- Molina Healthcare (Los Angeles, CA)
- …* At least 5 years health care experience, and at least 2 years of managed care experienced utilization management. * Ability to manage conflict and lead ... or management certification. Prior experience with InterQual, MCG guidelines, PEGA and managed care UM processes. * Medicaid/Medicare population experience. *… more
- Penn Medicine (Philadelphia, PA)
- …timeframes. Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. + Additional ... protocols Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. **Education and… more
- CenterWell (Fort Worth, TX)
- …Knowledge of and experience working with Provider Communities. + Medicare knowledge + Managed care experience + Proven ability to function effectively in matrix ... knowledge. + Direct leadership experience and demonstrated ability to lead , coach and mentor teams. + Proven interpersonal skills...of an interdisciplinary team. + Solid understanding of medical care delivery, managed care financial… more
- Molina Healthcare (Akron, OH)
- … Manager, Community Engagement, CHW, Community Health Worker, Public Health, Healthcare, Health Care , Managed Care , MCO, Medicaid, Medicare, HEDIS, CAPHS, ... counselor, human service worker, Navigator, Assistor, Connecter, Promotora, Marketing, managed care , MCO, member, market, screening, education, educating,… more
- Valor Health (Gardena, CA)
- …VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Conducts individual, group, and family and marriage counseling and/or ... for them with respect and through methods that lead to superior clinical outcomes. Valor is different because...the time of each patient visit. + Assists in co- managed care collaboration with non-VA providers, and… more
- CenterWell (Orlando, FL)
- …an organization focused on continuously improving consumer experiences + Medicare knowledge + Managed care experience + Value Based Care knowledge ... TB. + Direct leadership experience and demonstrated ability to lead , coach and mentor teams + Proven interpersonal skills...of an interdisciplinary team + Solid understanding of medical care delivery, managed care financial… more
- CenterWell (Venice, FL)
- …consumer experience **Preferred Qualifications** + Basic knowledge of Population Health Strategy + Managed care experience + Value Based Care knowledge + ... setting + Direct leadership experience and demonstrated ability to lead , coach and mentor teams + Proven interpersonal skills...of an interdisciplinary team + Solid understanding of medical care delivery, managed care financial… more
- Mount Sinai Health System (New York, NY)
- …strong, collaborative relationships with cross-functional stakeholders including DTP, Human Performance, Managed Care , Finance, and clinical departments. * Work ... with finance and managed care teams to improve registration, coding,...guide necessary updates to internal processes. **Team Leadership** * Lead , mentor, and support revenue cycle and engagement staff.… more
- CenterWell (Charlotte, NC)
- …**Preferred Qualifications** + Basic knowledge of Population Health Strategy + Medicare knowledge + Managed care experience + Value Based Care knowledge + ... TB. + Direct leadership experience and demonstrated ability to lead , coach and mentor teams + Proven interpersonal skills...of an interdisciplinary team + Solid understanding of medical care delivery, managed care financial… more
- Penn Medicine (Philadelphia, PA)
- …* Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. Additional Duties (where ... * Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. Credentials: Education or… more