- Sevita (San Diego, CA)
- …and fosters communication and relationships with individuals, families, case managers, managed care contractors and other stakeholders; monitors customer ... relationships with applicable government authorities, such as counties, regional centers and managed care contractors, and all referral agencies. 4. Political… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Advantage response files (MAOs) and/or Minnesota Medicaid rejection reports. * Experience with managed care and health care claims * Experience creating ... coding (ICD-10-CM) and revenue cycles. * Bachelor's degree. * Knowledge of managed care and health care claims preferred. Compensation and Benefits: Pay… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …ACA EDGE, Medicare Advantageresponsefiles(MAOs) and/or Minnesota Medicaidrejection reports. * Experience with managed care and health care claims * ... coding (ICD-10-CM) and revenue cycles. * Bachelor's degree. * Knowledge of managed care and health care claimspreferred. Compensation and Benefits: Pay… more
- PeaceHealth (Vancouver, WA)
- …the scheduling process by coordinating patient, imaging department, and radiologists, managed care , physician offices and pre-procedure testing needs. This ... a timely manner and to provide cases to be managed in the computer programs designed to prevent missed...3 years Required: Experience in a hospital or ambulatory care setting or progressive secretarial experience in healthcare and… more
- BayCare Health System (Clearwater, FL)
- …services. Maintain proper documentation in Soarian or GE systems. Work closely with Managed Care and understands health insurances rule sets, manuals, and ... + Preferred - 1 year of Healthcare Business Office and /or Managed Care experience Equal Opportunity Employer Veterans/Disabled **Position** Central… more
- Elevance Health (Ashburn, VA)
- …Requirements:** + Requires BA/BS in Pharmacy and a minimum of 2 years of managed care pharmacy experience; or any combination of education and experience, which ... **Preferred Skills, Capabilities, and Experiences** + Knowledge of current health care and managed care pharmacy practices strongly preferred + Professional… more
- J&J Family of Companies (Boston, MA)
- …long-term sales potential relevant to percentage of patients treated, patient mix, Managed Care organizations and Specialty Pharmacies, and new protocols or ... + Experience in hospital and large account sales, understand complex reimbursement and managed care dynamics with a documented history of successful sales… more
- Molina Healthcare (Tampa, FL)
- …requests from outside agencies. **Required Qualifications** * At least 2 years of managed care experience in a call center, appeals, and/or claims environment, ... program(s) proficiency. **Preferred Qualifications** * Customer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other… more
- Medtronic (Los Angeles, CA)
- …degree in business, science or humanities + Experience working with economic buyers and managed care + Experience motivating and being a role model for other ... both oral and written communication + Knowledge of the reimbursement climate, managed care , physiology/clinical therapies and/or implantable devices Must have a… more
- CVS Health (Buffalo Grove, IL)
- …these locations. **Required Qualifications** - 3+ years Pharmacist experience in managed care corporate setting, including demonstrated drug information ... knowledge and formulary understanding, and/or completion of PGY1 managed care residency. -Licensed Pharmacist in good standing in state of residence -MS Office… more
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