- National Vision (Lawrenceville, GA)
- …hard work is praised, and career growth is a reality. We are hiring for a Managed Care Customer Service Representative to join our growing team! This is an in ... see their best to live their best. We help people by making quality eye care and eyewear more affordable and accessible. National Vision is one of the largest… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review ... staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). * Participate in data collection/input into system for… more
- Molina Healthcare (Cambridge, MA)
- …experience **Required Experience** + Minimum of five (5) years' experience in a managed care environment (including Medicare, Medicaid and other State governed ... Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations.… more
- Molina Healthcare (Cleveland, OH)
- …Qualifications** + At least 6 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent ... including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees:… more
- Travelers Insurance Company (Downers Grove, IL)
- …Team provides coverage for Community Associations, Healthcare Institutions and Providers, Managed Care Organizations, Life and Health Underwriters and Public ... **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our… more
- Molina Healthcare (Austin, TX)
- …5-7 years' experience preferred. + Databricks experience preferred. + Texas Medicaid and Managed Care experience strongly preferred. + Experience working in a ... cross functional highly matrixed organization. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Saint Francis Health System (Tulsa, OK)
- …performs on going analysis, which maintains the integrity of financial expectations of managed care contracts within the Epic system. Resolves programming issues ... related to rate and revenue codes operations through modification to yield maximum revenue potential for both physician and hospital contracts/reimbursement. Ensures through Epic testing that the build is developed and performing the collaborates with the Epic… more
- CDPHP (Latham, NY)
- …of that experience. Under the direct supervision of a licensed pharmacist, the Managed Care Pharmacy Technician (Pharmacy Tech) is responsible for administering ... CDPHP member and client-specific programs aimed at optimizing pharmacy benefits and the prescription process. This position will handle live calls to members as well as physicians and pharmacists, to provide information regarding pharmacy benefits, formulary… more
- Bishop McCarthy Center (Vineland, NJ)
- Employee Heath/ Managed Care / Infection Control Registered Nurse has oversight over functions of the employee health program which include pre employment ... screening, employee verification, annual PPD testing, Covid testing, work related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to insurnace companies for continued stay… more
- Prime Therapeutics (Salem, OR)
- …area of study + 15 years of relevant work experience in PBM, pharmacy, health plan and/or managed care with a minimum of 8 years in Medicare and/or Medicaid in a ... **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President Government...of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That… more