- LA Care Health Plan (Los Angeles, CA)
- …to LA Care 's organizational documents, including but not limited to managed care licensure; ensure timely preparation and submission of all documents ... the unit. This includes preparing and maintaining documentation pertinent to LA Care 's Managed Care licensure and ensure timely preparation and submission of… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …+ Maintain an active DEA certificate, medical license, current hospital privileges, and managed care credentials. + Perform any other reasonable and appropriate ... practitioners and physicians' assistants, ensuring the highest quality clinical care for patients co- managed . + Participate in the teaching of students and act… more
- LA Care Health Plan (Los Angeles, CA)
- …etc. Preferred: At least 5 years of experience working with a California Medi-Cal managed care plan or commercial health plan, medical group, or management ... services organization. Skills Required: Advanced understanding of managed care operations (including but not limited to, claims processing; provider contracting,… more
- McLaren Health Care (Flint, MI)
- …Two (2) years' experience performing quality management activities in a Medicare managed care organization, including HEDIS, HOS, and CAHPS. **_Preferred_** ... (4) years' experience with a government regulated health organization or a managed care setting with at least three (3) years' experience performing complex… more
- CommonSpirit Health (Phoenix, AZ)
- …performance of IT systems and applications that support population health management, managed care operations, and end-user support services within a Population ... quality, and enhance patient and provider experience across government and commercial managed care contracts. Essential Functions: Systems Strategy & Leadership… more
- CommonSpirit Health (Rancho Cordova, CA)
- …is a remote position. The Senior Analyst, Payer Analytics & Economics performs managed care financial analysis, strategic pricing and payer contract modeling ... and pricing expertise for the evaluation, negotiation, implementation and maintenance of managed care contracts between CommonSpirit Health providers and payers.… more
- Cardinal Health (Hartford, CT)
- …business including Medicare, Medicaid, and various commercial markets. The Advisor of Managed Care -National Accounts is responsible for regional retail (chain) ... pharmacy accounts from a managed care contracting perspective. The primary purpose of this role is to maintain our managed care relationship with current… more
- CommonSpirit Health (Englewood, CO)
- …zone. Do you enjoy special projects on the more technical side of payer analytics and managed care ? The person in this role will need to be very proficent with ... of our contract modeling system. The Senior Analyst, Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract… more
- Pine Acres Rehabilitation & Care Center (West Des Moines, IA)
- …working knowledge of Federal and State regulations, as well as reimbursement processes ( Managed Care , Medicare, Medicaid). * Assist with new employee orientation ... regarding the admissions process. * Stay updated on managed care referral processes. * Participate in special projects and additional duties as assigned. *… more
- Graham Windham (Bronx, NY)
- …necessary documents for monthly care management billing to Health Home/ Managed Care Organization. Position Qualifications: + Bachelor's degree in health ... Health Homes Care Manager, Bronx Job Details Job Location 1946...Salary Range $49440.18 - $49440.18 Salary/year Description Position Title: Care Manager Position Type: Full-Time, Hourly, Non-Exempt Schedule: 35… more