- Centene Corporation (Jefferson City, MO)
- …provider relations or contracting), provider data management, or credentialing in a managed care , insurance, or medical office environment. Experience performing ... Purpose:** Perform provider data management related activities based on plan and contract specifications and standard business rules - includes data analysis and… more
- RTX Corporation (Farmington, CT)
- …as only US citizens are authorized to access information under this program/ contract . **Security Clearance:** None/Not Required RTX Corporation is an Aerospace and ... + Provide general accounting support for the PWMIL F-135 International entities managed by the ES accounting team. + Provide yearly statutory audit support… more
- Walgreens (Deerfield, IL)
- …in retail + Experience in pharmacy industry in areas such as Retail, PBM, Managed Care , Mail Service, and Specialty Pharmacy. We will consider employment of ... including traditional account management, setting and leading the negotiations surrounding contract renewals and new business, and identifying areas of revenue… more
- The Cigna Group (Mclean, VA)
- …Experience in developing and managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus + Team player ... Providers 3 days per week The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider...and projects financial impact of provider contracts and alternate contract terms. + Creates "HCP" agreements that meet internal… more
- The County of Los Angeles (Los Angeles, CA)
- …service operations, clinic, or programs overseen; ensures that budget and contract allocations reflect program priorities; and takes corrective action where ... + Develops and monitors revenue-generation procedures and objectives for programs managed , including achievement of revenue goals. + Develops and implements… more
- The County of Los Angeles (Los Angeles, CA)
- …operational areas, clinic, or programs overseen; ensures that budget and contract allocations reflect program priorities; and takes corrective action where ... Develops and monitors revenue-generation procedures and objectives for programs managed , including achievement of revenue goals. Develops and implements reporting… more
- Elevance Health (Costa Mesa, CA)
- …range of experience with autism services and treatment required. + Prior managed care experience required. **Preferred Skills, Capabilities and Experiences:** + ... depression, and insightful analytics to improve the delivery of care . **Behavioral Health Care Manager II -...effective setting in accordance with UM Clinical Guidelines and contract . + Refers cases to Peer Reviewers as appropriate.… more
- Elevance Health (Ashburn, VA)
- …broad range of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. + For URAC accredited areas, the ... **Behavioral Health Care Manager II** **Shift:** Monday - Friday; 8:00am...effective setting in accordance with UM Clinical Guidelines and contract . + Refers cases to Peer Reviewers as appropriate.… more
- Kestra Medical Technologies, Inc (Kirkland, WA)
- …to reduce AR aging and improve collection rates from commercial, government, and managed care payors. + Lead initiatives to streamline workflows, enhance system ... comfort and dignity. Innovating versatile new ways to deliver care , Kestra is helping patients and their care...manage, and protect life. The Accounts Receivable (AR) Payor Analyst plays a critical role in the healthcare revenue… more
- Mount Sinai Health System (New York, NY)
- …cycle, including pre-award budget development, post-award monitoring, program sub- contract management, and grant closeout procedures. Provides technical assistance ... guidance in the preparation, submission, processing and management of research grants, contract proposals, awards and all agreements for Research teams within the… more