- Atlantic Health System (Morristown, NJ)
- …accuracy, and timely reimbursement. + Collaborate with Hospital Billing, Outreach Billing, and Managed Care teams to resolve payment issues and optimize revenue ... complex data into actionable insights. + Familiarity with chargemaster maintenance, managed care contracts, and reimbursement methodologies. + Exceptional… more
- BJC HealthCare (St. Louis, MO)
- …and for revenue cycle management process redesign. + Provides expert in-house consultation to managed care on operations and collections issues as they relate to ... are efficient and in compliance with federal and state regulations and managed care contracts. + Develop and maintain processes to identify payments and denial… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …proficiency + Strong multi-tasking abilities Preferred: + Experience working within a managed care environment + Experience working with the geriatric population ... a multidisciplinary care team to help assist with the care of members enrolled in CPHL Managed Long Term Care program and other LOBs to facilitate,… more
- Centers Plan for Healthy Living (Brooklyn, NY)
- …department and assists with the care of all members enrolled in CPHL's managed care plans. The Field Coordinator schedules and completes in-person visits as ... to detail and multi-tasking skills Preferred: + Experience working in managed care environment + Experience working with geriatric population + Bilingual… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …system aimed at improving patient care . Utilization of performance reports and managed care practices, including health care finance, billing, coding, ... data, budget cost/expenditure documents, staffing, and other reports in decision-making. Understands managed care practices, including health care finance,… more
- Health Care Service Corporation (Richardson, TX)
- …medical/behavioral health professional in good standing. * 10 years experience in behavioral health care with at least 5 years managed behavioral health care ... all areas of BH Group Program integration and operations. 4. Direct health care management including utilization management (UM), care management (CM) and… more
- Dignity Health (Bakersfield, CA)
- …provider database maintenance and reporting, provider contracting and/or network development in a health care or managed care setting - HS diploma or GED ... management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health… more
- CVS Health (Clark, NJ)
- …+ Experience in **case management** or **discharge planning** . + Background in ** managed care ** , **Medicaid/Medicare** , or **LTSS** . **Education** + ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- New York State Civil Service (NY)
- …as an active member of the RFO expanded leadership team* Support current managed care readiness efforts.* Develop and maintain data elements to objectively ... Office for Title Licensed Master Social Worker Occupational Category Health Care , Human/Social Services Salary Grade 20 Bargaining Unit PS&T - Professional,… more
- UPMC (Pittsburgh, PA)
- …degree in business or health related field preferred. + Direct experience with managed care organizations is preferred. + Senior level management experience with ... of experience in health care delivery systems management in a managed care environment. + Strong QI and Utilization background with a working knowledge of… more