- New York State Civil Service (New York, NY)
- …billing patterns and troubleshooting reimbursement practices that are inconsistent with model managed care contract . * Supervise staff, including time ... limited to the following:* Provide direct management and oversight of the Medicaid Managed Care Behavioral Health plan audits, including desk reviews, written… 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 ... Housing & Community Support Specialist 1 Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4913284) Apply Housing & Community Support … more
- Robert Half Office Team (Richmond, VA)
- …the opportunity to apply your expertise in credentialing processes and compliance within the managed care sector. Join a dynamic team where your skills will ... for healthcare providers, ensuring compliance with Medicare, Medicare Advantage, and managed care organization standards. * Manage the end-to-end credentialing… more
- Molina Healthcare (Rockford, IL)
- …will have the following experience-** + Live in Illinois and are familiar with Managed Care in Illinois and how HHF operates. + Background/experience in business ... Molina Healthcare is hiring a Sr Specialist in our Government Contracts department. This role...field. **Required Experience** + 3 years' experience in a managed care environment. + Experience demonstrates strong:… more
- BayCare Health System (Clearwater, FL)
- …services. Maintain proper documentation in Soarian or GE systems. Work closely with Managed Care and understands health insurances rule sets, manuals, and ... + Preferred - 1 year of Healthcare Business Office and /or Managed Care experience Equal Opportunity Employer Veterans/Disabled **Position** Central… more
- BayCare Health System (Clearwater, FL)
- …services. Maintain proper documentation in Soarian or GE systems. Work closely with Managed Care and understands health insurances rule sets, manuals, and ... 12:00pm + **Days:** Monday - Friday This Central Authorization Specialist II opportunity is a part-time remote (following require...- 1 year of Healthcare Business Office and /or Managed Care experience + Highly Preferred -… more
- US Tech Solutions (Canton, MA)
- …experience with Microsoft Office products and HR systems + Preferred: Knowledge of the managed care / health care industry **Skill requirements:** + Attention ... 6 months contract (with possible extension)** **Summary** + The Benefits Specialist is a member of the Human Resources (HR) team with shared accountability… more
- Prime Healthcare (Kansas City, MO)
- …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications Education and Work Experience +… more
- Vistra (Irving, TX)
- …are currently available and apply online. **Job Summary** The Procurement Specialist is responsible for driving savings and implementing contractual protections for ... supplier evaluation criteria, conduct negotiations, formulate purchase orders and contract documents, manage invoicing exceptions, and manage supplier performance… more
- Prime Healthcare (Garden City, MI)
- …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications EDUCATION, EXPERIENCE, TRAINING 1.… more