- Hillside Family of Agencies (Rochester, NY)
- …client files to ensure compliance with all Federal, State, Funder, Medicaid Managed Care and Hillside standards. + Obtain and maintain credential/certification ... for addressing their family's day-to-day needs, including their own needs for self- care . This role requires "Lived Experience" and flexibility with working hours,… more
- UCLA Health (Pasadena, CA)
- …to perform administrative work. * Familiarity and knowledge of authorization process & managed care programs UCLA Health welcomes all individuals, without regard ... direct support to the physicians and patients for assigned primary and/or specialty care physicians. Major duties include but are not limited to: acting as a… more
- BD (Becton, Dickinson and Company) (Sparks, MD)
- …selling into the non-acute segment to develop new opportunities. Experience with Managed Care Organizations and/or Accountable Care Organizations would ... Become a **maker of possible** with us. **Summary** The Non-Acute and Point of Care (NAPOC) Sales Representative will be responsible for growing market share in both… more
- CVS Health (Trenton, NJ)
- …internal departments. **Required Qualifications** + Minimum of 3 to 4 years recent Managed Care Network Value Based Contacting experience with 2-3 years Medicaid ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Emory Healthcare/Emory University (Stockbridge, GA)
- …the largest and most comprehensive health system in Georgia! We are seeking Primary Care physicians to join our growing practices at **Emory at Spivey Station** , ... credentialing. Attend to the medical needs of all patients by performing patient care activities to fulfill the duties and responsibilities of a Physician and assist… more
- LA Care Health Plan (Los Angeles, CA)
- …or credentialing related experience. At least 1 year of experience in a healthcare/ managed care environment. Skills Required: Ability to audit data and make ... $69,045.00 (Mid.) - $82,867.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...members, we make sure our members get the right care at the right place at the right time.… more
- Martin's Point Health Care (Portland, ME)
- …with progressively increasing leadership responsibilities. + Experience with Managed Care insurance offerings Skills/Knowledge/Competencies (Behaviors): + ... Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a… more
- Commonwealth Care Alliance (Boston, MA)
- …Strong claims experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/Medicaid) + Experience in health plan ... for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital,… more
- St. Peters Health (Helena, MT)
- …Clinical Pharmacist is responsible for developing, implementing and maintaining pharmacist- managed ambulatory care and/or specialty pharmacy services at ... Health Medical Group as part of a team-based patient care model. JOB DUTIES INCLUDE BUT ARE NOT LIMITED...utilization reviews and quality assurance activities. Knowledge of pharmacist managed drug therapy protocols. Must be able to analyze… more
- WestCare Foundation (Fresno, CA)
- …responsible for receiving, reviewing, and processing all incoming Member referrals from the Medi-Cal managed health care plan. The Lead Care Manager will ... the health plan. * Conduct outreach activities throughout the Medi-cal managed health care plan service area including in person, telephonic, street outreach and… more
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