- Valor Health (Bowling Green, KY)
- …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
- Dispatch Health (Cary, NC)
- …services for no less than minimum number of clinical shifts per Lead APP contract to support patient care needs in the market, understand clinical experiences, ... safety, quality care and outcomes. + In collaboration with Market Manager and Regional Medical Director address patient and/or partner complaints and concerns.… more
- Humana (Springfield, IL)
- …to manage multiple priorities in a fast-paced environment. + Thorough understanding of managed care contracts, including contract language and reimbursement. ... trainings. + Attend Network Meetings/Conferences. Ensure compliance with all Virginia managed care contractual requirements for provider relations, such as… more
- Humana (Oklahoma City, OK)
- …systems, adjudication, submission processes, coding, and/or dispute resolution + Understanding of managed care contracts, including contract language and ... interactions with Humana's Oklahoma Medicaid plan + Ensure compliance with Oklahoma's managed care contractual requirements for provider relations, such as… more
- Molina Healthcare (Miami, FL)
- …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** : Provider facing experience and… more
- Rush University Medical Center (Chicago, IL)
- …for facilitating weekly Revenue and Receivable meetings between Revenue Cycle Leadership and Managed Care Contract Managers. Directs the creation and ... design, and implement a process to produce monthly payer scorecards for all major managed care payers. Provides feedback and statistical analysis to Rush Health… 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 ... within well-defined guidelines, under the direction of the Integrated Behavioral Healthcare Manager . Duties are performed both in the office and in the field… more
- Elevance Health (Miami, FL)
- …the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, ... in a health related field or certification as a care manager preferred. + Knowledge of medical...to interpret and apply member contracts, member benefits, and managed care products strongly preferred for associates… more
- World Wide Technology (Chantilly, VA)
- …join WWT today! We are looking for a **Senior Operations Lead** to support our Managed Service Provider (MSP) contract within the Public Sector. **Why should you ... you be doing?** Operations Lead for a classified Intelligence Community Managed Service Provider (MSP) environment supporting the government industry partners. WWT's… more
- State of Colorado (Denver, CO)
- …the department. Description of Job This position provides general support for contract services and other office duties within the responsibilities of the Operations ... the Forensic Services Operations Department. Other duties include: General Support for Contract Services and Other Office Duties: + Supports the Operations Director… more