- AbbVie (Los Angeles, CA)
- …opportunities. + Establishes and demonstrates thorough understanding of business negotiations, managed care implications and other drivers impacting the customer ... lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For… more
- SSM Health (St. Louis, MO)
- …policies of the practice to include: (1) Purchasing and capital allocations; (2) Managed care plan participation; (3) Budget and practice expenses; (4) ... States of America) **Job Type:** Employee **Department:** 4868900235 Prfee PD-Critical Care **Scheduled Weekly Hours:** 40 **Benefits:** SSM Health values our… more
- Scotland Health Care System (Laurinburg, NC)
- …the hospital including but not limited to physician employment, physician call, managed care , agency, maintenance, compliance, leases, This includes maintenance ... Corporate Compliance, this position will coordinate monitoring Scotland Health Care System's adherence to compliance requirements and organizational policies/procedures,… more
- First Atlantic Health Care (South Portland, ME)
- …reimbursement for various payer sources including, but not limited to, Medicare, MaineCare and Managed Care * Maintain daily census and mix goals per facility ... timely collection of clinical data relevant to the patient/resident's care , MDS completion and care plan development....to the patient/resident's care , MDS completion and care plan development. * Obtains precertification from insurance, as… more
- Commonwealth Care Alliance (Boston, MA)
- … policy. + A minimum of three (3) years of experience with Medicaid & Medicare managed care and other public health care programs is required. + Experience ... + Standard office equipment **Compensation Range/Target:** **$133,600 - $200,400** Commonwealth Care Alliance takes into consideration a combination of a candidate's… more
- Commonwealth Care Alliance (Boston, MA)
- …Bachelor's Degree or equivalent experience **Experience (Required)** + 3-5 years + Managed Care experience + Experience in health plan provider relations. ... responsible for cultivating, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) provider community. In this highly visible field… more
- Commonwealth Care Alliance (Boston, MA)
- …(must have):** + 5+ years of experience working within community-based health and/or managed care **Desired Experience (nice to have):** + Experience working ... can be shared with lower performing entities and with CCA's internal BH and Care Partnership teams + Determine regular cadence to check-in with lower performing HHs… more
- Intermountain Health (Helena, MT)
- …payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. + Log findings and provides feedback ... to Hospital Billing AR Management, Cash Management, and Managed Care leadership. + Perform root cause analysis and recommend and develop process improvement. +… more
- Conduent (Topeka, KS)
- …months' experience in Family Medical Medicaid eligibility + Knowledge of Medicaid and managed care programs + Bilingual Spanish/English with the ability to speak ... and read both languages fluently. + Strong computer skills with the ability to maneuver in complex software systems + MS Office, Outlook, and Internet usage experience + Active listening skills + Customer orientated + Ability to adapt/respond to different… more
- Primary Health Care (Des Moines, IA)
- …carriers. + Experience working with CDT/CPT and ICD-10-CM coding related to managed care programs and dental/medical billing requirements. + Experience working ... the right place. Let's make a difference! Primary Health Care (PHC) was founded in 1981 by Dr. Bery...and dental services including family practice, behavioral health, HIV care and services, and pharmacy. PHC's Homeless Support Services… more