- Elevance Health (Sacramento, CA)
- …+ Travels to the worksite and other locations as necessary preferred. + Managed care experience preferred. For candidates working in person or virtually ... autism and depression, and insightful analytics to improve the delivery of care . The **Provider Quality Manager** is responsible for leading Behavioral Health (BH)… more
- Kaleida Health (Buffalo, NY)
- …cycle operations, financial operations, healthcare IT systems, hospital CDM management, managed care , federal and industry reimbursement regulations and payor ... well as possess a thorough understanding of external, regulatory, payer and other forces impacting healthcare financial operations. Expected...reimbursement contracting terms required. 3 years of experience and proficiency… more
- University of Rochester (Rochester, NY)
- …for continuous coverage on all Medicaid, Out of State Medicaid, and Medicaid Managed Care cases for appropriate follow-up and timely referral to Medicaid ... Management, Utilization Management, Social Work, Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. +… more
- University of Southern California (Los Angeles, CA)
- …sound, reasonable business judgment throughout the Transplant Institute. In collaboration with Managed Care Contracting team, provides contract oversight, ... and monitoring purchase orders, etc.). + Manages transplant institute payer contracts and collaborates with appropriate parties for renewal/termination/initiation… more
- Merck (Rahway, NJ)
- … contracting , budgets, and vendor/partner management. + Support development of American Managed Care Pharmacy (AMCP) dossiers for US payers, and Global Value ... access in collaboration with internal teams, and provide input into clinical, payer /access, marketing and value evidence generation strategies and programs. + In… more