- Elevance Health (Charlotte, NC)
- …Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. + Experience with oversight and monitoring ... welfare system so that they receive seamless, integrated, and coordinated health care . Within the Children and Families Specialty Plan (CFSP), and regardless of… more
- Elevance Health (Shelby, NC)
- …+ Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. **We are unable to accommodate LCSW-A, ... \#HealthyBlueCareTogetherCFSP **Clinical Care Advisor - Transition of Care **...accordance with federal/state law, scope of practice regulations or contract , the requirements are:** + Requires MS/MA in social… more
- Elevance Health (Darlington, WI)
- …is granted as required by law._ Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and Milwaukee County to offer the ... Family Care Program. Family Care is a Wisconsin...accordance with federal/state law, scope of practice regulations or contract , the requirements are: **Minimum Requirements:** + Requires an… more
- Humana (Marshfield, WI)
- …to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity(R) which ... join our team, serving members in the Wisconsin Family Care (FC) program. In this vital role, you will...+ Daily documentation in member files within required DHS contract timeframes. + Participate in member monthly phone contacts… more
- Colorado State University (Fort Collins, CO)
- …across emergency, urgent care , and specialty services. On average, the Critical Care Team managed over 5,000 cases annually, with an additional 10,000 ... Posting Detail Information Working TitleInstructor/Assistant/Associate Professor, Emergency Critical Care Position LocationFort Collins, CO Work LocationPosition is… more
- Trinity Health (Caldwell, ID)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **AMBULATORY CARE ** **CLINICAL PHARMACIST** **VALUE BASED CARE ** Responsible for providing ... for by the Saint Alphonsus Medical Group (SAMG) Clinics and/or patients managed by the Saint Alphonsus Health Alliance (SAHA). Works collaboratively with physicians,… more
- Community Hospital Corporation (Greenville, TX)
- …+ Oversee and lead negotiations with third-party payors for optimal reimbursement and contract performance of managed care contracts. + Administration of ... Required Skills, Knowledge, and Abilities: + Knowledge of hospital and health care practices and procedures as well as laws, regulations, and guidelines pertaining… more
- Stanford Health Care (Palo Alto, CA)
- …and reporting processes to increase efficiency, accuracy, and scalability. + Non-Patient Care Services Receivable + Oversee invoicing, contract compliance, and ... Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key leadership role… more
- Penn State Health (Hershey, PA)
- …care of a select patient population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts. Mobilizes ... and the ability to provide individualized, innovative, and specialized care to patients in the community. Penn State Health...on the terms outlined in company policy or union contract ._ _All individuals (including current employees) selected for a… more
- MyFlorida (Tallahassee, FL)
- …the Bureau's responsibility: Operations, Data Detection, Investigations, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic and ... 68039493 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Dec 4, 2025 The...and federal law, as well as the provisions of contract and Medicaid policy. This selected candidate will be… more