- CVS Health (Woonsocket, RI)
- …+ Able to support east coast business hours **Preferred Qualifications** + Health insurance experience + Experience working with claims administration technology ... At CVS Health , we're building a world of health...heart, each and every day. **Position Summary** The Senior Manager , Technology Product Management will lead the roadmaps, capabilities,… more
- Mount Sinai Health System (New York, NY)
- …the forefront of implementing Facility and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play ... **Job Description** Mount Sinai is one of the largest US health systems with a strong reputation for quality of care and research. We have over 38,000 employees… more
- CVS Health (Frankfort, KY)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...Medicaid policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs. +… more
- Elevance Health (Sacramento, CA)
- **Behavioral Health Community Partnership Manager ** **(Behavioral Health Provider Quality Manager )** **Sign on Bonus: $2,500** **Candidates must posses a ... and insightful analytics to improve the delivery of care. The **Provider Quality Manager ** is responsible for leading Behavioral Health (BH) provider engagement,… more
- Northwell Health (New Hyde Park, NY)
- …significant portion (4+ years) directly in a managed care organization, Pharmacy benefit manager , or health plans + Experience in formulary management, P&T ... criteria, and evidence-based drug therapy guidelines, and overseeing pharmacy benefit claims adjudication to match formulary intent. This role involves critical… more
- WellSpan Health (York, PA)
- …Manages the day-to-day operations of a large or multi-site outpatient clinic, health center or a complex procedural practice and takes complete ownership for ... engagement and meets our patients' expectations. + Collaborates with market manager to build and maintain community partnerships and relationships to attract… more
- Oak Orchard Health (Brockport, NY)
- Revenue Cycle Manager Brockport, NY (http://maps.google.com/maps?q=300+West+Avenue+Brockport+NY+USA+14420) Job Type Full-time Description Do you want to be part of a ... where professionals come together to improve access to quality health care for all? At Oak Orchard Health...billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports,… more
- Molina Healthcare (Carson City, NV)
- …Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, or equivalent combination of relevant education and experience. + At ... subject matter expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and… more
- CVS Health (Springfield, IL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...-8pm as needed to meet business needs. The Care Manager BH coordinates all case management activities with members… more
- Michaels (Carpenter, IA)
- …opportunities, and trends for Michaels leadership and assist in addressing them. The Manager - Enterprise Risk oversees claims administration, claims ... Support Center - Irving The Manager - Enterprise Risk manages and coordinates Michaels'...Risk manages our relationships with third-party providers. **Major Activities** ** Claims Administration** + Work closely with Third Party Administrator… more