- Houston Methodist (Cypress, TX)
- …services by communicating medical information required by all external review entities, managed care contracts , insurers, fiscal intermediaries, state, and ... At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse...language principles + Comprehensive knowledge of Medicare, Medicaid and Managed Care requirements + Comprehensive knowledge of… more
- Houston Methodist (Sugar Land, TX)
- …services by communicating medical information required by all external review entities, managed care contracts , insurers, fiscal intermediaries, and state ... At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered...and role components + Knowledge of Medicare, Medicaid and Managed Care requirements + Comprehensive knowledge of… more
- Amgen (Washington, DC)
- …PharmD or equivalent pharmacy degree is preferred + Knowledge and relationships with Managed Care market segmentation and product reimbursements, as well as, ... you can be proud of. Join us. **National Account Manager ** **Live** Reporting to a National Accounts Director (NAD),...policy and programs for dissemination to field sales organization Contract Management + Represent Amgen as primary internal and… more
- HCA Healthcare (Nashville, TN)
- …As a part of that, we exist to Raise the bar, Unlock possibilities, and Care like family. The HCA ITG Manager of Automation is primarily responsible for ... over 156,000 hours volunteering in our communities. As a Manager Automation with HCA Healthcare you can be a...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- Penn Medicine (Atlantic City, NJ)
- …all standards. Managed Care /Payer Management - Support implementation of managed care contracts and operational processes. + Participation in the ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- Penn Medicine (Atlantic City, NJ)
- …standards. Managed Care /Payer Management - Support implementation of managed care contracts and operational processes.Participation in the following ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- Microsoft Corporation (Washington, DC)
- …areas of responsibility to the highest level: The **Consulting Project Manager ** engages with customer stakeholders to develop partnerships, leveraging broad ... customer. Adheres to project compliance standards and requirements of the contract and accommodates customer compliance standards. Drives project initiation for… more
- MyFlorida (Tallahassee, FL)
- …1115 waivers and home and community based waivers), administrative rules, coverage policies, managed care plan contracts , bill analyses, drug utilization ... review boards, preferred drug lists, supplemental rebate contracts , and KidCare/Title 21. This position is responsible for...Florida Medicaid State Plan and its amendment processes, Medicaid Managed Care Waivers and Medicaid program manuals.… more
- The Cigna Group (Mclean, VA)
- …relationships with provider partners + Intimate understanding and experience with hospital, managed care , and provider business models + Team player with ... market. Must reside in Maryland, DC or Virginia._** The ** Manager , Network Management** serves as an integral member of...and projects financial impact of larger or complex provider contracts and alternate contract terms. + Creates… more
- Trinity Health (Livonia, MI)
- …operational initiatives including new services/programs, revenue enhancement, expense reduction, managed care utilization systems, and strategies. Responsible ... / or programs that support direct or indirect patient care . The Pharmacy Manager - Operations promotes...contracts , participates in negotiations as appropriate, and monitors contract compliance. + Maintains a working knowledge of applicable… more
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