- Cardinal Health (Hartford, CT)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...other activity as it relates to payer interaction. The Manager of Payor Contracting is responsible for reviewing, auditing… 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
- Indeed (Stamford, CT)
- …policy, and many region-specific benefits. **Benefits - Health, Work/Life Harmony, & Wellbeing** We care about what you care about. We have a multitude of ... benefits to support Indeedians, as well as their pets, kids, and partners including medical, dental, vision, disability and life insurance. Indeedians are able to enroll in our company's 401k plan, as well as an equity-based incentive program. Indeedians will… more
- The Cigna Group (Bloomfield, CT)
- …making + Experience in medical management, case management, and/or utilization management in a managed care setting is highly desirable + Knowledge of managed ... per year to maintain clinical expertise. + The Case Manager interacts with Care Associates, benefit specialists, Cigna Coverage Review Department (CCRD), Accredo… more
- Eastern Connecticut Health Network (Manchester, CT)
- POSITION SUMMARY: The Care Manager provides a link between provider and payer organizations, physicians and the community in the transition of patient care ... at the other hospital as needed. Reports to the Manager of Care Management. EDUCATION/CERTIFICATION + Graduate...participates in process improvement. + Provides clinical information to managed care companies in a timely manner,… more
- National Health Care Associates (Ridgefield, CT)
- …be experienced in skilled nursing business office management including: + Medicaid, Medicare and Managed Care Billing + Revenue Cycle Management in the areas of ... responsibilities + Thorough knowledge of Medicare, Medicaid, Pending, Applied Income, and Managed Care reimbursement regulations + Ability to manage multiple… more
- Athena Health Care Systems (Middletown, CT)
- …All individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow federal and state ... hiring overnight RN Unit Managers to join our dynamic care team at Wadsworth Glen Health Care ...you to grow within the company. As the Unit Manager , you are responsible for the 24-hour coordination and… more
- CenterWell (Hartford, CT)
- …+ Experience with case management, discharge planning and patient education for adult acute care + Managed care experience + Home Health Care ... Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a work-from-home… more
- Elevance Health (Rocky Hill, CT)
- **Behavioral Health Care Manager II** A proud member of the Elevance Health family of companies, **Carelon Behavioral Health** , offers superior clinical mental ... (two to three times per month).** The **Behavioral Health Care Manager II** is responsible for managing...experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. Please be advised… more
- Elevance Health (Rocky Hill, CT)
- **JR168947 Behavioral Health Care Manager II** Responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient ... professional treatment health benefits through telephonic or written review. The BH Care Manager (UM) job progression is primarily a provider facing role… more
- Athena Health Care Systems (New Haven, CT)
- …nurtured to allow you to grow within the company. As an RN Hospice Case Manager , you plan, organize, and direct hospice care . The professional nurse builds from ... facilitates the patient's efforts toward self-sufficiency and optional comfort care . + Acts as Case Manager when...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow… more
- National Health Care Associates (Naugatuck, CT)
- …responsibilities + Thorough knowledge of Medicare, Medicaid, Pending, Applied Income, and Managed Care reimbursement regulations + Ability to manage multiple ... **-** **A Great Place to Work** **National Health Care Associates is proud to welcome the Beacon...Account + Other duties as directed by Business Office Manager Our candidate should be a team player to… more
- J&J Family of Companies (Hartford, CT)
- …to address critical access and affordability issues for patients. + Partner with managed care colleagues to understand current policies and potential future ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in… more
- Elevance Health (Wallingford, CT)
- …in acute care setting. + Minimum 2 years "telephonic" Case Management experience with a Managed Care Company. + Managed Care experience. + MA RN ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management...Nurse Case Manager II** is responsible for care management within the scope of licensure for members… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …administration; + principles of mental health treatment and program design; + managed care system principles and practices; + clinical treatment methodologies ... Behavioral Health Program Manager Office/On-Site Recruitment # 251008-1450MP-001 Location Middletown, CT...Introduction Do you have experience in business or health care administration or program development involving responsibility for financial… more
- CDM Smith (Stamford, CT)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- Healthfirst (CT)
- …Qualifications:** + **Masters degree in a related discipline** + **Experience in managed care , case management, identifying alternative care options, ... York State Department of Health (NYSDOH) regulations governing medical management in managed care ** + **Relevant clinical work experience** + **Intermediate… more
- CAI (Hartford, CT)
- Case Manager , RN **Req number:** R6346 **Employment type:** Full...+ Minimum of 3 years of experience in Acute Care , Managed Care , or experience ... **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next...critical role in holistic assessment, planning, coordination, and monitoring care to optimize member health outcomes while advocating for… more
- Amgen (New Haven, CT)
- …stakeholders on disease state awareness and product information to support optimal patient care . As a SAM, you will drive product utilization while identifying and ... strong relationships with a range of stakeholders across the patient care ecosystem-including physicians, nurses, office staff, case managers, infusion centers, and… more
- The Cigna Group (Bloomfield, CT)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and ... relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… more