- New York State Civil Service (Albany, NY)
- …Leading the escalation process for operational incidents that are outside of established Service Level Agreements (SLAs) to ensure services delivered meet unit ... State NY Zip Code 12224 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - Albany-areaDeputy Director, Electronic Investigative Support… more
- Molina Healthcare (Los Angeles, CA)
- …key partners to participate, and assists where feasible. + Works cohesively with Provider Services to ensure providers within assigned territory are aware of ... rate. Works collaboratively with other key departments to increase Medicaid assignment percentage for Molina. + Responsible for achieving...Molina products and services . Establishes simple referral processes for providers and CBOs… more
- Lakeview Health Services (Geneva, NY)
- …perspective to provide intensive support, advocacy, linkage, and coordination of services in a care management program for persons with mental illness and/or ... create an environment of learning and development that will lead to an engaged, motivated, and high performing team...financial services ). Knowledge: Thorough knowledge of community services within service area; general knowledge and… more
- Lakeview Health Services (Geneva, NY)
- …the Care Management Program Manager, works from a trauma informed care perspective to provide support, advocacy, linkage, and coordination of services in a care ... as well as respecting individuals' boundaries and differences. Essential Job Functions + Provide face to face services , including home visits and telephonic… more
- Elevance Health (Ashburn, VA)
- …providing quality, accessible and comprehensive service to the company's provider community. + Provide assistance regarding education, contract questions and ... which have a direct impact on the quality of service delivery. + Tracks and conduct provider ...or any combination of education and experience, which would provide an equivalent background. . **Preferred Qualifications** + Previous… more
- IQVIA (New Providence, NJ)
- …oversee the deliverables of other team members. IQVIA is a leading global provider of clinical research services , commercial insights and healthcare intelligence ... of health and welfare and/or other benefits. IQVIA is a leading global provider of clinical research services , commercial insights and healthcare intelligence to… more
- Commonwealth Care Alliance (Boston, MA)
- …a variety of audiences * Experience with managing clinical services for Medicaid /Medicare patients * Demonstrated ability to lead and navigate large scale ... evaluates efficiency and productivity of utilization management functions for physical health services and long term services and supports. Works closely with… more
- Lakeview Health Services (Geneva, NY)
- …community resources + Ensure "warm hand off" when making referrals to other services + Utilize service dollars (when available) to assist eligible individuals ... create an environment of learning and development that will lead to an engaged, motivated, and high performing team...function of the position. Knowledge: Thorough knowledge of community services within service area; general knowledge and… more
- UCHealth (Fort Collins, CO)
- … reimbursable services and maintain provider status with Medicare and Medicaid . * Eligible to provide services with no sanctions or exclusion ... on physicians in every career stage and specialty to lead and provide direction for the future...and maintain provider status with Medicare and Medicaid . * Eligible to provide services… more
- Banner Health (Phoenix, AZ)
- …leadership. Will direct the preparation of rate filings to Centers for Medicare and Medicaid Services (CMS), Health and Human Services (HHS), Arizona's ... Cntr **Work Shift:** Day **Job Category:** General Operations Help lead health care into the future. As one of...accountable care organization that joins Arizona's largest health care provider , Banner Health, and an extensive network of primary… more