- Prime Healthcare (Denville, NJ)
- …The Medical Biller is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. #LI-BM2 Qualifications 1. Minimum of four years… more
- Advocates (MA)
- …in collaboration with the team. + Develop and maintain a thorough knowledge of managed care and health insurance systems; provide other clinicians with ... managed care information and resources pertinent need being managed . + This position is based out of Essex County **Qualifications** + Bachelor's Degree in… more
- Houston Methodist (Katy, TX)
- …competency and professional pathway progression. + Communicates updates/changes to processes, managed care information, throughput, etc., in a timely manner. ... projects after ongoing revenue cycle analysis. Meets with payors and/or Managed Care to discuss aged accounts, adjudications timeframes, and erroneous denials. +… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …financial planning, revenue cycle management, budgeting, financial reporting, oversight of managed care contracts, and to ensure compliance with regulatory ... * Manages relationships and negotiations with payers; evaluates, negotiates, and administers managed care contracts. * Ensures the development and monitoring of… more
- Northern Light Health (Ellsworth, ME)
- …achieve maximum levels of wellness and independence. + Maintains EMR databases on care managed population. Leads regular team meetings and peer review ... Northern Light Maine Coast Hospital Department: Care Management Position is located: Northern Light Maine...4:00 PM Summary: This position is responsible for providing care management and discharge planning for Maine Coast &… more
- Mohawk Valley Health System (Utica, NY)
- …seeking and obtaining sufficient information/education necessary to function effectively in the managed long term care setting. + Participates in departmental ... Registered Nurse - Care manager - Full Time - Days Department: CARE MGMT SVCS Job Summary The Care Manager is responsible for completing a comprehensive… more
- Mohawk Valley Health System (Utica, NY)
- …related issues. Communicates with members and their families regarding information about Managed Long Term Care (MLTC) services. Provides summary reports, ... Care Navigator - Full Time - Days Department: CARE MANAGEMENT SERVICES Job Summary The Care Managment Navigator provides support to the Care Managers and… more
- Hartford HealthCare (Manchester, CT)
- …Word processing and spreadsheet computer operations. Certain assignments may involve extensive managed care interface. This position contributes to creating a ... Experience in a related setting using medical/psychiatric terminology and working with managed care and Behavioral Health carve outs is preferred. We take great … more
- Prime Healthcare (Garden City, MI)
- …The Specialist, Billing is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. #LI-BM2 Qualifications 1. Minimum of four years… more
- Centene Corporation (Salem, OR)
- …able to assess a problem and develop multiple solutions to address. + Experience in Managed Care preferred. Requires in-depth knowledge of managed care ... MS) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience.… more