- 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
- Sun Pharmaceuticals, Inc (Los Angeles, CA)
- …and regional thought leaders/healthcare professionals (HCPs) as well as payers and managed care accounts, providing the consistent delivery of educational and ... to these HCPs and also, internal SUN sales and managed markets constituents. Duties and Responsibilities: + Interact with...with others + Comply with all applicable SUN Health Care Compliance SOPs and US regulations Qualifications: + Doctorate… more
- UCLA Health (Los Angeles, CA)
- …a highly organized Administrative Assistant to support the daily operational workflows within the Managed Care Department. Reporting to the Managed Care ... Operations Supervisor, this position plays a key role in processing incoming communications, preparing audit documentation, printing and distributing reports, and maintaining workflow logs to ensure efficiency, accuracy, and compliance. This role supports a… more