- Rush University Medical Center (Oak Park, IL)
- …experience * Experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service ... Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc., managed care contracts and coordination of benefits is highly… more
- Molina Healthcare (MI)
- …+ 3-5 years' experience in healthcare industry, preferably in the Medicaid Managed Care Programs + Previous healthcare marketing and/or grassroots/community ... locality with reliable transportation. **Preferred Experience:** Experience in the Medicaid Managed Care Programs Experience with behavioral health and/or… more
- The County of Los Angeles (Los Angeles, CA)
- …staff issues; health facility licensing, healthcare organization certification and accreditation; managed care and the Knox-Keene Act; and/or medical malpractice ... in detail your experience in the practice of healthcare law pertaining to managed care and the Knox-Keene Act. If you do not have experience, please indicate… more
- US Tech Solutions (RI)
- …with Medcompass + Must have prior authorization utilization experience. + Managed Care /Medicare experience preferred. **Skills:** + MUST HAVE MEDCOMPASS ... or ASSURECARE exp. + MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE… more
- UTMB Health (Cotulla, TX)
- …Patient Care UTMB Health Requisition # 2202507 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations ... FUNCTIONS_ : + Contributes to the success of the UTMB Correctional Managed Care operation. + Interviews, evaluates and diagnoses patients identified as having… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …identifying contractual variances between posted and expected reimbursement for Article 28, Managed Care , Commercial Insurance and other payers. Analyze, audit ... experience. Required Skills, Knowledge and Abilities: Knowledge of guidelines of managed care and claims guidelines and ability to identify trends/issues with… more
- SUNY Upstate Medical University (Syracuse, NY)
- …established criteria. Obtain prior authorization from intermediaries and payers, including managed care companies, insurance companies, and review organizations. ... Experience with healthcare insurance prior authorization/coding and performing insurance carrier/ managed care review preferred. National Pharmacy Technician… more
- Commonwealth of Pennsylvania (PA)
- …and analyzing proposals AND grant writing activities/documents of county, agency, facility, managed care organizations, or human service providers. I COORDINATED ... and analyzing proposals OR grant writing activities/documents of county, agency, facility, managed care organizations, OR human service providers. + C. I… more
- Centene Corporation (Jefferson City, MO)
- …a time. **Position Purpose:** Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects ... that support the business. + Learn various job functions within the Managed Care industry and explore various career opportunities + Apply academic knowledge and… more
- US Tech Solutions (May, OK)
- …skills and detail orientation important for this position. **Skills:** + MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE 6 months ... + Pharm D. required with at least two years experience as a pharmacist in Managed care environment. + Must have an active license in the state of residence in… more
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