- Cardinal Health (Jackson, MS)
- …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
- Hilton (Jackson, MS)
- …franchised Hilton hotels world\-class revenue management talent and tools\. As a Revenue Manager , RMCC, Managed , you will support the team that's helping hotels ... grow market share and outperform competitors\. On the Managed team reporting to the Assistant Director, you will...savings account, an employee assistance program, access to a care coordination program \("Wellthy"\), a legal services program, an… more
- Indeed (Jackson, MS)
- …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
- Humana (Jackson, MS)
- …+ BSN or MSN degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see ... part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members'… more
- Diversicare Healthcare Services & Diversicare Ther (Jackson, MS)
- …qualified referral sources **OTHER JOB DEMANDS:** + Knowledge and experience with Managed Care , Medicare, state specific Medicaid regulations and electronic ... as required by state of practice + Experience in the long term care industry or managed care organizations, preferred + Experience with Humana / Case… more
- Molina Healthcare (Jackson, MS)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care environment. * 3+ years ... Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts including but not… more
- CDM Smith (Southaven, MS)
- …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 (MS)
- …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 (Jackson, MS)
- 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
- Molina Healthcare (Jackson, MS)
- …At least 7 years experience in health care , and at least 3 years of managed care experienced in one or more of the following areas: utilization management, ... care team (ICT) meetings. * Functions as hands-on manager responsible for supervision and coordination of daily integrated...and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care … more
- CVS Health (MS)
- …executing national, regional, or market level strategies. + In-depth knowledge of the managed care industry and practices, as well as a strong understanding ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Lumen (Jackson, MS)
- …connect the world and shape the future. **The Role** The Lead Project Manager will be aligned to our Enterprise Operations organization and will be responsible ... systems, ordering, inventory, transition/implementation performance reporting, budgeting/forecasting, training, customer care , operations, program management plans, change management plans, resource… more
- Sprinklr (MS)
- …the Fortune 100. **Job Description** Sprinklr is seeking a Professional Services Engagement Manager to join the AMER team. They will work with Customers directly as ... as a trusted advisor for Sprinklr services solutions, including implementation, managed services, training and support offerings. As an expert in Sprinklr's… more
- Cardinal Health (Jackson, MS)
- …long and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial medical and pharmacy plans while ... (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy… more
- Molina Healthcare (MS)
- …or social work. **Required Experience** + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Knowledge of ... **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health...+ Advanced Practice Social Worker (APSW) + Certified Case Manager (CCM) + Certified in Health Education and Promotion… more
- The Cigna Group (Jackson, MS)
- …experience in Underwriting, Operations or Proven sales track record. + Experience in managed care sales. + Highly motivated with excellent organizational skills. ... health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the… more
- Western Digital (Jackson, MS)
- …years** in legal business consulting, legal technology innovation, or legal managed services * Strong technical program management with large-scale legal operations ... mental disability, medical condition, genetic information, protected medical and family care leave, Civil Air Patrol status, military and veteran status, or… more
- Mass Markets (MS)
- …applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, ... Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal &… more
- Mass Markets (MS)
- …applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, ... Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal &… more
- Highmark Health (Jackson, MS)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... + 1 year in a clinical setting **Preferred** + 5 years in UM/CM/QA/ Managed Care + 1 year in advanced training and experience in cognitive behavioral therapy… more