- CVS Health (NY)
- …hired staff **Required Qualifications** + 3+ years of experience in a managed care clinical operation environment (utilization management, case management, ... new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class...of DSNP/ MMP experience required **Preferred Qualifications** + Previous Managed Care experience + Excellent verbal and… more
- HCA Healthcare (Miramar, FL)
- …center, hospital, doctors office) preferred. + Working knowledge of Managed Care payers/contracts, Medicare and Medicaid payers/contracts, Medicare/Medicaid ... Managed Care payers/contracts and medical terminology are preferred Consider a...operational, and financial expertise of a Fortune 100 healthcare leader . At Surgery Ventures, we are committed to supporting… more
- Trinity Health (Athens, GA)
- …Medicaid, Social Security Disability, Tricare, and Supplemental Security Income Disability), managed care contracts and coordination of benefits is highly ... within a hospital or clinic environment, an insurance company, managed care organization or other health ...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- Humana (Lansing, MI)
- …of professional experience working with complex populations, home and community-based services or in managed care settings. + Two (2) or more years of management ... Quality Assurance (External LTSS Oversight Team Manager) who will lead a team of Quality Assurance Professionals responsible for...Manager (CCM). + Three (3) or more years of managed care experience in Medicare and/or Medicaid,… more
- AmeriHealth Caritas (Newtown Square, PA)
- …and experience communicating progress for multiple projects + Knowledge of Medicaid Managed Care , Medicare, and/or Qualified Health Plans (QHP/Exchange) + Proven ... care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral… more
- Ochsner Health (Baton Rouge, LA)
- …overflow. + 20 bed ICU managed by the Department of Pulmonary and Critical Care Medicine. + EICU, used for night and ICU call coverage assistance, is managed ... has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award...Ochsner Health - Baton Rouge is seeking a Pulmonary/Critical Care Physician to join an expanding team of employed… more
- Trinity Health (Howell, MI)
- …in a customer service role with financial responsibilities is required. Experience in health care , insurance, or managed care industries is highly preferred. ... Medicaid, Social Security Disability, Champus, and Supplemental Security Income Disability), managed care contracts and coordination of benefits is highly… more
- Hartford HealthCare (Meriden, CT)
- …disorders. 7. Negotiates level of care and length of stay with managed care companies; continually re-evaluates client's needs and informs the third party ... recovery programs. We offer a wide range of programs including Acute Care and Evaluation, Residential Addiction Treatment, Individual, Group & Family Therapy,… more
- Trinity Health (Boise, ID)
- …customer service activities within a hospital or clinic environment, an insurance company, managed care organization or other health care financial setting ... Knowledge of insurance and governmental programs, regulations, and billing processes and/or managed care contracts and coordination of benefits preferred. … more
- AmeriHealth Caritas (Greensboro, NC)
- …Provider Services position. + 5 to 10 years of experience in the managed care /health insurance industry, with strengths in provider complaint resolution, ... new AEs + Support of Value-Based Contracting (VBC) negotiations; lead in VBC relationships; may lead negotiations...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more