- UTMB Health (Huntsville, TX)
- …States** Allied Health UTMB Health Requisition # 2504762 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... JOB FUNCTIONS_** **:** + Contributes to the success of UTMB Correctional Managed Care . + Responsible for selecting and ordering equipment and ensuring equipment… more
- Sutter Health (Sacramento, CA)
- …to internal and external stakeholders. **Job Description** : **This position supports Managed Care Finance (MCF) with responsibility for complex financial ... with Epic or SQL is preferred. Familiarity with capitation and managed care is highly desirable.** **This position partners closely with Finance leadership… more
- Arms Acres (Carmel, NY)
- …and intervention with client support systems, including social service programs and managed care . *sign on bonus eligible DUTIES AND RESPONSIBILITIES: ... develop aftercare plans in conjunction with referring persons/agencies, EAPs and managed care /insurance entities. Participates in facility program and quality… more
- Robert Half Accountemps (Minneapolis, MN)
- …review, submit, and resubmit professional and facility claims to Medicare, Medicare Advantage ( Managed Care ), Medicaid, Medicaid Managed Care , and ... other commercial and third-party payers in accordance with payer-specific billing guidelines. + Analyze claim denials, rejections, and underpayments; identify errors; implement corrective actions; and route issues to appropriate internal departments to ensure… more
- Helio Health Inc. (Syracuse, NY)
- …assist and model for staff coordination between prescribing physicians, their designees, managed care companies, labs and pharmacies to ensure all requirements ... changing trends with medications, ability to fill medications, coordination with Physicians, managed care and pharmacies. + Identify staff training needs related… more
- Molina Healthcare (Rio Rancho, NM)
- …environment. Additional required experience for Corporate Operations: * Analytical experience within managed care operations. * Knowledge of managed ... care enrollment processes, encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** Bachelor's Degree **Preferred Experience** * Six years proven… more
- National Health Transport (Miami, FL)
- …mechanisms + Interact with various healthcare facilities, dispatch centers, insurance agencies and managed care organizations + Act as a customer liaison with ... marketing + Research and answer customer inquiries + Obtain insurance or managed care authorizations + Communicate and document service delays + Actively work… more
- IQVIA (New Providence, NJ)
- …(eg, Medicaid, Master Data Management, Chargebacks, Government Pricing, Testing, Managed Care Contracting, Commercial Contracting, Integration Development, ... Data Management * Chargebacks * Government Pricing * Testing * Managed Care Contracting * Commercial Contracting * Integration Development * Report Development… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Coordinator-2\_R-001894) to apply. + Assesses Managed Care Entity (MCE) ... case documents, audit summaries, and reports. + Coordinates law enforcement requests, managed care investigations, external audit requests, referrals, tips, and… more
- Calvary Hospital (Bronx, NY)
- …by Calvary Hospital. Works cooperatively with other departments, provider referrers and managed care organizations to facilitate the admission of patients to ... the various programs provided by Calvary Hospital. Interfaces with managed care organizations to facilitate reimbursement for services provided by the Hospital.… more
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