- Elevance Health (Rocky Hill, CT)
- …range of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. Please be advised that Elevance Health ... **Behavioral Health Care Manager II** A proud member of the...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Commonwealth Care Alliance (Springfield, MA)
- …electronic medical record strongly preferred (eCW a plus) + Experience working with managed care population + Experience with Medicaid or Medicare programming ... Clinician (APC - NP or PA) serves as a lead for medical care delivery and ...Team Collaboration:** + Serve as a clinical mentor and leader for medical care + Proactively and… more
- Stanford Health Care (Palo Alto, CA)
- …area. + Knowledge of patient registration, billing, A/R, cash-management requirements, managed care contractual terms and requirements, health insurance ... Care job.** Are you a seasoned revenue cycle leader ready to make a significant impact at one...The Director of Professional Billing Organization at Stanford Health Care offers a unique opportunity to lead … more
- Martin's Point Health Care (Portland, ME)
- …RN, NP, PA, PharmD, or similar clinical licensure. + 5+ years' experience in managed care , utilization/ care management, and program development. + Strong ... Care , we believe better health comes from better care . We're looking for a collaborative leader ...TRICARE members. Job Description In this role, you'll: + Lead strategy, design, and execution of innovative clinical programs.… more
- Health Care Service Corporation (Richardson, TX)
- …of operations. + 4 years' experience in a position which requires understanding/applications of managed care products, eg PPO, HMO, and CDHP. + 3 years clinical ... Management Programs; Serving As Liaison Between Marketing And Health Care Management To Analyze Data And Interpret Information In...decisions for themselves and their families. As an industry leader , HCSC also has been helping to make the… more
- Health Care Service Corporation (Helena, MT)
- … care to the consumer. *Utilization management, discharge planning or managed care experience. *Customer service oriented. *PC and database experience. ... years psychiatric clinical experience (post licensure) of direct clinical care to the consumer. *Case Management Certification (CCM). *3...decisions for themselves and their families. As an industry leader , HCSC also has been helping to make the… more
- Health Care Service Corporation (Nashville, TN)
- …**Preferred Job Qualifications:** * Project Management Professional (PMP(R)) Certification * Health care acumen, Managed Care Organization, Pharmacy Benefit ... our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an...decisions for themselves and their families. As an industry leader , HCSC also has been helping to make the… more
- Health Care Service Corporation (Tulsa, OK)
- …**Preferred Job Qualifications:** + 1 year behavioral health experience in a managed care environment. + Experience conducting medical necessity reviews and ... Respect To Behavioral Health Disorders At All Levels Of Care Which Includes Telephonic Peer-To-Peer (Physician To Physician) Reviews...decisions for themselves and their families. As an industry leader , HCSC also has been helping to make the… more
- Health Care Service Corporation (Chicago, IL)
- … care to the consumer.** **Utilization management, discharge planning or managed care experience.** **Customer service oriented.** **PC and database ... our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an...decisions for themselves and their families. As an industry leader , HCSC also has been helping to make the… more
- Baylor Scott & White Health (Dallas, TX)
- …This role serves as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline payer communications. The Director ... a matrixed organizational structure, collaborating closely with teams across Revenue Cycle, Managed Care , Finance, and Operations. **Essential Functions of the… more