- Health Care Service Corporation (Richardson, TX)
- …**:** + Bachelor's degree OR 4 years' experience in selling or account management of managed care products. + Current, valid State Agent Insurance License. + 8 ... years' experience in managed care insurance sales. + 3 years of management experience in a managed care environment in account management or sales. +… more
- Martin's Point Health Care (Portland, ME)
- …health administration, health policy, finance or a related field required. + 5+ years of managed care or similar experience including managed care ... of building internal and external collaborative relationships. + Broad understanding of managed care business - medical expense trends, financial risk… more
- LA Care Health Plan (Los Angeles, CA)
- …Required: At least 8 years of clinical appeals and grievances experience in a managed care , utilization management and/or case management setting, At least 2 ... years in Medicare/ Medicaid in a managed care / health plan environment. At least 1 year of leading a process, program, or staff experience. Preferred: Clinical… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Bachelor's Degree Experience Required: At least 2 years of experience in Managed Care with specific experience in resolving member and provider ... interpret and apply regulations. At least 5 years of experience in Managed Care working with Medicare, Medi-Cal and other State Sponsored programs. Knowledge of… more
- Centene Corporation (Indianapolis, IN)
- …competitive benefits including a fresh perspective on workplace flexibility. **Indiana Medicaid and Managed Care ** **Must be authorized to work in the US without ... care , social work, quality improvement or health coaching preferably in a managed care environment. 2+ years of experience work experience should be in direct… more
- Corewell Health (Grand Rapids, MI)
- …/ community outcomes through the application of educational concepts / skills and preventive care in a managed care environment. + Assesses internal and ... + 2 years of relevant experience clinical nursing and or case management/ managed care or related field Required + 5 years of relevant experience clinical… more
- Corewell Health (Grand Rapids, MI)
- …/ community outcomes through the application of educational concepts / skills and preventive care in a managed care environment. About Helen DeVos Children's ... + 2 years of relevant experience clinical nursing and or case management/ managed care or related field Required + 5 years of relevant experience clinical… more
- Corewell Health (Grand Rapids, MI)
- …/ community outcomes through the application of educational concepts / skills and preventive care in a managed care environment. + Assesses internal and ... + 2 years of relevant experience clinical nursing and or case management/ managed care or related field Required + 5 years of relevant experience clinical… more
- Stony Brook University (Stony Brook, NY)
- …clinical and all potential medical interventions. + Demonstrates an understanding of managed care trends, payer regulations and Medicare/ Medicaid criteria for ... Training + Experience in Care Management + Experience in Managed Care /Insurance Industry/MD Office. + Certified in Case Management, UR, Quality or Risk +… more
- Ventura County (Ventura, CA)
- …the current principles and techniques of diagnosis and treatment + Experience with managed care + Experience and current knowledge of Quality Assurance, ... Doctor of Medicine and includes the following: + Experience with managed care + Experience and current knowledge of Quality Assurance, Utilization Review… more