- Humana (Lansing, MI)
- …Qualifications** + Certified Case Manager (CCM) + Previous experience working in a managed care field + 5 or more years of previous management/supervisor ... community and help us put health first** The Manager, Care Management leads teams of nurses and behavior health...and tools for teams to ensure compliance with state contract on performance metrics and to ensure member needs… more
- Elevance Health (Wilkesboro, NC)
- …+ Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. **We are unable to accommodate LCSW-A, ... welfare system so that they receive seamless, integrated, and coordinated health care . Within the Children and Families Specialty Plan (CFSP), and regardless of… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …for billing and collections of outstanding account balances for commercial, government, and managed care payors as assigned. The Reimbursement Specialist I is ... for the Reimbursement Specialist I to read, interpret and apply complex payor contract language to expected reimbursement calculations and pursue all payments due to… more
- Mass Markets (Killeen, TX)
- …REQUIRED QUALIFICATIONS + Minimum of 3-yearscall center managementexperience + Associate 's degree or equivalent combination of education and relevant work ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- Grifols Shared Services North America, Inc (Flint, MI)
- … strategy, and represent needs of the customer + Remain cognizant of managed care coverage throughout the business territory including major accounts and ... to respond to business customers, business and environmental needs of Marketing, Managed Markets, Operations, CL&D, and Medical Affairs. The SSR will also be… more
- 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
- Compass Group, North America (Charlotte, NC)
- …industries, and of course we support Compass Group-- which is the world's largest contract food and support services provider. Why Foodbuy? We care about our ... the operational integrity and profitability of contracted programs utilizing a managed order guide for assigned distribution centers. Responsibilities:* Review … more
- Humana (Raleigh, NC)
- …systems, and practice transformation. + Ensure team's compliance North Carolina's Managed Care Contractual requirements for provider relations, such as ... development for direct and indirect reports to drive exceptional associate engagement and performance + Set and monitor team...7+ years of management experience. + Working knowledge of managed care health plan and provider operations… more
- Molina Healthcare (Long Beach, CA)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care field. **PREFERRED EDUCATION** ... or an equivalent combination of education and experience **PREFERRED EXPERIENCE** : 1-3 Years Managed Care experience To all current Molina employees: If you are… more
- AmeriHealth Caritas (Fayetteville, NC)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... access to services, maintaining financial integrity, and adhering to contract management requirements. ; **Work Arrangement:** + Remote -...+ 5 to 10 years of experience in the managed care /health insurance industry, with strengths in… more
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