- Penn Medicine (Woodbury Heights, NJ)
- …**Department: Shared Services** **Location: Woodbury. NJ** **Hours: Full-Time** Summary: + The Managed Care Plan Coordinator provides support to the practice and ... its patients as it relates to managed care insurance plans. The Managed Care Plan Coordinator registers patients, verifies insurance, issues referrals,… more
- Omaha Children's Hospital (Omaha, NE)
- …employer including veterans and people with disabilities. **A Brief Overview** The Sr. Managed Care Contract and Revenue Analyst will conduct complex and ... detailed analysis and modeling of managed care contracts for the organization. This position will develop reports and perform analysis to identify root causes of… more
- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have ... healthcare requirements + The unique complex needs of the foster care population + Medicaid Managed Care policies and procedure + The Medicaid Managed… more
- Dignity Health (Bakersfield, CA)
- …shared goals. Responsibilities include: - Collaborate with the Chief Medical Officer, Managed Care and executive leadership to develop, implement, and oversee ... Leadership to ensure consistent physician/APP interactions and experience with all internal Managed Care operations such as enrollment, claims operations and… more
- Fresenius Medical Center (Waltham, MA)
- … programs (HMOs, PPOs, POS, etc). Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... + Five to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a professional capacity including experience with… more
- Elevance Health (Mason, OH)
- ** Managed Care Pharmacy Resident** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, ... and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . The ** Managed Care Pharmacy Resident** will be responsible for various… more
- KidsPeace Childrens Hospital (Old Town, ME)
- The Managed Care and Program Compliance Coordinator resolves managed care operational issues such as authorization for services, billing, and claims ... payment. Ensures all clinical operations comply with Medicaid guidelines and other managed care policies. Maintains managed care contracts and… more
- Prime Healthcare (Denville, NJ)
- …team! Responsibilities The successful candidate will have substantial experience working with managed care plans on reimbursement issues. This may include ... payor relations efforts through joint operations committees or experience with managed care contracts. Qualifications Education and Work Experience Required… more
- The Cigna Group (Bloomfield, CT)
- …(HPD) residency is a holistic program that provides resident a great foundation in managed care , with a focus in clinical strategy within client account ... Proficiency in written and verbal communications + Strong career interest in Managed Care pharmacy Required: Please upload or email per instructions for each: +… more