- Elevance Health (Darlington, WI)
- …is granted as required by law._ Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and Milwaukee County to offer the ... **LTSS Service Coordinator - RN Clinician (RN Case Manager )** **$5,000 Sign-on Bonus** **Hiring near Southwestern Wisconsin...Family Care Program. Family Care is a Wisconsin… more
- Elevance Health (Indianapolis, IN)
- …+ Knowledge of medical management process and ability to interpret and apply member contracts , member benefits, and managed care products strongly preferred ... the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers,… more
- Elevance Health (Shelby, NC)
- …+ Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. **We are unable to accommodate LCSW-A, ... \#HealthyBlueCareTogetherCFSP **Clinical Care Advisor - Transition of Care **...accordance with federal/state law, scope of practice regulations or contract , the requirements are:** + Requires MS/MA in social… more
- State of Colorado (Golden, CO)
- …commitment, and parole. DYS is the agency statutorily mandated to provide for the care and supervision of youth committed by the District Court to the custody of ... 21, who are pre-adjudicated, sentenced, or committed. The Division also contracts with numerous private residential and non-residential service providers throughout… more
- UNC Health Care (Morrisville, NC)
- …coordinator and liaison for 340B-related matters in conjunction with the Pharmacy Manager . Serves as a 340B compliance expert on 340B Program details, policies, ... the Department of Pharmacy for the 340B Program. Assists the Pharmacy Manager with leading the organization's 340B oversight committee, which includes members from… more
- Fresenius Medical Center (Atlanta, GA)
- …with management and executives to determine appropriate plan of action. Supports Managed Care staff in budgeting and forecasting activities. PRINCIPAL DUTIES ... procedures. + Responsible for timely and accurate communication of revenue reporting to Managed Care Management Team. + Responsible for compliance with all… more
- Humana (Springfield, IL)
- …priorities in a fast-paced environment. + Thorough understanding of managed care contracts , including contract language and reimbursement. + Exceptional ... trainings. + Attend Network Meetings/Conferences. Ensure compliance with all Virginia managed care contractual requirements for provider relations, such as… more
- Humana (Oklahoma City, OK)
- …facilities and/or FQHCs is strongly desired + Understanding of managed care contracts , including contract language and reimbursement **Additional ... interactions with Humana's Oklahoma Medicaid plan + Ensure compliance with Oklahoma's managed care contractual requirements for provider relations, such as… more
- HCA Healthcare (Nashville, TN)
- …auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling ... assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more...portfolio to both internal and external audiences. The portfolio managed may include, significant spend categories that are sole… more
- Banner Health (Sun City, AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... Services, and Culinary Explore and excel. At Banner, health care is a team effort. One might be surprised...our patients and staff. Join us as a Project Manager at Banner Boswell Medical Center and turn innovative… more