- Novo Nordisk Inc. (Plainsboro, NJ)
- …for a living. Are you ready to make a difference? The Position The Manager - Technical Complaints Call Center Oversight is responsible for overseeing the initial ... a positive patient experience and ensure technical complaints are managed with internal timelines, compliance and regulatory requirements. Relationships Reports… more
- Legend Biotech USA, Inc. (Raritan, NJ)
- …myeloma.Legend Biotech is seeking a Strategic Initiatives & Capacity Expansion Project Manager as part of the Technical Operations team based in Raritan, NJ. ... for management and delivery of the integrated project and program plans, ensuring alignment in support of the overall...deliverables and ensures that quality, risk, cost, time are managed within the overall approved plan to drive delivery… more
- Molina Healthcare (Carson City, NV)
- …+ At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, or ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- Molina Healthcare (Sterling Heights, MI)
- …+ At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- Dignity Health (Bakersfield, CA)
- …Summary and Responsibilities** This role is the key clinical leader for Managed Care Services within the Population Health Services Organization, responsible ... requires a physician leader with a strong understanding of managed care operations, who can collaborate effectively...of five years (5) of direct management / people manager experience in health care . + Medical… more
- Amazon (Seattle, WA)
- …technology development teams to meet daily business requirements? We are looking for an Sr. Program Manager with a strong delivery record and deep program ... could be a great position for you. The Sr. Program Manager combines high-level program ...an environment that celebrates knowledge sharing and mentorship. We care about your career growth and strive to assign… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- Elevance Health (Winston Salem, NC)
- ** Managed Care Pharmacy Resident** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, ... new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . The ** Managed Care Pharmacy Resident** will be… more
- Elevance Health (Woodbridge, VA)
- ** Managed Care Coordinator** **Location:** The candidate should be located in Spotsylvania or Fredericksburg, VA. **Field** : This field-based role enables ... for employment, unless an accommodation is granted as required by law._ The ** Managed Care Coordinator** is responsible for overall management of member's… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street ... common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for… more
- Novant Health (NC)
- …degree, required. Graduate Degree, preferred. Minimum of three years of experience in Managed care contracting, operations, or Government payors (ie, Mcr, Mcd). ... Intelligence manages a unified payor dataset to develop population-level and program -specific performance insights and creates negotiation analytics and strategy for… more
- Bishop McCarthy Center (Vineland, NJ)
- Employee Heath/ Managed Care / Infection Control Registered Nurse has oversight over functions of the employee health program which include pre employment ... related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to insurnace companies… more
- CVS Health (Trenton, NJ)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... each and every day. **Position Summary** The **Housing Services Specialist** **- Managed Long-Term Services and Supports** is a full-time position, solely dedicated… more
- US Tech Solutions (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). ... and to coordinate with team, providers, and patient representatives regarding patient care . + Skill sets/qualities: Same as required skills listed in job… more
- US Tech Solutions (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). ... clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive… more
- JPMorgan Chase (New York, NY)
- **Our Team** As a part of Investment Solutions, the Managed Product Group serves as subject matter experts and is responsible for product management of traditional ... investments, including mutual funds, Exchanged Traded Funds (ETFs), and Separately Managed Accounts (SMAs) offered through the Private Bank, Chase Wealth Management,… more
- Guidehouse (San Antonio, TX)
- …adherence to company/client standards and communicate issues of non-compliance to Operations Manager + Monitor specialist performance to ensure they meet or exceed ... improvement for specialists, including development of and updates to program resources and providing individual coaching, feedback, and monthly performance… more
- LEES MARKETPLACE (Vineyard, UT)
- …with, and assist customers with use of, Lee's Marketplace website and rewards program . **Product Handling:** + Bag groceries with care , following proper bagging ... + Uses POS and register system only when directed by the Frontend Manager /Supervisor. **Team Collaboration:** + Work cooperatively with team members to achieve store… more
- LEES MARKETPLACE (Vineyard, UT)
- …with, and assist customers with use of, Lee's Marketplace website and rewards program . **Product Handling:** + Proactively watching for the quality of all items ... items as needed prior to completing the transaction. + Bag groceries with care , following proper bagging procedures to prevent damage and ensure food safety +… more
- Commonwealth Care Alliance (Boston, MA)
- …mission and supporting high-quality, coordinated care for members. In this role, the Program Manager acts as an account manager , relationship manager ... of quality care . The BH Provider Engagement Program Manager reports to the Director of...Desired Experience (nice to have): * Experience working with managed care organizations, value-based programs, or community-based… more
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