- Elevance Health (Indianapolis, IN)
- …the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, ... and ability to interpret and apply member contracts, member benefits, and managed care products strongly preferred for associates performing medical management.… more
- Molina Healthcare (Santa Fe, NM)
- …including 5 years experience in a behavioral health setting, and preferably Medicaid managed care experience, or equivalent combination of relevant education and ... (RN) license. * Clinical practice experience with a behavioral health entity or managed care organization. * Experience in discharge planning, home health or… more
- Molina Healthcare (Reno, NV)
- …At least 7 years experience in health care , and at least 3 years of managed care experienced in one or more of the following areas: utilization management, ... * Previous supervisory experience overseeing Care Management staff in a managed care organization Registered Nurse (RN). License must be active and… more
- BJC HealthCare (St. Louis, MO)
- …and for revenue cycle management process redesign. + Provides expert in-house consultation to managed care on operations and collections issues as they relate to ... contract negotiations. + Ensures operations are efficient and in...and in compliance with federal and state regulations and managed care contracts. + Develop and maintain… more
- ConvaTec (Lexington, MA)
- …on solutions for the management of chronic conditions, with leading positions in Advanced Wound Care , Ostomy Care , Continence Care , and Infusion Care . ... of at-risk skin, to improved patient outcomes and reduced care costs. Convatec's revenues in 2024 were over $2...management / data analytics as this service would be managed by Convatec's Manager, Data Management & Analytics. +… more
- Compass Group, North America (Baltimore, MD)
- …include inventory, ordering and receiving + Knowledge of P&L accountability and contract - managed service experience is desirable + Proficient in menu ... Everything we do means more when it's served with care . The exceptional care and culinary artistry...exposition cooking needed + Knowledge of P&L accountability and contract - managed service experience is desirable + ServSafe… more
- UPMC (Pittsburgh, PA)
- …degree in business or health related field preferred. + Direct experience with managed care organizations is preferred. + Senior level management experience with ... population health strategy, clinical and provider operations, and State contract and CMS requirements for the Government products, with...health care delivery systems management in a managed care environment. + Strong QI and… more
- Molina Healthcare (Tucson, AZ)
- …experience in quality management and clinical quality investigations, preferably in a managed care setting, or equivalent experience * Registered Nurse. License ... * Certified Professional in Health Quality (CPHQ). * Medical record abstraction experience. * Managed care experience. * Ability to work across all levels of the… more
- Bausch + Lomb (Atlanta, GA)
- …support for appropriate patient access to Bausch + Lomb products across relevant sites of care . + Educate office staff and Providers on the use of Bausch + Lomb ... access and patient support programs, as appropriate. + Work collaboratively with Managed Markets to resolve potential access obstacles and issues. Communicate access… more
- CGI Technologies and Solutions, Inc. (Radford, VA)
- …help support a program we are working on for the Army's PL ALTESS contract . PL ALTESS, or Product Lead for Acquisition, Logistics, and Technology Enterprise Systems ... to the Army and Department of Defense. As a managed service provider, ALTESS delivers infrastructure, platform, and application...grow and last. You'll be supported by leaders who care about your health and well-being and provide you… more