- Houston Methodist (Houston, TX)
- …with third party recovery vendors to ensure their understanding and interpretation of the managed care contract terms and intent. Reviews and approves any ... accounting or related field preferred **WORK EXPERIENCE** + Three years of experience in managed care and/or contract modeling + Three years of experience… more
- AmeriHealth Caritas (Erie, PA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... in accordance with the AmeriHealth Caritas Pennsylvania Community Health Choices model of care . **Work Arrangement** + Remote + Candidates must live in the Northwest… more
- Humana (Frankfort, KY)
- …by: Providing legal advice and counsel to corporate and market teams on managed care and value-based contracting; Drafting and negotiating contracts for the ... firm or in-house, with at least 1 year of contract negotiation and drafting experience + Strong legal writing,...and positively influence others **Preferred Qualifications** + Experience in managed care and value-based contracting on behalf… more
- Humana (Dublin, OH)
- …+ Bachelor's degree + PMP Certification and experience + 3-5 or more years of managed care + 5 or more years of technical experience + Knowledge/understanding of ... compliance issues and recommends changes that assure compliance with contract obligations. Maintains relationships with government agencies. Coordinates site visits… more
- Valor Health (Stuart, FL)
- … care . + Acts as point person within PACT Team. + Assists in co- managed care collaboration with non-VA providers, and facilities. + Provides patient and ... VA medical centers. Our comprehensive set of services includes primary care , diagnostics, laboratory, telehealth, behavioral health, and more. About Our Benefits… more
- Houston Methodist (Sugar Land, TX)
- …health assessments on all new post-offer candidates, allied health professionals (not managed by medical staff credentialing), and other contract , agency, ... Health Nurse PRN position provides expert, integrated, cost-effective, quality patient care through the coordination of clinical care for occupational… more
- State of Colorado (Denver, CO)
- …and programs include both physical health and behavioral health and span the managed care continuum from fee-for-service to fully capitated risk programs. BHIC ... Type Full Time Job Number UHA05575 07/22/2025 Department Department of Health Care Policy and Financing Division Medicaid & Behavioral Health Initiative & Coverage… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- … for patients within the Medical Center and VISN. Has basic understanding of managed care practices, including health care finance, billing, coding and ... is responsible for all the functions which fall under the scope of care of Radiation Oncology Service (ROS). These functions include clinical and administrative… more
- AmeriHealth Caritas (Orlando, FL)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... to support network operations. **Work Arrangement:** + Remote - Associate must be located anywhere in the US.; +...+ 5 to 10 years of experience in the managed care /health insurance industry with demonstrated strengths… more
- Aegon Asset Management (GA)
- …Solutions, and 3) Financial Assets, which includes legacy blocks of long term care , universal life, and variable and fixed annuities. These are supported by ... towards goals. + Promote, educate and enroll participants into Managed Advice; provide on-going financial and planning support to...63 or obtain within six months. + Retirement Plans Associate (RPA) or Charted Retirement Plan Counselor (CRPC), or… more
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