- Spokane County (Spokane, WA)
- …the timelines established for service delivery and to meet the Washington State Health Care Authority (HCA), DOH, Managed Care Organization (MCO), and SCRBH ... Housing & Community Support Specialist 1 Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4913284) Apply Housing & Community Support … more
- MaineGeneral Health (Waterville, ME)
- …relates to employed providers and stays updated and informed on any changes in managed care and other third party payor requirements. Desired Skills & ... We have a unique opportunity for a Payor Enrollment Specialist to join our team. This position will be...to secure reimbursement. MaineGeneral Health is a leading health care system that is proud of the culture of… more
- Air National Guard Units (Andrews AFB, MD)
- …work to manage health service activities, including plans and operations, managed care , human resource management, logistics management, patient administration, ... District of Columbia Air National Guard Joint Base Andrews, MD HEALTH SYSTEMS SPECIALIST (TITLE 32) GS-0671-09 Group 3- Current or former uniformed service members… more
- The Institute for Family Health (New Paltz, NY)
- …responsibility include but are not limited to the following: 1. Self-pay/Sliding Fee 2. Managed Care Plans 3. Medicaid 4. Medicare 5. Commercial Plans 6. ... REVENUE CYCLE SPECIALIST II Job Details Job Location New Paltz...on daily basis. + Recognizes issues relating to provider credentialing and payer contracts and communicates such information in… more
- Tufts Medicine (Lowell, MA)
- …reimagining healthcare. Ready to grow with us? The Quality Charge RN Specialist is an important member of the Emergency Department Team. **Responsibilities ... nursing technical and procedural ED charges. Facilitate charge capture for services and care provided for each patient in Emergency Department. + Accurate and timely… more
- Actalent (Redlands, CA)
- …be considered. + Healthcare or pharmacy benefit management industry preferred. Previous managed care platform working knowledge (ie: EZCAP) Work Environment Work ... Job Title: Provider Data Analyst - Credentialing & Claims Support Position Overview: We are...detail-oriented and collaborative Provider Data Analyst to support our credentialing and claims operations. This role involves converting and… more
- Molina Healthcare (Cincinnati, OH)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care field. **PREFERRED EDUCATION** ... or an equivalent combination of education and experience **PREFERRED EXPERIENCE** : 1-3 Years Managed Care experience To all current Molina employees: If you are… more
- BronxCare Health System (Bronx, NY)
- …system and operational changes regarding insurance, eligibility and reporting, ie Managed Care Payers, Medicare. Keeps front-end administrators up-to-date with ... and performance reviews for various clinic locations. - Identifies that provider credentialing information is consistent in each system along the billing continuum… more
- Eastern Connecticut Health Network (Manchester, CT)
- …Connecticut State licensure inspection surveys. + Responds to inquiries from other health care institutions, managed care organizations and ECHN departments ... activities of the Medical Staff Office, and the activities of the ECHN Credentialing Program, in compliance with state and federal regulations and Joint Commission… more
- Molina Healthcare (Ann Arbor, MI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... requirements of customers as it pertains to contracting, network management and credentialing . **Job Duties** This role negotiates assigned contracts and letters of… more