- University of Colorado (Aurora, CO)
- …are within acceptable range as determined by CCTCARE while meeting access to care standards for the community. If quality measures fall outside acceptable range, ... organ specific medical director to develop a plan to improve the care provided. + Participate in faculty recruitment, retention, and tenure/promotion activities.… more
- Prime Healthcare (Garden City, MI)
- …The Specialist, Billing is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. #LI-BM2 Qualifications 1. Minimum of four years… more
- Envista Holdings Corporation (Brea, CA)
- …with Envista's senior business leaders, internal/external IT resources, and managed service providers to ensure scalable, secure, and efficient technology ... continuous improvement and innovation, and solution delivery via application managed services. **PRIMARY DUTIES & RESPONSIBILITIES:** + **Strategic Leadership:**… more
- Robert Half Management Resources (Vancouver, WA)
- …streamline revenue cycle processes and improve overall performance. * Collaborate with managed care organizations (MCOs) to address and resolve challenges ... standards related to Medicaid. * Effective communication skills to engage with managed care organizations and other stakeholders. * Proactive problem-solving… more
- Robert Half Office Team (Trumbull, CT)
- …funding referrals in line with departmental policies. * Maintain compliance with managed care requirements and healthcare regulations to ensure patient safety. ... applications in a high-pressure environment. * Familiarity with healthcare regulations and managed care requirements. * Proficiency in scheduling systems and… more
- AmeriHealth Caritas (Washington, DC)
- …setting. + 3 years of supervisory/ management/ leadership experience, preferably in a managed care setting. + Valid driver's license and automobile insurance. ... analyzes comparable Plan pricing guidelines. + Resolves difficult complex contract issues to ensure that provider contracts are in...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more
- Mount Sinai Health System (New York, NY)
- …+ Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or ... to inform our clinical or contracting staff to improve contract outcomes. b. Care Management Helps to identify, understand and prioritize at-risk members… more
- The Cigna Group (Los Angeles, CA)
- …will be considered in lieu of a bachelor's degree.** + **3+ years of Managed Care contracting and negotiating experience involving complex delivery systems and ... relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… more
- Molina Healthcare (Rockford, IL)
- …will have the following experience-** + Live in Illinois and are familiar with Managed Care in Illinois and how HHF operates. + Background/experience in business ... or related field. **Required Experience** + 3 years' experience in a managed care environment. + Experience demonstrates strong: communication and presentation… more
- The Cigna Group (Oakland, CA)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and ... relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… more