- Novant Health (Charlotte, NC)
- …Manager, Payor Strategy and Relationship Management is a professional advisor supporting managed care contracts with health plans, payors, employer groups and ... level staff to answer internal operations management questions about managed care contracts. The manager fosters and...influence others + Ability to work with teams and lead an organized work effort + Ability to function… more
- Elevance Health (Atlanta, GA)
- …a broad range of experience with complex psychiatric/substance abuse cases required.Prior managed care experience required. + Current active unrestricted license ... **Behavior Health Care Manager II** **Location:** This role enables associates...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Martin's Point Health Care (Portland, ME)
- …of and alignment with Martin's Point Values. + Experience working with Managed Care eligibility processes and systems, preferably with Government health ... Join Martin's Point Health Care - an innovative, not-for-profit health care...contributor, provider and leadership roles. Please consult with your leader to discuss additional competencies that are relevant to… more
- Martin's Point Health Care (Portland, ME)
- …health care and/or customer service required + Experience in a Managed Care customer service environment preferred + Leadership experience (staff and/or ... Join Martin's Point Health Care - an innovative, not-for-profit health care...contributor, provider and leadership roles. Please consult with your leader to discuss additional competencies that are relevant to… more
- LA Care Health Plan (Los Angeles, CA)
- …environment required. Previous experience with Medi-Cal and Medicare in a managed care environment. Preferred: Tableau experience. Skills Required: Advanced ... $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...requirements for all product lines The position will take lead in all of the audit situations and be… more
- Elevance Health (Richmond, VA)
- …broad range of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. However, for states that do not ... is granted as required by law The **Behavioral Health Care Manager II - Virginia** is responsible for managing...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Las Vegas, NV)
- …States required. + Licensure is a requirement for this position. + Prior managed care experience required. + Previous experience in case management/utilization ... is granted as required by law. The **Behavioral Health Care Manager II - Nevada** is responsible for managing...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Hillside Family of Agencies (Rochester, NY)
- …client files to ensure compliance with all Federal, State, Funder, Medicaid Managed Care and Hillside standards. + Obtain and maintain credential/certification ... for addressing their family's day-to-day needs, including their own needs for self- care . This role requires "Lived Experience" and flexibility with working hours,… more
- Novo Nordisk (Lima, OH)
- …in order to influence formulary status, as applicable + May analyze impact of managed care in the territory and its effect on prescribing decisions, and ... the people who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as… more
- McLaren Health Care (Flint, MI)
- …knowledge of HMO, PPO, TPA, PHO and Managed Care functions (eg accounting/finance,reinsurance,EDI,casemanagement,marketing,medicaldelivery,regulatory compliance, ... McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of McLaren Health Plan in Michigan and… more