- OhioHealth (Columbus, OH)
- …a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be ... careers and in our communities. **Job Description Summary:** The Senior Systems Analyst will be responsible for the design, development, implementation of builds on… more
- AmeriHealth Caritas (Charleston, SC)
- …configuration process/systems and its relevance/impact on network operations. + 1 to 2 years managed care or related experience preferred. + 1 to 2 years ... care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral… more
- Molina Healthcare (OH)
- …environment. Additional required experience for Corporate Operations: * Analytical experience within managed care operations. * Knowledge of managed ... adjudication experience is highly preferred. **Job Qualifications** **Required Education** Associate 's Degree or two years of equivalent experience **Required… more
- Corewell Health (Grand Rapids, MI)
- …product lines + 2 years of relevant experience Extensive knowledge of managed care products and regulatory and accreditation requirements, maintain knowledge ... from enterprise-wide systems including: claims payments, billing and enrollment, care management, medical, pharmacy and behavioral health authorizations, customer… more
- Molina Healthcare (Lexington, KY)
- …the clinical departments including utilization management/authorizations + Experience working with Managed Care /Payer or Hospital/other medical systems data is ... + Provides healthcare analysis including quantification and analysis of health care costs, development and maintenance of databases and other sources of… more
- Walmart (Bentonville, AR)
- …in budget creation + Oversees data hardware and telephony projects being managed by other team members by inspecting documentation discussing project status and ... individual: Demonstrates and encourages respect for others drives a positive associate and customer/member experience for all embraces differences in people cultures… more
- CalSTRS (Sacramento, CA)
- Job Posting: Associate Portfolio Manager, Fixed Income State Teachers' Retirement System JC-499715 - Associate Portfolio Manager, Fixed Income ASSOCIATE ... The CalSTRS Investments Branch is seeking an experienced individual to work as an Associate Portfolio Manager on the Fixed Income team. The Fixed Income division is… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …self-help skills. + Serves as a provider on record for appropriate managed care intervention claims with responsibility for appropriate documentation, ... and time off aligns with the university calendar JOB DESCRIPTION: + The Associate Director, Behavioral Clinical Services in the Emory Autism Center (EAC) manages the… more
- Magellan Health Services (Albuquerque, NM)
- …Other Job Requirements Responsibilities 5 years post degree experience in a direct care clinical setting; managed care experience preferred. 1 year ... - Nursing License and Certifications - Required BCBA - Board Certified Behavior Analyst - Care MgmtCare Mgmt, Current licensure required for this position… more
- Elevance Health (Indianapolis, IN)
- …of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. **Preferred Skills, Capabilities, and ... **Behavioral Health Care Manager II - Autism** _*Ideal candidate must...be licensed in_ **_Indiana._** **Location:** Virtual: This role enables associate to work virtually full-time, with the exception of… more