- CVS Health (Tallahassee, FL)
- …**Required Qualifications** - Candidate must reside in Florida (FL) - 5 years experience in managed care quality and/or 3 years in Medicaid managed care ... - National Committee for Quality Assurance (NCQA) accreditation experience - Medicaid managed care experience - Master's Degree **Education** Bachelor's Degree… more
- 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
- Molina Healthcare (San Antonio, TX)
- …to those candidates with previous experience working with the Medicaid population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our ... & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Required License, Certification,… more
- Humana (Frankfort, KY)
- …in private practice or other patient care + Minimum of 1 year of managed care experience **OR** A current, valid, and unrestricted license as a Mental Health ... or other patient care + Minimum of 1 year of managed care experience **OR** A current, valid, and unrestricted nursing license to include: **Registered… more
- Erickson Living (Springfield, VA)
- …timely manner. + Maintain current knowledge of Medicare and Medicaid coverage changes, Managed Care information, and other relevant topics for family members ... Location: Greenspring Village by Erickson Senior Living The Health Care Sales Manager is responsible for managing the health...We're part of a growing national network of communities managed by Erickson Senior Living, one of the country's… 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