- Molina Healthcare (West Valley City, UT)
- …3 years of experience in a pharmacy, Pharmacy Benefit Manager(PBM), formulary, and/or managed care setting, and 1-2 years post-graduate experience, or equivalent ... **Preferred Qualifications** + Medicare Part D and/or Medicaid experience. + Managed care experience Pay Range: $80,412 - $188,164 / ANNUAL *Actual compensation… more
- BrightSpring Health Services (Huntsville, AL)
- …contract negotiations with agencies, funding sources, facilities, insurancecompanies, and managed care organizations* Supports and promotes company philosophy ... contract negotiations with agencies, funding sources, facilities, insurancecompanies, and managed care organizations* Supports and promotes company philosophy… more
- AmeriHealth Caritas (Philadelphia, PA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... processes preferred. + 2 to 3 years experience in healthcare operations, managed care , or grievance/appeals coordination. **Other Skills** + Proficiency in… more
- Beth Israel Lahey Health (Boston, MA)
- …Responsible for ensuring the accuracy of patient-related activities such as registration, managed care referrals, the collection, recording and distribution of ... procedures and protocols. + Implements relevant information systems such as managed care , ensuring accuracy of data input and patient appointments. Provides… more
- CVS Health (Madison, WI)
- …this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California, Florida, Illinois, ... Oklahoma residency -Health plan/payor Utilization Management / Review experience. - Managed Care experience. -Medicaid experience. **Education:** -M.D. or… more
- Prime Healthcare (North Las Vegas, NV)
- …Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments.2. ... Vegas, Nevada. North Vista offers comprehensive healthcare services, including mental health care , emergency care , heart care , advanced surgical procedures,… more
- Beth Israel Lahey Health (Chestnut Hill, MA)
- …Responsible for ensuring the accuracy of patient-related activities such as registration, managed care referrals, the collection, recording and distribution of ... procedures and protocols. 4. Implements relevant information systems such as managed care , ensuring accuracy of data input and patient appointments. Provides… more
- Molina Healthcare (Covington, KY)
- …lieu of education experience) + At least five (5) years' experience working in a Managed Care Organization or health insurance company + Minimum of two (2) ... and law enforcement procedures with emphasis on fraud investigations + Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace +… more
- AmeriHealth Caritas (LA)
- …of Addiction Medicine (ASAM) criterion + Utilization management experience within a managed care organization desired + Proficiency in Microsoft Office to ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
- AmeriHealth Caritas (Charleston, SC)
- …configuration process/systems and its relevance/impact on network operations. + 1 to 2 years managed care or related experience preferred. + 1 to 2 years ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more