- J&J Family of Companies (Albany, NY)
- …long-term sales potential relevant to percentage of patients treated, patient mix, Managed Care organizations and Specialty Pharmacies, and new protocols or ... pathways and modalities to finding treatments and cures. We lead where medicine is going and need innovators with...hospital and large account sales, understand complex reimbursement and managed care dynamics with a documented history… more
- J&J Family of Companies (Louisville, KY)
- …long-term sales potential relevant to percentage of patients treated, patient mix, Managed Care organizations and Specialty Pharmacies, and new protocols or ... pathways and modalities to finding treatments and cures. We lead where medicine is going and need innovators with...hospital and large account sales, understand complex reimbursement and managed care dynamics with a documented history… more
- Molina Healthcare (Dallas, TX)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated… more
- Prime Therapeutics (Hartford, CT)
- …is located + 3 years of relevant work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years of work experience in a ... in cooperation with Prime's operational teams to coordinate and lead client specific custom clinical pharmacy programs + Other...clinical and/or managed care setting Must be eligible to… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …tables for data analysis. + Ensure accurate billing and claims submission for Medicaid, Managed Care , and other third-party payors + Hiring and training staff. + ... management experience _preferred_ + Knowledge of Florida Medicaid, Florida Managed Care Plans, and third-party payer systems...others first, feel called to serve and called to lead . As a member of our team, you will… more
- Elevance Health (Roanoke, VA)
- …Requirements:** + Requires BA/BS in Pharmacy and a minimum of 2 years of managed care pharmacy experience; or any combination of education and experience, which ... Skills, Capabilities, and Experiences** + Knowledge of current health care and managed care pharmacy...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Trinity Health (Ypsilanti, MI)
- …with prescription refill calls and patient call backs. Assists with managed care referral process, pre-authorization, and pre-certification processes. Schedules ... proper handling of specimens, electrical safety, sterilization techniques, etc. Experience with managed care plans and the associated requirements of patient… more
- Trinity Health (Ann Arbor, MI)
- …in a customer service role with financial responsibilities is required. Experience in health care , insurance, or managed care industries is highly preferred. ... delivery. Knowledge of insurance and governmental programs, regulations and billing processes, managed care contracts and coordination of benefits is highly… more
- Trinity Health (Davenport, IA)
- …the banking industry or a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service ... Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, managed care contracts and coordination of benefits is highly… more
- CVS Health (CT)
- …Minimum 3-5 years of clinical practice experience. Two (2) + years of experience in managed care (Medicare and/or Medicaid) MD or DO; Board certification in an ... least one state where we have an Integrated plan. Experience with managed care (Medicare and Medicaid) utilization review preferred. **Education** MD (Doctor of… more