- Highmark Health (Tallahassee, FL)
- …year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** **Required** + Medical Doctor or ... + Telephone Skills + General Computer Skills + Clinical Software + Managed Care **Language (Other than English)** None **Travel Required** 0% - 25% **PHYSICAL,… more
- AmeriHealth Caritas (Newtown Square, PA)
- …skills + Proficiency in Microsoft PowerPoint and Excel + Familiarity with Managed Care Organization operations preferred + Bachelor's Degree or equivalent ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
- University of Southern California (Los Angeles, CA)
- …Responsible for patient flow, scheduling, patient assessment and action, service to managed care organizations, and coordination of clinical research across the ... management of fiscal operations, (budget, Medicare Cost Reporting, and managed care contract terms) and leads the strategic business development and… more
- Molina Healthcare (Miami, FL)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and… more
- Hartford HealthCare (Farmington, CT)
- …Medicare LCD/NCDs. . Extensive understanding of reimbursement theories to include OPPS, MPFS, and managed care . . Extensive working knowledge of health care ... with clinical department activities. The ability to review, analyze and interpret managed care contracts, billing guidelines, and state and federal regulations… more
- Advocates (Waltham, MA)
- …database. + Develop a working knowledge of the internal billing procedures and managed care requirements. + Complete multi disciplinary team chart reviews. ... + Develop a working knowledge of the internal billing procedures and managed care requirements. + Remain alert at all times throughout the scheduled shift.… more
- East Boston Neighborhood Health Center (Revere, MA)
- …EXPERIENCE: One to three year's experience working in a Medical Staff Office, Credentialing or Managed Care in a hospital, managed care insurance, or ... communities. Whether you're a nurse or physician providing direct care , a manager leading dedicated teams, or part of...vital. Together, we're advancing medicine and delivering the best care experience for our patients and community! Interested in… more
- Beth Israel Lahey Health (Exeter, NH)
- …payment plans, pricing estimates, Financial Assistance, Federal/State benefits, and the managed care process. This position supports Patient Access and ... Open Enrollment; providing education and processing necessary applications. 13. Addresses Managed Care concerns with patients who require assistance. 14.… more
- Ascension Health (Collinsville, OK)
- …for assigned geographic market(s) or assigned business segment(s) in Government Managed Care , Specialty/Horizontals, or Value-Based contracting. + Leads or ... or segment(s) in collaboration with ADSI Analytics, RCM/R1, and the Managed Care Payer Performance team. + Holds accountability to contribute to setting… more
- Elmcrest Children's Center (Syracuse, NY)
- …to schedule and communicate with team when there are changes. + Completion of Managed care contact notes (progress notes) + Attending supervision and staff ... meetings as needed and requested. + Work cooperatively with the Supervisor, Medicaid Managed Care Liaisons, and potential Care Manager, on each case to… more