- Cambia Health Solutions, Inc (Renton, WA)
- …the following areas: population health management, Provider contracting and reimbursement, managed care , healthcare delivery, risk adjustment, StarsOr equivalent ... Provider Performance Director , Medicare Advantage (HEALTHCARE)Telecommute or Tele-Flex Options (Depending on location) - Must reside in ID, OR, UT or WAWHO WE… more
- Option Care Health (Albany, NY)
- …Experience RequirementsBachelor's degreeFive (5) or more years of experience within the managed care space Basic Qualifications Strong relationships with Key ... infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services… more
- Jazz Pharmaceuticals (Raleigh, NC)
- …data to both internal and external customers, including opinion leaders and managed care organizationsKnowledge of geography and key opinion leaders ... and R&D partners, medical opinion leaders, academic institutions, large group practices, managed care organizations, medical directors and pharmacy directors in… more
- Universal Health Services (Denison, TX)
- …Washington, DC, Puerto Rico and the United Kingdom. UHS is currently searching for a Director of Managed Care for our acute locations. The position could ... care access points, an insurance offering, a physician network and various related services located all over the...local and corporate Decision Support staff and the Regional Director , Managed Care . + Lead… more
- Hartford HealthCare (Wethersfield, CT)
- …or inexperienced members. *_Working Relationships_* . *Job Title of Individual(s) Reports To:* Sr Director of Managed Care Payer Relations** . *# Workers ... you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office...other common practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a… more
- Elderwood (Buffalo, NY)
- …time Medical Billing Specialist to join our team. Medical Billing Specialist (Medicare/ Managed Care ) Position Overview: + Elderwood Administrative Services is ... in 1978, Elderwood has grown to become the largest network of rehabilitation, skilled nursing, assisted living and independent...Specialist to join our growing team! + Responsible for Managed Care and Insurance electronic claim submission… more
- 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 have ... requirements + The unique complex needs of the foster care population + Medicaid Managed Care...placed outside of the MMCP's service area or provider network Interact with clinical and billing staff Refer children… more
- Hawaii Pacific Health (Honolulu, HI)
- **Job Description** Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, ... The department also performs additional services in collaboration with the managed care services department including referral management, patient steerage,… more
- Humana (Columbus, OH)
- …**Required Qualifications** + 5 or more years of business and operational experience within managed care + Strong data analysis skills + Advanced in SQL, SAS ... community and help us put health first** The Associate Director , Network Adequacy tests the overall ...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Fallon Health (Worcester, MA)
- …a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon ... Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top health plans for member experience, service, and clinical… more
- J&J Family of Companies (St. Paul, MN)
- Associate Director , Field Reimbursement Oncology- Network Accounts- Central District - 2406165015W **Description** **Associate Director , Field Reimbursement ... an Associate Director , Field Reimbursement Oncology for the Associate Director , Field Reimbursement Oncology- Network Accounts- Central District which… more
- …therapeutic & bed hold logs. + Obtain authorization single case agreement for all Managed Care patients. + Provide notification to Nursing Home Leadership Team ... Casa Promesa Admission Director Bronx, NY : 1/18/2024 Job Description Job...and follow up with Utilization Management team at the Managed Care Plan for status. + Attend… more
- CVS Health (Columbus, OH)
- …Person must reside within Ohio or Kentucky. + 10+ years of experience in managed care ; leading and managing teams. + Comprehensive understanding of hospital and ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...opportunity to join its leadership team as an Executive Director , Network Management supporting our Ohio and… more
- CVS Health (New York, NY)
- …reside (or relocate) to the Tri-State area. + 10+ years of experience in managed care ; leading and managing teams. + Comprehensive understanding of hospital and ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...opportunity to join its leadership team as an Executive Director , Network Management in the Downstate NY… more
- Acacia Network (Albany, NY)
- …legal/regulatory, administrative, policy, protocols, and other clinical issues, especially within a managed care environment, required. + One (1) year previous ... services, direction and coordination in the provision of medical care and physician services. The Medical Director ...medical care and physician services. The Medical Director is the liaison between administration and the medical… more
- Trinity Health (Fort Lauderdale, FL)
- …Health Network Board of Managers.** **Works collaboratively with finance and managed care leadership to design, negotiate and monitor payment arrangements ... reside in the South Florida area **Develops partnerships with ACO/CIN leaders and network providers to support care redesign, performance improvement and a… more
- Acacia Network (Bronx, NY)
- Acacia Network Inc. Program Director Bronx, Manhattan, Brooklyn and Queens, : 12/6/2023 Job Description Job ID#: 3678 Job Category: Acacia Network Inc. ... supervision of the Assistant Vice President, theProgram Directorensures quality care and oversees the functions of the shelters according...facility + Report all incidents that may subject Acacia Network to liability to the Program Director … more
- Acacia Network (Bronx, NY)
- …Position Type: Full Time Details: Under supervision of the Administrator, theProgram Director (Homes Together Program)ensures quality care and oversees the ... Homes Together Program Program Director Bronx, NY : 1/12/2024 Job Description Job...individual is responsible for the oversight and implementation of care and resources for the purpose of meeting the… more
- Prime Healthcare (Ontario, CA)
- …+ 10+ years of experience in customer service and provider relations in a health care or managed care environment. + Previous management experience including ... Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The Director of Network Development and Provider… more
- Acacia Network (Buffalo, NY)
- …Position Type: Full Time Details: Under supervision of the Administrator, theProgram Director of Supportive Housingensures quality care and oversees the ... Supportive Housing Program Director Buffalo, NY : 4/23/2024 Job Description Job...individual is responsible for the oversight and implementation of care and resources for the purpose of meeting the… more
