- AmeriHealth Caritas (Raleigh, NC)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... or more year progressive responsibility in Business, Government, or Health Care Management experience. + In-depth understanding of Medicaid/Medicare operations and… more
- AmeriHealth Caritas (Philadelphia, PA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... experience + Minimum of three (3) years of health care experience + Experience in Provider Network Management preferred...now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping… more
- Catholic Health Services (Roslyn, NY)
- …in on-going educational activities related to clinical knowledge, professional issues and the managed care environment. + Salary Range USD $94.60 - USD $0.00 ... performing in Geriatrics, Neurology & Neurosurgery, Orthopedics, and Pulmonology. Nursing care at St. Francis is also nationally recognized, with multiple Magnet… more
- Trinity Health (Columbus, OH)
- …acute care medical or surgical experience required; Utilization/Case Management, managed care , or Clinical Documentation and experience in ICD-10 coding ... schedule working hours Monday - Friday **Responsibilities** + Provides nursing care , ensures an environment of patient safety, promotes evidence-based practice and… more
- Abbott (Dallas, TX)
- …expertise by attending company product training sessions. + Assesses trends in managed care , competitors' strategies, and new product development by monitoring ... you can do work that matters, grow, and learn, care for yourself and family, be your true self...improved benefit/risk profile as compared to existing standards of care ; a performance threshold that by definition, guides and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …initiatives on-time and on-budget + Direct experience with health plans, managed care organizations, integrated delivery systems, or large healthcare ... Architect comprehensive member journey framework spanning: enrollment, provider search, care access, treatment navigation, claims resolution, health improvement, and… more
- Banner Health (Mesa, AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... Services, and Culinary You have a place in the health care industry. There's more to health care than IV bags and trauma rooms. We support all staff… more
- Penn Medicine (Philadelphia, PA)
- …Maintain up-to-date knowledge of insurance requirements and billing procedures, including managed care plans and copayment/referral requirements. + Validate ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...Penn Medicine! Are you passionate about delivering exceptional patient care and customer service? Do you thrive in a… more
- UPMC (Pittsburgh, PA)
- …third party health care coverage experience and strong understanding of managed care regulations are required. + Strong interpersonal, organizational and ... to UPMC's core values and guiding principles of Your Care . Our Commitment and abide by all UPMC departmental...need for a possible referral to a participating health care facility when appropriate. + Work various revenue reports… more
- Penn Medicine (West Chester, PA)
- …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment (including how ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
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