- Trinity Health (Livonia, MI)
- …operational initiatives including new services/programs, revenue enhancement, expense reduction, managed care utilization systems, and strategies. Responsible ... 25% to 45% travel.** **POSITION PURPOSE** The Pharmacy Director Long Term Care Operations is a licensed registered pharmacist accountable for leading, managing and… more
- HCA Healthcare (Overland Park, KS)
- … Care Coordinators + Facilitates specialty referrals, as appropriate, for conditions/needs managed outside the primary care realm + Documents efforts in ... **Description** **Job Summary and Qualifications** The Care Manager supports the patient and primary ...+ Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to achieve… more
- Molina Healthcare (Lincoln, NE)
- …Nebraska, requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully engage complex providers, including ... Resolves complex provider issues that may cross departmental lines including Contracting , Finance, Quality, Operations, and involve Senior Leadership. * Responsible… more
- Molina Healthcare (Kenosha, WI)
- …Complex Residential Services Lead is tasked with fostering collaboration between the Managed Care Organization (MCO) and Complex High Behavioral Residential ... * 3 - 5 years customer service, provider service, or claims experience in a managed care setting. * 3+ years experience in managed healthcare administration… more
- CareFirst (Baltimore, MD)
- …and partnerships with, and investments in, start-up and established companies. Negotiates and draft managed care and other payor contracts to support the care ... care , insurance, health related technology, information technology, government contracting , or related field. Candidates with fewer than the required years… more
- HCA Healthcare (Campbell, CA)
- …of health plan economics analyses, metrics and health plan reporting in a Managed Care environment relating to the financial, quality and operational performance ... for Health plan Metrics, Analytics and Reporting for a Managed Care organization + Develop and maintain...Excel, SQL, Power BI + Provide support for Finance, Contracting , Planning, Budget and Forecasting, and Monthly Performance +… more
- Health Care Service Corporation (Chicago, IL)
- …and/or MBA. + Quality experience and Medical Management experience in a leading managed care /insurance or provider organization. + Health Informatics Training + ... improvement best practices and innovative strategies to improve the quality of care and member experience. **J** **ob Responsibilities:** 1) Oversee a team… more
- Health Care Service Corporation (Richardson, TX)
- …care or business administration or a minimum of 4 years work experience in a managed care environment. *Minimum of 2 years of health care administration ... for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and identifying… more
- LA Care Health Plan (Los Angeles, CA)
- …of experience performing claims audits or claims processing related to Medi-Cal, Medicare, and/or other managed care product lines similar to LA Care 's LA ... Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of… more
- Aegon Asset Management (Cedar Rapids, IA)
- …Solutions, and 3) Financial Assets, which includes legacy blocks of long term care , universal life, and variable and fixed annuities. These are supported by ... across the insurance, investments, and technology portfolios, while ensuring contracting strategies align with business objectives, compliance standards and risk… more