- Palo Alto Networks (Santa Clara, CA)
- …Exposure Management Scanning team is expanding, and we're looking for a Staff Researcher Analyst to join our team. At Cortex, we believe that making the internet a ... and evidence generation for audits. + Experience using cloud managed services (ideally in GCP) + Are familiar with...without regard to age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital… more
- CVS Health (Columbus, OH)
- …Overview** As part of the bold vision to deliver the "Next Generation" of managed care in Ohio Medicaid, OhioRISE will help struggling children and their ... needed. **Preferred Qualifications** Case management and discharge planning experience. * Managed Care experience. * Medicaid experience. Candidate will reside… more
- AmeriHealth Caritas (Charleston, SC)
- …configuration process/systems and its relevance/impact on network operations. + 1 to 2 years managed care or related experience preferred. + 1 to 2 years ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
- Trinity Health (Pontiac, MI)
- …Required.** **D. Experience** + Three to five years of patient accounting or managed care experience. Perioperative operations preferred. + Minimum 6 months ... documents findings as requested. Provides data, reports and documentation relative to managed care issues, adjustments, and credit balances. Measures and… more
- Molina Healthcare (UT)
- …+ Proven experience handling provider disputes, appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and ... + At least 4 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of… more
- Aegon Asset Management (Cedar Rapids, IA)
- …Solutions, and 3) Financial Assets, which includes legacy blocks of long term care , universal life, and variable and fixed annuities. These are supported by ... Responsibilities + Research and report on routine business questions ( managed from stakeholder-aligned prioritization) including analysis of business workflows,… 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 ... and experience. Required Skills, Knowledge and Abilities: Knowledge of guidelines of managed care and claims guidelines and ability to identify trends/issues… more
- City of New York (New York, NY)
- …system for individuals with intellectual and/or developmental disabilities, including Medicaid managed care , value-based payment, and program models - Track ... work independently. - Familiarity with health insurance policy, including Medicaid and managed care principles. - Strong research, analytical, oral, writing and… 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
- Molina Healthcare (OH)
- …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