- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must ... + Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I… more
- Lutheran (West Seneca, NY)
- Medicaid Managed Care Liaison Regular Full-Time West Seneca, NY, US Requisition ID: 1132 Apply GA Family Services is seeking a Medicaid Managed ... for children in foster care . This role coordinates with the Medicaid managed care plans as the liaison for GA and the youth enrolled in the … more
- New Directions Youth and Family Services (Amherst, NY)
- …physicians/Medical Director. 20. Acts as the liaison between youth, parent, New Directions Medicaid Managed Care Liaison , school and other community ... building relationships and helping the young people in our care , instead of being in an office all day....provides health-related services to the youth in our Foster Care and Residential programs may be a good fit… more
- EssilorLuxottica (Mason, OH)
- Manager- Business Data ( Medicaid Reporting) Date: Jun 4, 2024 Brand: EyeMed Vision Care Location: Mason, OH, US, 45040 **Requisition ID:** 816990 **Position:** ... than meets the eye. EyeMed is the fastest growing managed vision benefits company in the country with consistent...the way employers and their employees think about vision care . We want them to see life to the… more
- Elevance Health (Topeka, KS)
- …of 10 years experience, including minimum of 8 years in-depth experience in managed care operations; or any combination of education and experience, which ... ** Medicaid State Operations Director** **Location:** This position will...claims issues, contract configuration issues, etc. + Serves as liaison to Health Plan support services, which could include:… more
- Elevance Health (Columbia, SC)
- …10 years of experience including at least 8 years of in-depth experience in managed care operations is required; or any combination of education and experience, ... **Operations Director - Medicaid ** **Location:** Columbia, South Carolina. This position will...a close coordination between internal departments and an effective liaison role with Health Plan support services. **How you… more
- TEKsystems (Indianapolis, IN)
- …or a related field required. ✓ Requires 3-5 years relevant experience in healthcare or managed care . ✓ Requires knowledge of health care insurance industry ... managed care industry practices. Description: The Managed Care team supports the development and...negotiated contract terms, and improved quality metrics - Follow Medicaid and Medicare laws, regulations, and reimbursement guidelines -… more
- Bristol Myers Squibb (San Diego, CA)
- …related experience (field liaison responsible for market access , worked for managed care organization, corporate or field HEOR, etc.) strongly preferred + ... Makers and Influencers, etc.) within payer organizations and to managed care professionals to ensure access to... accounts, covering all books of business (eg, Commercial, Managed Medicaid , Fee-for-Service, Medicare, PBMs, and Exchange… more
- Next Step Health Care (Woburn, MA)
- …and Insurance Case Managers. + Understanding of various insurance methodologies, including Medicare, Medicaid , and Managed Care insurance. We offer a ... this type of role, preferred. + Experience in healthcare sales, clinical liaison , long-term care nurse or case manager. + Excellent communication skills. + Must… more
- Healthfirst (NY)
- …adherence to Protected Health Information (PHI) at all times. + Assist Intake and Care Teams in confirming Medicaid eligibility upon referral by Enrollment or ... Care Teams. + Document status of Medicaid and entitlement coverage in designated systems. + Prepare/submit...insurance, home care environment, acute, sub-acute, long-term care setting, or managed -long term care… more
- Consulate Health Care (Woodstock, VA)
- …+ Three (3) years' experience in healthcare business development required. + Managed care /insurance experience preferred. + Experience with public and commercial ... | Woodstock, VA, USA | Hourly | Consulate Health Care of Woodstock | Full Time **Looking for qualified... of Woodstock!** We are searching for an **Admissions Liaison / Coordinator** to join our community that is resident,… more
- Commonwealth Care Alliance (Boston, MA)
- …degree preferred or equivalent work experience - 3-5 years of experience - Managed Care experience (preferably Medicare/ Medicaid ). - Experience in health ... liaison between CCA and its providers including primary care practices, specialists, physician organizations, hospitals, ancillary and LTSS providers. Key… more
- CVS Health (Richmond, VA)
- …Outlook, Teams, etc) Preferred Experience: + 2+ years experience working for a managed care organization (MCO). + Experience with supervision of community-based ... in the Southwest Region of Virginia. Standard business hours: Monday-Friday. The BH Clinical Liaison is a clinical leader in the Medicaid plan focusing on… more
- CVS Health (Richmond, VA)
- …The Behavioral Health Clinical Liaison is a clinical leader in the Medicaid plan focusing on integrating member care , clinical coordination, leading the ... the Central Region of Virginia. - Minimum 2+ years experience required working for a managed care organization (MCO). - Minimum 5+ years clinical experience - 5+… more
- Centers for Independence (Kenosha, WI)
- …operations or related experience. Some understanding of long term care , disabilities, Medicaid , managed care and/or Medicare is preferred. A valid ... **Participant Liaison Field Rep** **Job Details** **Job Location** iLIFE...**Job Category** Customer Service **Description** **GENERAL FUNCTIONS** The Participant Liaison Field Rep ensures optimal service is provided to… more
- Humana (Columbus, GA)
- …Region, the next generation of military health contracts. The TRICARE Community Liaison (TCL) is a customer-facing Humana Military associate who is knowledgeable, ... eligibility, enrollment, billing, claims, referrals/authorizations, network operations, access to care , Defense Health Agency/TRICARE Health Plan policy, and other… more
- Humana (Nashville, TN)
- …requires an in-depth evaluation of variable factors. The Senior TRICARE Community Liaison (TCL) is a customer-facing Humana Military associate who is knowledgeable, ... billing, claims, referrals/authorizations, appointment assistance, network operations, access to care , Defense Health Agency/TRICARE Health Plan policy, and other… more
- Humana (Frederick, MD)
- …community and help us put health first** The Senior TRICARE Community Liaison (TCL) is a customer-facing Humana Military associate who is knowledgeable, ... eligibility, enrollment, billing, claims, referrals/authorizations, network operations, access to care , Defense Health Agency/TRICARE Health Plan policy, and other… more
- Centene Corporation (Wichita, KS)
- …an understanding of the services available for the tribal members that opted in for Medicaid managed care . Preference will be given to applicants who (1) ... to the Kansas border. **Position Purpose:** Act as the liaison regarding the delivery of behavioral health services to...or equivalent experience in Behavioral Health, Public Health, Health Care Administration, Social Work or Nursing. 3+ years of… more
- Boehringer Ingelheim (Phoenix, AZ)
- …+ Knowledge of healthcare systems in the US, including managed care organizations,IDNs, PBMs, Medicare, and Medicaid . + Ability to use field-based ... Boehringer Ingelheim's high regard for our employees. The Sr. AD, Medical Science Liaison will manage a regional therapeutic area specific MSL team. The Sr. AD,… more