- Elevance Health (Tampa, FL)
- …or related field and a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as well as in depth experience ... Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving… more
- Chenega Corporation (Rockville, MD)
- …and Task specific knowledge of worker's compensation, injury compensation programs, or managed care . + Professional Background: Relevant experience in claims ... Strategic Business Unit** company, is looking for a Nurse Practitioner- Contract Medical Reviewer (CMR) to support the Department of...project team as directed. + Support the CSCS Program Manager and Project Manager 's efforts to provide… more
- The Cigna Group (Mclean, VA)
- …Experience in developing and managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus + Team player ... the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports...Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. + Creates… more
- Bon Secours Mercy Health (MI)
- …Solving Self-motivated engaging patients in care quality measures related to value-based care contracts . leading teams supporting the continuum of care ... Manager will support a broad spectrum of value-based contracts . **Primary Function/General Purpose of Position** The Manager...lives through initiates focused on outreach, gap closure, and care across the patient continuum. The Manager … more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION **Job Summary** The Care Manager (BH) provides support for care management/ care coordination activities and collaborates with ... to overarching strategy to provide quality and cost-effective member care . The Care Manager will...New York LMFT, LCSW or LMHC licensure and previous Case/ Care Management / managed care experience.… more
- Elevance Health (Murphy, NC)
- …+ Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. **We are unable to accommodate LCSW-A, ... an accommodation is granted as required by law._ The Manager I Care Management ( Manager ...accordance with federal/state law, scope of practice regulations or contract , the requirements are:** + Requires an active and… more
- Molina Healthcare (NY)
- JOB DESCRIPTION **Job Summary** The Care Manager provides support for care management/ care coordination activities and collaborates with ... social determinants of health, and health equity principles. Case management and managed care experience is highly preferred. Remote position based in… more
- Humana (Marshfield, WI)
- …to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity(R) which ... Care Coach (also referred to as a Case Manager ), taking the lead on health-related needs, to collaborate...+ Daily documentation in member files within required DHS contract timeframes. + Participate in member monthly phone contacts… more
- Molina Healthcare (Saginaw, MI)
- …provider contract network relations and management experience in a managed healthcare setting. * Working experience servicing complex providers with various ... healthcare administration. * Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare… more
- MyFlorida (Pensacola, FL)
- …of EIC) are appropriately managed and monitored by working with the EIC and contract manager to assure that they are meeting their HIV contract ... COMMUNITY AND SOCIAL SERVICE MANAGER I - 64027926 Date: Nov 29, 2025...legislation, activities trends and funding sources relative to HIV care . Ensure that all relevant HIV/AIDS, contracts ,… more