- Grifols Shared Services North America, Inc (Albany, NY)
- …contract strategy, and represent needs of the customer. *Remain cognizant of managed care coverage throughout the business territory including major accounts ... approach to respond to business customers. The SSR will liaise with Marketing, Managed Markets, Operations, CL&D, Medical Affairs and Telesales to achieve the goals… more
- Tenet Healthcare (Commerce Township, MI)
- …charges (eg, ABN not signed, denials, disputes, bad debt). 4. Reviews proposed managed care contracts and identify any issues or concerns with implementation ... loaded correctly into IMaCs and claims properly adjudicated during and after managed care negotiations. 6. Monitors/reviews billing, A/R and reconciliation for… more
- Illumination Foundation (Santa Ana, CA)
- …+ Recuperative care and health-related programs + CalAIM and other managed care -related programs, including Enhanced Care Management and Community ... strategic oversight and coordination for CalAIM-related programs and other health plan or managed care contracts. + Ensure compliance with state, county, and … more
- Baylor Scott & White Health (Dallas, TX)
- …correspondence to collect inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts ... to resolve payment difficulties and penalties owed to BSWH in accordance with Managed Care contracts. Contacts insurance company representatives by telephone or… more
- Molina Healthcare (San Antonio, TX)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated… more
- New York State Civil Service (New York, NY)
- …and ability to learn new data systems.Familiarity with the Medicaid Managed Care /Family Health Plus/HIV Special Needs Plan Contract and other federal and ... protocols.* Analyze data and arguments to make well-reasoned determinations for Medicaid managed care reviews.* Apply Medicaid policy, regulations and Medicaid … more
- State of Colorado (Golden, CO)
- …commitment, and parole. DYS is the agency statutorily mandated to provide for the care and supervision of youth committed by the District Court to the custody of ... privately contracted residential and non-residential program services and centrally managed programming. The Director's Office allocating resources consists of: DYS… more
- AmeriHealth Caritas (Southfield, MI)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... physician practice chief executive officers, chief financial officers, directors of managed care , other high-level executives, and AmeriHealth Caritas's… more
- Robert Half Finance & Accounting (Portland, OR)
- …corporate strategies and foster business growth. * Provide strategic leadership in managed care and healthcare financial operations, ensuring compliance with ... * At least 5 years of experience in the managed care or healthcare industry. * Proven...job seekers to opportunities at great companies. We offer contract , temporary and permanent placement solutions for finance and… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …field. Minimum of two (2) year's relevant and progressive business experience working in managed care or other health care related field with significant ... Provider's knowledge and satisfaction with the terms of their contract as well as Health Plan's benefits products, policies,...4 year's relevant and progressive business experience working in managed care or other health care… more