- Neighborhood Health Plan of Rhode Island (Smithfield, RI)
- …field in lieu of a degree Minimum of five (5) years' experience with a managed care organization or a health care related organization (HMO; ... Category Professional / Experienced Description The Policy and Claims Research Specialist is responsible for supporting the Payment Integrity initiatives and… more
- UnitedHealth Group (San Antonio, TX)
- …standards of care , preventative health, and Star measures Experience in managed care working with network and provider relations Financial analytical ... team in San Antonio, TX. Optum is a clinician-led care organization that is changing the way clinicians work...working within a matrix relationship which includes Quality corporate operations and Regional/Market operations Assist in developing… more
- HCA Healthcare (Campbell, CA)
- …and integrity. We care like family! Jump-start your career as a Managed Care Quality Improvement Specialist today with HCA Healthcare. **Benefits** ... **_Note: Eligibility for benefits may vary by location._** Come join our team as a Managed Care Quality Improvement Specialist . We care for our… more
- MSC Industrial Supply Co. (Eau Claire, WI)
- …Eau Claire, WI and surrounding area **BRIEF POSITION SUMMARY:** The- _Vendor Managed Inventory (VMI) Specialist -_ ensures customer satisfaction through solutions ... North American distributor of metalworking and maintenance, repair, and operations (MRO), products and services. We offer more than...MSC customer solutions and sales associates through execution of CARE program.? + CARE is defined as… more
- JPMorgan Chase (Jersey City, NJ)
- …investment experience and insight that few other firms can match. As an Onboarding Specialist on the Customized Managed Account Solutions (CMAS) team you will ... management spaces + Prior experience in project management, client service, and/or operations + Expertise with Excel (eg, using pivot tables, formulas, etc.) and… more
- Access Dubuque (Dubuque, IA)
- Enrollment Database & Operations Specialist **Loras College** 1 Positions ID: 9.10.25 Posted On 09/10/2025 **Job Overview** **POSITION SUMMARY** The Enrollment ... Database Specialist is responsible for the day-to-day operations ...Success & Account Manager Managed Solutions Group Managed Network Services Specialist Managed … more
- Huron Consulting Group (Van Buren, AR)
- …and drive physician, patient and employee engagement across the enterprise. The Huron Managed Services Coding Operations Director oversees a portfolio of clients ... Resource Management, Culture, Staff Engagement, Training and Solution Development. The Huron Managed Services Coding Operations Director leads the operations … more
- LA Care Health Plan (Los Angeles, CA)
- Enhanced Care Management Clinical Specialist II Job...care professionals in a hospital, medical group or managed care setting, such as a health ... required to achieve that purpose. Job Summary The Enhanced Care Management (ECM) Clinical Specialist II is...with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed … more
- LA Care Health Plan (Los Angeles, CA)
- …recording, and braille projects in a language service provider setting or its equivalent. Managed care /health care experience including working in a health ... management system, translation memory, machine/AI translation, etc.). Knowledge of managed care language assistance regulations. Licenses/Certifications Required… more
- ASM Global (Dayton, OH)
- … public assembly facilities, has an excellent and immediate opening for an Operations Facility Specialist . Under general supervision, performs work as needed to ... meeting rooms including a 750 seat, full stage theater. Managed by ASM Global and owned and developed by...equipment. + Perform various duties to ensure the day-to-day operations of the facility are met. These include but… more
- Ventura County (Ventura, CA)
- …with the compliance office. Experienced in leading and training staff on Managed Care , Medicaid, Medi-Cal, Medicare, and Commercial Insurance, they ensure ... billing and supervises or conducts training on the specific areas of Managed Care /Medicaid/Medi-Cal/Medicare and/or Commercial Insurance; + Works with the… more
- Stony Brook University (Stony Brook, NY)
- …: Professional Clinical **Primary Location** : US-NY-Stony Brook **Department/Hiring Area:** : Managed Care **Schedule** : Full-time **Shift** : Day Shift ... Care Manager - Readmission Specialist **_Position...to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital… more
- Option Care Health (Dallas, TX)
- …for overseeing repairs, maintenance, and operations for Option Care Health's licensed pharmacies. Facilities Technical Specialist will proactively ... across the national Option Care portfolio and thus limit patient care risk. Facilities Technical Specialist will ensure that reactive maintenance issues… more
- RTX Corporation (Wilson, NC)
- …None/Not Required Kidde Fire Protection is currently seeking an experienced operations finance and accounting lead to join our Accounting & Controllership ... and government markets. We are seeking a dedicated and experienced Manufacturing FP&A, Operations Finance professional to join our team. In this role, you will… more
- LA Care Health Plan (Los Angeles, CA)
- …environment required. Previous experience with Medi-Cal and Medicare in a managed care environment. Preferred: Tableau experience. Skills Required: Advanced ... Customer Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- Stony Brook University (East Setauket, NY)
- …Care Hospital Revenue Cycle or Patient Accounting Department resolving hospital Managed Care payment variances and/or denials. **Job Responsibilities may ... Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the...staff regarding departmental and unit policy and procedure, including: Managed Care Contracts. + Monitors work queues… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …and ascertains regulatory changes, legislative efforts, and /or industry trends specific to Managed Care operations and keeps Management Team informed of ... Specialist 's primary function is to ensure the Managed Care business unit is meeting compliance...skills are essential Strong knowledge of relevant regulations for managed care operations for both… more
- HCA Healthcare (Nashville, TN)
- …status. + Works to ensure that patient treatment is reimbursed by contacting managed care organizations and completing initial utilization review. Documents in ... for life - and empowers their passion for patient care . Apply today for our Assessment Specialist ...skills necessary to advocate for patients in regard to managed care organizations + Conducts utilization review… more
- New York State Civil Service (Newark, NY)
- …People With Developmental Disabilities, Office for Title Trades Specialist (Electrician) Occupational Category Skilled Craft, Apprenticeship, Maintenance Salary ... Maple Ave. City Newark State NY Zip Code 14513 Duties Description Trades Specialist Electrician will perform a variety of skilled electrical repairs, installation of… more
- UNC Health Care (Chapel Hill, NC)
- …of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care ; except that, if you are currently a UNCHCS ... (CDS) across all HCS entities that are owned or managed that have opted into shared services. This position...patient safety indicators, hierarchical condition categories and complexity of care rendered to all patients. Educates on proper creation… more
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