- 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
- 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
- Humana (Detroit, MI)
- …policy or programmatic updates to providers. + Ensure compliance with Michigan managed care contractual requirements for provider relations, such as claims ... an impact** **Required Qualifications** + 3+ years of health care or managed care experience...identity protection. Please be aware that applicants selected for leader review may be** asked to provide a social… 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
- State of Indiana (Indianapolis, IN)
- …(HCC). These three programs provide a wide range of health services through a risk-based managed care delivery system established with Managed Care ... percent of the state's budget to ensure vital health care coverage to approximately 1 in 4 Hoosiers. OMPP...Responsibilities/Direct Reports: This role may serve as a team lead for an assigned work group. Benefits of Employment… more
- Humana (Jackson, MS)
- …+ Advanced Degree (such as MSN, MBA, MHA, MPH). + Experience in managed care , health plan operations, or Medicare Advantage programs (including various ... initiatives, including root cause analysis, best practices to close care gaps. **Use your skills to make an impact**...to internal and external stakeholders. + Demonstrated ability to lead through influence and collaborate across teams. + Thrive… more
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