- Robert Half Office Team (Danbury, CT)
- …online systems and ensure proper documentation for reimbursement. * Maintain compliance with managed care policies and stay informed about changes in insurance ... effectively with patients and healthcare staff. * Familiarity with managed care requirements and healthcare regulations. * Ability to work collaboratively… more
- The Cigna Group (Galveston, TX)
- …involving complex delivery systems and organizations required.** + **Experience in a Managed Care , Healthcare, Health Insurance environment** + Experience in ... with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with proven ability… more
- Takeda Pharmaceuticals (TX)
- …levels. + Utilize available tools to monitor and assess industry and managed care trends, and effectively communicate pertinent information to stakeholders ... complex situations and mentors others in presentation skills + Understanding of managed care landscape and how it influences/impacts business + Reside within or… more
- MyFlorida (Largo, FL)
- …Home Health Insurance Billing (Long-term care ). + Experience in Statewide Managed Care Medicaid program rules and regulations. + Experience in payment ... and maintain monthly billing for all Medicare A&B, Medicaid, and Medicaid Managed Care , 3rd party commercial insurers, and any other payor, including residents… more
- Select Medical (Plano, TX)
- …divisions within the company. + Coordinated efforts with other credentialing and Managed Care personnel. + Troubleshoot with internal business operations and ... Managed Care contracting to resolve accounts receivable delays due to credentialing issues. + Participate in development and coordination of departmental CQI… more
- Health Plus Management LLC (Uniondale, NY)
- …insurance terminology for collecting, local coverage determinations policies, A/R follow-up and managed care regulations + Knowledge of ICD-10 and CPT codes ... terminology for collecting, local coverage determinations policies, A/R follow-up and managed care regulations + Proficient in the use of computers, insurance… more
- Centene Corporation (New York, NY)
- …create workflows, improve processes, and ensure completeness and accuracy of reporting. + **Healthcare Managed Care :** + Understanding of Medicaid managed ... Remote role with once/quarter in-person meeting **Position Purpose:** With the Fidelis Care Accounting Team in NY, you will supervise the cost reporting team,… more
- J&J Family of Companies (San Diego, CA)
- …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
- 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 ... 2+ years of provider data or network administration experience, preferably in a managed care setting. Associate's degree in health care or a related field… more
- Molina Healthcare (Kearney, NE)
- …a clerical role in a claims, and/or customer service setting - preferably in managed care , or equivalent combination of relevant education and experience. * ... Qualifications** * Claims recovery experience. * Health insurance experience in a managed care setting. To all current Molina employees: If you are interested in… more