- Molina Healthcare (Milwaukee, WI)
- …diploma or equivalent **Required Experience** + 3 years' experience in a managed care environment. + Experience demonstrating strong: communication and ... Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations.… more
- Molina Healthcare (Salt Lake City, UT)
- …School diploma or equivalent **Required Experience** 2+ years experience in a managed care environment, preferably in Medicaid environment. Knowledge of state ... Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations.… more
- Nuvance Health (Danbury, CT)
- …ie, registration. 5. Follows through with education of rules and regulations in the managed care system, as well as State & Federal guidelines. 6. Adjusts ... account balances to specific account needs. 7. Maintains Contract Management reporting (ie, payment errors, carve out billings) and updates any information as needed… more
- Molina Healthcare (Columbus, OH)
- …High School Diploma or equivalency **REQUIRED EXPERIENCE:** + Min. 2 years operational managed care experience (call center, appeals or claims environment). + ... Responsible for meeting production standards set by the department. + Apply contract language, benefits, and review of covered services + Responsible for contacting… more
- RTX Corporation (Tallahassee, FL)
- …as only US citizens are authorized to access information under this program/ contract . **Security Clearance:** None/Not Required RTX Corporation is an Aerospace and ... software maintenance is timely, compliance is maintained, incident tickets are managed . + Plan for continuous innovation, learning, and development within the… more
- Mass Markets (IA)
- …applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, ... Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal &… more
- AmeriHealth Caritas (Harrisburg, PA)
- …preferred. + Minimum of 2 years of experience in a Behavioral Health or Managed Care environment, with direct provider interaction. **Skills & Abilities:** + ... **Role Overview:** The Provider Network Contract Representative oversees the daily operations related to Out of Network (OON) agreements, provider contracts, and… more
- Molina Healthcare (Ann Arbor, MI)
- …ensure effective and efficient business results. * Trains and monitors newly hired Contract Specialist (s). * Participates with the management team and other ... field including, but not limited to, provider's office, managed care , or other health care...multispecialty provider groups. * 3+ years experience in provider contract negotiations in a managed healthcare setting… more
- Martin's Point Health Care (Portland, ME)
- …of and alignment with Martin's Point Values. + Experience working with Managed Care eligibility processes and systems, preferably with Government health ... Join Martin's Point Health Care - an innovative, not-for-profit health care...2015. Position Summary Position Summary: The Premium Billing Reconciliation Specialist role supports the accuracy and integrity of enrollment… more
- Grifols Shared Services North America, Inc (Rockford, IL)
- …or local system/institution/account vs Grifols responsibilities/expectations. Assess needs for potential contract opportunities. Know Managed Care throughout ... visit our website: http://www.grifols.com Overview: Primary responsibility of the therapeutic specialist is to represent the Grifols plasma portfolio with identified… more