- Option Care Health (Bannockburn, IL)
- …compliance programs. + Direct experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines. + Proficiency with audit software ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in… more
- Charter Care Health Partners (North Providence, RI)
- …Care Facilities and agencies, Durable Medical Equipment and Ambulance companies, managed care (insurance) personnel and physician office. Working Conditions, ... Main Function Reports to the Director Care Management or designee. Provides coordinated care...Director Care Management or designee. Provides coordinated care support to Physician leadership and Clinical Manager(s) of… more
- Commonwealth Care Alliance (Boston, MA)
- …management Desired Experience (nice to have): * Experience working with managed care organizations, value-based programs, or community-based behavioral health ... for BH providers, promoting alignment with CCA's mission and supporting high-quality, coordinated care for members. In this role, the Program Manager acts as an… more
- Commonwealth Care Alliance (Boston, MA)
- …experience in provider relations, network management, or healthcare operations within a managed care organization, health plan, or integrated delivery system. * ... vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines...for Commonwealth Care Alliance's SCO and One Care lines of business. This role is responsible for… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …lists, etc. + Maintain active DPH, DEA, and professional license, hospital privileges, managed care credentialing and CPR training. Qualifications: + Licensed by ... equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in...10,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are… more
- Elevance Health (Los Angeles, CA)
- …of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. **Preferred Skills, Capabilities, and ... **Behavioral Health - Care Manager II** **Location:** _Virtual:_ This role enables...granted as required by law. The **Behavioral Health - Care Manager II** is responsible for managing psychiatric or… more
- Health Care Service Corporation (Nashville, TN)
- …parallel efforts ad deliver quality deliverables on schedule + Healthcare acumen, Managed Care Organization, Pharmacy Benefit Manager, Medicare experience + ... at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to… more
- Health Care Service Corporation (Tulsa, OK)
- …needed for electronic documentation of case reviews **PREFERRED REQUIREMENTS:** + 5 years Managed Care experience + 10 years clinical Experience **This is a ... at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to… more
- Health Care Service Corporation (Richardson, TX)
- …databases. + Demonstrated analytical and organizational skills + Knowledge of Managed Care products, programs, and services. PREFERRED JOB REQUIREMENTS: ... at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to… more
- Health Care Service Corporation (Richardson, TX)
- …Pharm D Pharmacist in the state of operations. * At least 4 years experience in managed care pharmaceuticals. * At least 4 years of managerial experience in the ... at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to… more
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