- Premera Blue Cross (Mountlake Terrace, WA)
- …+ Four (4) years of clinical program development,managementor consultation in a managed care setting **(Required)** + Board Certified in Oncology Pharmacy ... (HighlyPreferred) + Experience in managed care pharmacy + Experience and/or familiarity with EHR, Oncology provider practices, specialty pharmacy practices,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …diploma or equivalent and one year of credentialing experience in an acute care hospital, managed care organization and/or credentialing verification ... Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care /handling injuries, Radiation, Shift work, Travel may be required. Use… more
- Prime Healthcare (Gadsden, AL)
- …five years of management experience in one of the following venues: hospitals, managed care , credentialing verification organizations, or ambulatory care . ... + 5 years of management experience in one of the following venues: hospitals, managed care , credentialing verification organizations, or ambulatory care . + 3… more
- Beth Israel Lahey Health (Peabody, MA)
- …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. + Addresses Managed Care concerns with patients who require assistance. +… more
- Centene Corporation (Carson City, NV)
- …6+ years of contracting experience or provider relations in a healthcare and/or managed care environment. Knowledge of contracting language and the principles of ... negotiation. Familiarity with managed care , State and/or Federal health care programs. Preferred Experience: Value Based Care contracting experience is… more
- AmeriHealth Caritas (Charleston, SC)
- …a healthcare setting. + 3 years of supervisory/management/leadership experience, preferably in a managed care organization setting. + Must be able to communicate ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
- AmeriHealth Caritas (Newtown Square, PA)
- …and experience communicating progress for multiple projects + Knowledge of Medicaid Managed Care , Medicare, and/or Qualified Health Plans (QHP/Exchange) + Proven ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
- Catholic Health Services (Rockville Centre, NY)
- …The ideal candidate possesses in-depth knowledge of Medicare/Medicaid reimbursement, managed care contracts, and healthcare finance. Key Responsibilities: ... changes in volume, case mix, or payer mix. + Partner with managed care , revenue accounting/reporting, and revenue cycle teams to evaluate payer performance and… more
- Grifols Shared Services North America, Inc (Denver, CO)
- …centers, centers of excellence, patient advocacy groups, and key accounts, including managed care , by providing complex medical and scientific information to ... formal presentations upon request to appropriate groups such as: key accounts, managed care organizations, integrated systems, national medical associations and… more
- TEKsystems (San Antonio, TX)
- …reimbursements, discrepancy's in reimbursements, or under paid accounts * Interpretation of Managed Care Contracts * Work collaboratively with team members and ... the CBO to resolve issues on accounts. Including but, not limited to Managed Care , Reimbursement, Clinical, Admissions, Facility Business Office Manager, Coding,… more