- Molina Healthcare (Los Angeles, CA)
- …* 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare ... Health Plan and its service area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate 's Degree or equivalent provider contract , network development and… more
- Methodist Health System (Dallas, TX)
- …is multifaceted; it requires excellent interpersonal and communication skills, knowledge of managed care /health plans, and an understanding of the health ... Outlook, Word, Excel, and PowerPoint. * Work Experience: 1-5 years' experience in managed care or related field preferred. Marketing experience is a plus.… more
- CyrusOne (San Antonio, TX)
- …+ Knows and understands the Owner's building operations rules for the building(s) under his care and as provided by the DC Manager. + Uses and teaches others to use ... requests. + Perform Level 1 response on Windows servers for both non- managed and managed clients, including initial troubleshooting, reboot, hardware swap,… more
- University of Maryland, Baltimore (Baltimore, MD)
- …staff in all business functions, Manage and plan clinical operations including managed care contracts. Supervise administrative staff; develops and implements ... operations achieving financial objectives for clinical department. Negotiate and optimize managed care agreement, medical service plan issues and technology… more
- Illumination Foundation (Santa Ana, CA)
- …Referral Management & Evaluation + Review incoming referrals from hospitals, Managed Care Organizations (MCOs), Independent Physician Associations (IPAs), and ... Experience working with homeless or medically vulnerable populations + Familiarity with Managed Care Organizations (MCOs), IPAs, or hospital discharge procedures… more
- Spokane County (Spokane, WA)
- …the timelines established for service delivery and to meet the Washington State Health Care Authority (HCA), DOH, Managed Care Organization (MCO), and SCRBH ... (RSA) behavioral health agencies for individuals enrolled in primary behavioral health care services with the providers. + Provides direct behavioral health services… more
- Compass Group, North America (Fort Washington, PA)
- …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
- Molina Healthcare (St. Petersburg, FL)
- …investigative and law enforcement procedures with emphasis on fraud investigations. + Knowledge of Managed Care and the Medicaid and Medicare programs as well as ... in FWA or related work. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Health Care Anti-Fraud Associate (HCAFA). + Accredited Health Care Fraud… more
- Point32Health (Canton, MA)
- …industry **Experience** + Required (minimum): A minimum of 5-7 years' experience Managed Care , preferably at a Health Plan, in a ... Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to.... **Job Summary** The Provider Vendor Manager supports sourcing, contract execution, and performance management for key vendor partners,… more
- Compass Group, North America (Green Bay, WI)
- …include inventory, ordering and receiving + Knowledge of P&L accountability and contract - managed service experience is desirable + Proficient in menu ... a philosophy rooted in caring for the individuals who care for our guests. Our most significant competitive advantage...exposition cooking needed + Knowledge of P&L accountability and contract - managed service experience is desirable + ServSafe… more
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