Licensed Clinical Social Worker (LCSW) as verified by the LABSWE and able to engage in… more
    Ochsner Health (06/14/25)
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  • Case Management Representative | Case…

    Houston Methodist (Houston, TX)
    …social worker /case manager of the patients' available benefits through insurance/ managed care provider. Assists in providing community resources/services to ... and case managers, business office/patient access, etc. on insurance/ managed care benefits + Supports and assists...patient's plan of care and confers with care coordinators and social workers to prioritize… more
    Houston Methodist (05/15/25)
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  • Care Management Representative

    Saratoga Hospital (Saratoga Springs, NY)
    …available in the community and requirements of government payers and managed care organizations. Provides appropriate linkages, referral coordination, and ... Practice Groups under the guidance of the Director of Care Management. The Care Management Representative...have assistance with other team members such as social workers on dual plans and nursing facility placements. II.… more
    Saratoga Hospital (06/11/25)
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  • Pre-Arrival Representative , Senior

    UPMC (Pittsburgh, PA)
    …their clinical care plan with their financial plan. The Pre-Arrival Representative Senior aids and supports co- workers , welcomes new team members, assists ... Competent in MS Office/PC skills. + Knowledge of insurance payers and regulations, managed care contracts and coordination of benefits is required. **Licensure,… more
    UPMC (06/14/25)
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  • Sales Representative II, Pain Interventions

    Medtronic (Atlanta, GA)
    …in business planning/consulting and territory financial analysis; preferred knowledge of managed care + Experience / knowledge of Physiology/clinical therapies ... more connected, compassionate world. **A Day in the Life** At Medtronic, the Sales Representative II, Pain Interventions is a Senior level role that is considered a… more
    Medtronic (06/07/25)
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  • Sales Representative II, Pain Interventions…

    Medtronic (El Paso, TX)
    …in business planning/consulting and territory financial analysis; preferred knowledge of managed care + Experience / knowledge of Physiology/clinical therapies ... more connected, compassionate world. **A Day in the Life** At Medtronic, the Sales Representative II, Pain Interventions is a Senior level role that is considered a… more
    Medtronic (06/10/25)
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  • Sales Representative II, Pain Therapies

    Medtronic (San Francisco, CA)
    …in business planning/consulting and territory financial analysis; preferred knowledge of managed care * Experience / knowledge of Physiology/clinical therapies ... world. **A Day in the Life** The Medtronic Sales Representative II, Pain Therapies will manage territory base business...accounts - Neurology, Physiatrist, Oncology, Internal Medicine, or Primary Care Physician/GP * Minimum of 1 year referral and… more
    Medtronic (06/10/25)
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  • Network Representative

    ChenMed (Louisville, KY)
    …require travel within the market + Prior experience working in a Medicare Managed Care environment preferred We're ChenMed and we're transforming healthcare for ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...need great people to join our team. The Network Representative is responsible for the establishment of a Coordinated… more
    ChenMed (04/19/25)
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  • Clinical Business Operations Representative

    University of Miami (Miami, FL)
    …calls, efficient management of patients, and the acquisition of necessary patient care and records. The Clinical Business Operations Representative 3 assists ... an exciting opportunity for a Full-Time Clinical Business Operations Representative 3 to work in Miami. The Clinical Business...prompt resolution of problems related to pre and post care that arise in daily clinical operations. The incumbent… more
    University of Miami (05/27/25)
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  • Sr Patient Access Center Representative

    Houston Methodist (Katy, TX)
    …and navigating several applications and websites related to registration simultaneously + Managed care knowledge with the ability to differentiate between ... At Houston Methodist, the Senior Patient Access Center Representative position is responsible for assuring that patients referred between employed and aligned… more
    Houston Methodist (05/30/25)
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  • Accounts Receivable Representative

    Ellis Medicine (Schenectady, NY)
    …Soarian systems and Allscripts electronic health records preferred. + Must understand managed care concepts and healthcare regulations. + Excellent communication ... The Accounts Receivable Representative will be responsible for achieving accurate and...patient and family financial issues (ie Medicaid Program, Uncompensated Care ). + Facilitates in gathering accurate patient billing information.… more
    Ellis Medicine (06/03/25)
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  • Patient Access Center Representative

    Houston Methodist (Houston, TX)
    …and navigating several applications and websites related to registration simultaneously + Managed care knowledge with the ability to differentiate between ... At Houston Methodist, the Patient Access Center Representative position is responsible for assuring that patients...thinking skills and healthcare knowledge to manage through primary care and specialty care scheduling processes. Utilizes… more
    Houston Methodist (06/02/25)
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  • Patient Registration Representative II…

    Trinity Health (Silver Spring, MD)
    …case management and financial counseling staff when appropriate. Completes all managed care notification requirements. Maintains patient confidentiality and ... and outpatients prior to or during the registration process. Patient Registration Representative I's will minimize the financial risk of providing services by… more
    Trinity Health (06/13/25)
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  • Sr Account Representative - Tax Services

    UKG (Ultimate Kronos Group) (Weston, FL)
    …seeking a dynamic, customer-focused individual to join our team as a Sr. Account Representative . In this role, you will support an assigned dedicated account base of ... Enterprise Customer team. You will be responsible for providing high-touch care , customer education, and support for assigned customers, including responding to… more
    UKG (Ultimate Kronos Group) (04/29/25)
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  • Patient Service Representative

    Robert Half Office Team (Miami, FL)
    …scanning documents into patient charts. + Carry out Medicaid and other managed care duties, including verification, eligibility screening, enrollment, and ... Description We are currently recruiting a Bilingual Patient Services Representative on behalf of our client, through Robert Half. This is an excellent opportunity… more
    Robert Half Office Team (06/05/25)
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