- Vanderbilt University Medical Center (Nashville, TN)
- …Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care , VUMC is a community of individuals who come to work each day ... is to advance health and wellness through preeminent programs in patient care , education, and research. **Organization:** Scanning and Indexing **Job Summary:** JOB… more
- Highmark Health (Hartford, CT)
- …+ High school diploma /GED + 3 years of experience required in health care / managed care + 3 years of experience in credentialing/re-credentialing of ... practitioners/providers + 3 years of experience with NCQA and other regulatory standards **Substitutions** + None **Preferred** + Bachelor's degree. + Certified Provider Credentialing Specialist (CPCS) certification **Skills** + None **SCOPE OF… more
- Ascension Health (Hutto, TX)
- …items and to recognize and resolve billing inconsistencies. + Collaborate with managed care department to code billable items for reimbursement. Collaborate ... national health system made up of over 134,000 associates and 2,600 sites of care , including more than 140 hospitals and 40 senior living communities in 19 states.… more
- Molina Healthcare (Louisville, KY)
- …the clinical departments including utilization management/authorizations + Experience working with Managed Care /Payer or Hospital/other medical systems data is ... + Provides healthcare analysis including quantification and analysis of health care costs, development and maintenance of databases and other sources of… more
- Ascension Health (Indianapolis, IN)
- …Maintain annual tax filing calendar for renditions, tax payments and exemptions. + Managed assigned audits as they are announced. + Work with other departments ... key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join...up of over 134,000 associates and 2,600 sites of care , including more than 140 hospitals and 40 senior… more
- Molina Healthcare (Detroit, MI)
- …and experience **Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience + Demonstrates familiarity in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 1-3 years formal training in Business Analysis and/or Systems Analysis… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …_Regular Full-Time_ **Job Number** _153327_ **Job Category** _Revenue Cycle & Managed Care_ **Schedule** _8a-5p_ **Standard Hours** _40 Hours_ **Hourly Minimum** ... _USD $36.75/Hr._ **Hourly Midpoint** _USD $49.61/Hr._ Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment,… more
- Comcast (West Chester, OH)
- …offers a suite of Connectivity, Communications, Networking, Cybersecurity, Wireless, and Managed Solutions to help global organizations of all sizes prepare for ... connect you to the support you need when it matters most, and should help you care for those who matter most. That's why we provide an array of options, expert… more
- Molina Healthcare (Boston, MA)
- …**Required Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 3-5 years of formal training in Project Management + Experience… more
- Centene Corporation (Austin, TX)
- …3+ years of experience in clinical setting Required 2+ years of experience in Managed health care industry **Required Other Basic knowledge of Value Based ... Program:** **Required Other Thorough knowledge Medicare and Medicaid quality scoring methodologies including HEDIS, NCQA and Pay-for-Performance Measures:** Required Other Thorough knowledge of CMC's mission and its operational structures Required Other Basic… more