- Beth Israel Lahey Health (Lynn, MA)
- …the hospital, referral sources, and payors. + Maintain an understanding of managed care contracts, insurance benefits, limitations, policies, procedures, and ... appropriate setting for further assessment. Serves as a shift leader in the admissions office. + Support the hospital...Knowledge of admissions procedures and protocols + Knowledge of managed care and other payors + Able… more
- Hackensack Meridian Health (Edison, NJ)
- …care coordination teams and CIN providers. A Pharm.D. with a residency in managed care is preferred. **Education, Knowledge, Skills and Abilities Required** : ... education curricula and programs for medication management. + Experience working within managed care model. **Licenses and Certifications Required** : +… more
- Elderwood (Monroe County, NY)
- …(3) years nursing experience in home care , case management, discharge planning or managed care + Minimum of one (1) year experience working with a frail ... assessments in the Member's home to assess potential enrollees' appropriateness for Managed Long-Term Care (MLTC), or to reassess a member's status… more
- Novant Health (Charlotte, NC)
- …collections, specialty billing, denials, appeals, defense audits, partner for payer strategy with our Managed Care team, and lead our Institute and Regional ... with suppliers and other organizationsPayer Strategy & Reimbursement PerformanceCollaborate with Managed Care and Revenue Integrity teams to monitor payer… more
- Ventura County (Ventura, CA)
- …through division managers, a comprehensive system of integrated behavioral health services, managed care operations and administrative services; + Assists the ... best practices of behavioral health program planning and administration including managed care operations; recruitment, supervision and personnel management;… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …role managing teams. + Strong knowledge of regulatory requirements, accreditation standards, and managed care principles. + Medicare Managed care ... Management, and Quality Improvement initiatives. This role ensures effective care coordination, promotes quality healthcare delivery, manages healthcare costs, and… more
- Molina Healthcare (GA)
- …Georgia Gateway **, Georgia Department of Community Health (DCH) Medica** re, Medicaid, Managed Care , Manager, Leader , Marketing, Duals, Enroll, Enrollees, ... years' experience in business development, community relations or health care related activities. + 3 years Managed -...patient navigator, health interpreter and public health aide, GA Care , community lead , HMO, PPO, community advocate,… more
- Sanofi Group (Dallas, TX)
- …functional areas of the business (eg Sales Training, Customer Solutions, Sales Operations, Managed Care and Marketing) **Why Choose Us?** + Bring the miracles ... a full portfolio of vaccines, strengthen customer relationships, and lead a high performing sales team? We are responsible...care or vaccine products + Knowledge of the managed market dynamics and competitive landscape in the acute… more
- Actalent (Santa Barbara, CA)
- …of "whole-person" "person-centered" case management, California Children's Services (CCS), experience in managed care or working with managed care ... monitor workload. + Experience with completing Assessments and building Individual Care Plans with members. + Coordinating with providers, members, community… more
- Beth Israel Lahey Health (Boston, MA)
- …Responsible for ensuring the accuracy of patient-related activities such as registration, managed care referrals, the collection, recording and distribution of ... and protocols. 4. Implements relevant information systems such as managed care , ensuring accuracy of data input...7. **Team Work:** Ability to act as a team leader for small projects or work groups, creating a… more