- iCare Health Solutions Enterprise (Miami, FL)
- …NextGen Contract Utility, supporting both traditional fee-for-service (FFS) reimbursement and managed care models, including capitated, global payment, and ... ensure seamless implementation of negotiated agreements Act as the liaison between Managed Care , Revenue Cycle, IT, and Clinical Operations for contract-related… more
- Thomas Jefferson University Hospitals, Inc. (Philadelphia, PA)
- … care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage ... performance issues. Leads evaluation and selection of new and replacement systems, configuration of new systems, and systems integrations. Acquires and cleans data… more
- Molina Healthcare (Long Beach, CA)
- …in claims payment accuracy and claims service recovery resolutions 6+ years managed care experience (preferably in Payer Claims environment) Demonstrates ... applicable to job-related subject areas to include Provider Data, Claims Configuration , Claims Adjudication and Encounters. Preferred Education Bachelor's Degree or… more
- Magellan Health, Inc. (Frisco, TX)
- …format to include 837, 999 and 277 files. Professional experience in the managed care , healthcare, Medicaid or other health insurance industries. Experience in ... 5+ years of experience in analysis. Related professional experience in the managed care , healthcare, or insurance industries. Analytical/problem solving skills,… more
- The Computer Merchant Ltd (Boston, MA)
- …business considerations. Benefits offered include medical, dental and vision benefits ; dependent care flexible spending account; 401(k) plan; voluntary ... our architecture to support new and more robust Front, Middle and Back Office managed data services - allowing our clients to focus on generating revenue for their… more
- Raytheon Technologies (Seminole, FL)
- …for a security clearance Security Clearance: DoD Clearance: Secret Raytheon Company, Managed By Collins Aerospace. Collins Aerospace, an RTX company, is a leader ... Develop production test strategies and perform test coverage analysis Support of configuration control and membership on Configuration Control Board (CCB) Lead… more
- Raytheon Technologies (Marlborough, MA)
- …information under this program/contract. Security Clearance: None/Not Required Raytheon Company, Managed by Collins Aerospace Collins Aerospace, an RTX company, is a ... software development environment Experience in a Linux environment Experience with configuration management tools (Git/Bitbucket) Prior experience working in a lab… more
- Phaxis (Bronx, NY)
- …Experience: - Eight or more years of insurance experience within a healthcare or managed care setting (preferred) - Claims adjudication experience - Knowledge of ... MLTC/ Medicaid/Medicaid benefit - Knowledge of Member (Subscriber) enrollment & billing - Knowledge of Utilization Authorizations - Knowledge of Provider Contracting… more
- Flik Hospitality Group (Tampa, FL)
- …room maintenance, and security of all audiovisual equipment and facilities in the managed /event space and acts as a liaison between the Pfizer client and the ... Must be able to distinguish between color patterns while converging/aligning/ configuration of video projectors and monitors. Maintaining equipment and inventory.… more
- ITC Worldwide (Port Arthur, TX)
- …II, MSP Role: Account Executive - IT ( MSP ) Account Executive - for managed IT service provider seeking an experienced Account Executive with a hunter mentality to ... take control of your earning potential. UNCAPPED COMMISSION OPPORTUNITY + Base + Benefits The ideal candidate will have a deep understanding of IT services,… more
- Palo Alto Networks (Santa Clara, CA)
- …required Expertise in public cloud, GCP and AWS both preferred Expertise in configuration management with a framework such as Terraform, Helm Experience in Site ... and verbal communication, able to collaborate and rally support Self-disciplined, self- managed , self-motivated and strong sense of ownership, urgency, and drive… more
- Palo Alto Networks (Santa Clara, CA)
- …or equivalent professional experience or equivalent military experience Expertise in configuration management with a framework such as Ansible, Terraform, Helm, ... and verbal communication, able to collaborate and rally support Self-disciplined, self- managed , self-motivated, and strong sense of ownership, urgency, and drive… more
- Raytheon Technologies (Cedar Rapids, IA)
- …solution and verify test results are accurate, repeatable, and reliable. Manage configuration for hardware and all related documentation. 5-10% domestic travel as ... Master's degree in Electrical Engineering. What We Offer : Benefits Some of our competitive benefits package...Ovia Health, fertility, and family planning Adoption Assistance Autism Benefit Employee Assistance Plan, including up to 10 free… more
- Dignity Health (Bakersfield, CA)
- …information. Responsibilities may include: - Develop all hierarchy levels in managed care platform for customer setups and configuration - Review and verify ... and adhere to all Policies and Procedures for the benefit workflow within the managed care...questions **Qualifications** **Minimum Qualifications:** - 3+ years experience with benefits configuration , set up, or implementation -… more
- Molina Healthcare (Provo, UT)
- …adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either ... + Utilize QNXT to research claims history, provider contract setup, and benefits configuration . + Work cross-functionally with Configuration , Claims,… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …compliance and oversight of Medicare Part D laws, regulations and reporting requirements, benefit configuration and benefit transition process, and drug ... reviews and coding to be submitted to the Pharmacy Benefit Manager, New Contract Year formulary evaluation, and rebate...activities as assigned by the Pharmacy Director Qualifications: + Managed Care experience preferred, but not required… more
- Elevance Health (Cincinnati, OH)
- …**Minimum Requirements:** + Requires BA/BS in Pharmacy. + Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; ... Health family of companies providing unparalleled level of service in pharmacy benefits . By leveraging the power of new technologies, our strong, clinical-first lens… more
- Sprinklr (WA)
- …Learn more about our culture here: The Sprinklr Way. **Job Description** **Meet Our Managed Services Team!** Our Managed Services Team at Sprinklr drives product ... our team to reach their full potential. **Consultant Roles We Hire For:** Our Managed Services Team commonly hires for three Consultant roles: + ** Managed … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …At Emory Healthcare we fuel your professional journey with better benefits , valuable resources, ongoing mentorship and leadership programs for all types ... you want to be. We provide: + Comprehensive health benefits that start day 1 + Student Loan Repayment...Contract Modeling, Implementation, and Validation: + Responsible for the configuration and build of payor contract models within StrataJazz… more
- Amazon (Seattle, WA)
- …innovative solutions for managing complex large scale deployments including configuration , service migration, dependency detection and management and more. As ... employees in over 190 chapters globally. We have innovative benefit offerings, and host annual and ongoing learning experiences,...one-on-one mentoring and thorough, but kind, code reviews. We care about your career growth and strive to assign… more
