- MyFlorida (Tallahassee, FL)
- …Plan Management Operations (PMO). PMO is responsible for the primary oversight of Medicaid's managed care programs, with a focus on the Statewide Medicaid ... Managed Care (SMMC) program and Dual Eligible...Managed Care (SMMC) program and Dual Eligible Special Needs (D-SNP)...of Plan Management Operations. This position serves as a contract manager and lead point of contact… more
- MyFlorida (Tallahassee, FL)
- …policy language for: the Medicaid/CHIP report guides, contracts, and amendments; Dear Managed Care Plan letters, contract interpretations, policy ... home and community based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug...This position requires that you obtain a Florida Certified Contract Manager certification within six months of… more
- Morehouse School Of Medicine (Atlanta, GA)
- …of the health professional and scientific workforce; * Address primary health care through programs in education, research and service; With emphasis on people ... partners to support clinical operations, faculty practice plans, and patient care initiatives. . Provide strategic oversight for educational programs, including… more
- Molina Healthcare (San Antonio, TX)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated… more
- HCA Healthcare (Denver, CO)
- …and analyze a wide range of data. + Must possess knowledge about managed care andthird-partycontractual arrangements and have the ability to analyze such ... impacting our communities. As a(an) Admin Director Operations and Finance with HealthONE Colorado Care Partners, you can be a manager in an organization that is… more
- HCA Healthcare (Nashville, TN)
- …auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling ... assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more...portfolio to both internal and external audiences. The portfolio managed may include, significant spend categories that are sole… more
- CyrusOne (Richardson, 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 ... Under the direction of the Senior Facility Manager this role works as a team member...Perform Level 1 response on Windows servers for both non- managed and managed clients, including initial troubleshooting,… more
- Albany Medical Center (Albany, NY)
- …relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting, as well as the provision and reimbursement ... the AMHS market. Leading and mentoring, negotiating, continuous monitoring of contract performance, and engaging with internal and external stakeholders to optimize… more
- Fresenius Medical Center (Philadelphia, PA)
- …with management and executives to determine appropriate plan of action. Supports Managed Care staff in budgeting and forecasting activities. PRINCIPAL DUTIES ... procedures. + Responsible for timely and accurate communication of revenue reporting to Managed Care Management Team. + Responsible for compliance with all… more
- Valor Health (Harriman, TN)
- …VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Conducts individual, group, and family and marriage counseling and/or ... the time of each patient visit. + Assists in co- managed care collaboration with non-VA providers, and...with non-VA providers, and facilities. + Functions as case manager as needed. + Provides patient and family health… more