- Elevance Health (Bryson City, NC)
- **CFSP Managed Care Coordinator** **Sign-on Bonus: $2500** **We are currently seeking people in the following counties and look forward to speaking with you!** ... thrive in safe, stable, and nurturing homes._ The **CFSP Managed Care Coordinator** is responsible for the...CFSP Program, as required by applicable state law and contract . **How you will make an impact:** + Provide… more
- Atrius Health (Newton, MA)
- …welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Senior Managed Care Analyst* **Location:** *Newton MA - ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical… more
- Cedars-Sinai (CA)
- …Los Angeles and beyond. **Req ID** : 11588 **Working Title** : Claims Examiner - Managed Care **Department** : MNS Managed Care **Business Entity** ... and adjusts data, determines appropriate codes, fees and ensures timely filing and contract rates are applied. + Responds and documents resolution of inquiries from… more
- Sutter Health (Sacramento, CA)
- …analysis principles, methods, practices, and procedures. + Knowledge of managed care payment/reimbursement methodologies (eg, Medicaid/Medi-Cal, Medicare, ... you are interested in joining Sutter Health! **Organization:** SSC-Sutter Senior Care **Position Overview:** Hybrid position with report requirements in Sacramento,… more
- Molina Healthcare (Albany, NY)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + Must ... materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.… more
- BMS Family Health and Wellness Centers (Brooklyn, NY)
- …+ Through coordination with the medical team, ensures clinical practice compliance with Managed Care /HMO, SBHC contract and Federal and State guidelines. ... (http://maps.google.com/maps?q=592+Rockaway+Avenue+Brooklyn+NY+USA+11212) Job Type Full-time Description Provides adult medical health care services at BMS Health and Main Location, which… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review ... of clinical information to support and determine medical necessity criteria and contract benefits. * Utilize allocated resources to back up review determinations. *… more
- US Tech Solutions (Columbia, SC)
- …and to coordinate with team, providers, and patient representatives regarding patient care . + Skill sets/qualities: Same as required skills listed in job ... of clinical information to support and determine medical necessity criteria and contract benefits. + Provides telephonic support for members with chronic conditions,… more
- J&J Family of Companies (Raritan, NJ)
- …**Job Description:** We are searching for the best talent for a **Analyst Managed Markets and Specialty** in the Enterprise Contract Management Organization, ... at https://www.jnj.com **Job Function:** Sales Enablement **Job Sub** **Function:** Contract Administration and Management **Job Category:** Professional **All Job… more
- Red Hat (Boston, MA)
- …Lifecycle team. This team is responsible for provisioning and lifecycling Managed OpenShift services across major cloud platforms, including Amazon Web Services ... for developing and shipping reliable production-ready features and enhancements for managed Red Hat OpenShift platforms. Success in this position requires excellent… more