- 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
- Medtronic (Detroit, MI)
- …degree in business, science or humanities + Experience working with economic buyers and managed care + Experience motivating and being a role model for other ... oral and written communication + Knowledge of the reimbursement climate, managed care , physiology/clinical therapies and/or implantable devices **Additional Job… more
- CVS Health (Bloomington, MN)
- …following key attributes: + 15+ years of professional work experience in healthcare, managed care , health plans, or Pharmacy and/or Medical Benefit Management, ... costs. Zinc Health Services is recruiting for a dynamic leader for the role of Executive Director, Trade Relations...contract negotiations and successful completion of contracts, PBM and Managed Care expertise, primarily focused on the… 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
- ZOLL Medical Corporation (New York, NY)
- …+ Experience working with VA hospitals and the VA System and or large managed care organizations (ie, Kaiser, WellStar) preferred. + Two years minimum of ... ability to multi-task and prioritize work. + Familiarity with clinical reimbursement, and managed care policies and procedures is highly desirable. + Above… more
- Beth Israel Lahey Health (Boston, MA)
- …to evaluate effectiveness of interventions. Implements relevant information systems, such as managed care , insuring accuracy of data input and patient ... assigned meetings. 7. Works closely with the Manager of Managed Care Department and shares oversight of...across multiple functional areas. 7. **Team Work:** Ability to lead collaborative teams for larger projects or groups both… more