- National Health Care Associates (Bristol, CT)
- …responsibilities + Thorough knowledge of Medicare, Medicaid, Pending, Applied Income, and Managed Care reimbursement regulations + Ability to manage multiple ... and appreciated. We invite you to join our team! **-** Business Office Manager for Long Term Care . **What You'll Do:** As a Business Office Manager , you are… more
- Cardinal Health (Hartford, CT)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- CVS Health (Hartford, CT)
- …with heart, each and every day. **Position Summary** Join our team as an IT Managed Services Operations Manager , where you'll serve as the Managed Services ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Hartford, CT)
- …License * Certified Case Manager (CCM) * Case Management experience * Managed Care experience * Telephonic case management and/or telephonic customer service ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...heart, each and every day. **Position Summary** This Case Manager RN position is 100% remote, and the employee… more
- Deloitte (Hartford, CT)
- ServiceNow Senior Manager - Consulting Managed Services Enterprise Operations as a Service provides multi-year managed service contracts to support ... is where ambition meets opportunity. As a Deloitte Senior Manager , you will have the opportunity to lead and...experience in either: Consumer, Financial Services, Life Sciences Health Care , Technology Media and Telecom, Energy Resources and… 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
- Elevance Health (Wallingford, CT)
- **Senior Health Economist - Managed Care ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... Health family of brands, offering clinical programs and primary care options for seniors. We are a team of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… 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
- 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
- Baystate Health (Springfield, MA)
- …employees. Minimum - Midpoint - Maximum $87,859.00 - $100,984.00 - $119,412.00 **RN, ACO Nurse Care Manager , Community Health Center** The **ACO Nurse Care ... Manager i** s responsible for the management of care for a defined group of patients including complex...closely with patients, physicians and their office staffs and managed care plans. Strong organizational and prioritization… 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
- Highmark Health (Hartford, CT)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Humana (Hartford, CT)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
- Molina Healthcare (Hampden, MA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- CDM Smith (Hartford, 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
- Hartford HealthCare (Farmington, CT)
- …collaborate with Finance leadership in defining opportunities for revenue optimization through managed care contracting to ensure that we capture all available ... registration, health insurance practices and benefit design, billing, accounts receivable, managed care contractual terms and requirements, industry regulatory… more
- The Cigna Group (Hartford, 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
- CVS Health (Hartford, CT)
- …providing well-rounded perspective on strategic marketing initiatives. Familiarity with Medicaid managed care plans preferred. + **Marketing Tenure:** 3+ years ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- The Cigna Group (Bloomfield, CT)
- …with 10+ years of analytics experience + 5-7+ years of experience in managed care , clinical quality, healthcare analytics, or performing analytical research in ... **Job Profile Summary:** The Business Analytics Sr. Manager oversees a team of analytics professionals focused on clinical quality measurement and insights. Works in… more
- Hartford HealthCare (Hartford, CT)
- …unparalleled network of coordinated services- all under one roof. Our system of care includes a truly integrated team with the most talented, experienced, and ... backed by the latest cutting-edge technology. The Cancer Community Outreach Manager is responsible for managing system-wide community programs such as the… more
