- LifeSteps (Alameda, CA)
- Lead Care Manager Job Details Job Location...Compile records and prepare reports. + Submit claims to Managed Care Plans (MCP's) for all member services ... a difference in peoples lives! We're looking for a Lead Care Managersfor theAlameda County area! Job...clinics, shelters, local businesses, and community centers for various Managed Care Plan (MCP) members. Qualifications Education… more
- Beth Israel Lahey Health (Woburn, MA)
- …of mental health and addiction programs. + Knowledge of state Medicaid and Managed Care Organizations payment and service specifications. + Experience managing ... + Knowledge of commercial behavioral healthcare practices, evidenced-based treatments, managed care principles, provider development, and quality improvement… more
- CareFirst (Baltimore, MD)
- …Management or Case Management at CareFirst BlueCross BlueShield, or similar Managed Care organization or hospital. Demonstrated leadership skills. **Preferred ... plan or health insurance operations (eg networks, eligibility, benefits). + Knowledge of managed care principles and concepts including Health Plan Employer Data… more
- Sutter Health (Sacramento, CA)
- …track record of managing pharmacy programs in value-based, population health, or managed care environments. **Knowledge** + Deep understanding of pharmaceutical ... About this opportunity: The Vice President, Pharmacy, Value Based Care is an executive leader responsible for...care within managed care , including benefit design, utilization management,… more
- Lakeview Health Services (Geneva, NY)
- …of care consistent with Health Home requirements and coordinating with the Managed Care organizations for HARP members. + Develop and maintain professional ... create an environment of learning and development that will lead to an engaged, motivated, and high performing team...with hospital or treatment providing staff as well as Managed Care Organizations for successful transitions of… more
- Lakeview Health Services (Geneva, NY)
- …of care consistent with Health Home requirements and coordinating with the Managed Care organizations for HARP members + Develop and maintain professional ... create an environment of learning and development that will lead to an engaged, motivated, and high performing team...with hospital or treatment providing staff as well as Managed Care Organizations for successful transitions of… more
- Diversicare Healthcare Services & Diversicare Ther (Brentwood, TN)
- …qualified referral sources **OTHER JOB DEMANDS:** + Knowledge and experience with Managed Care , Medicare, state specific Medicaid regulations and electronic ... Service Standards are in place to offer support. They lead us to what matters most to our company:...state of practice + Experience in the long term care industry or managed care … more
- Beth Israel Lahey Health (Cambridge, MA)
- …and improve health outcomes. **Job Description:** **BILHPN President Population Health & Managed Care ** is responsible for developing and implementing a vision ... provided across our network. The President Population Health & Managed Care reports to the **BILH Chief...including 10 or more years of experience in health care services + Recognized leader in value-based… more
- Elevance Health (Columbus, OH)
- …of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. **Preferred Skills, Capabilities, and ... Health and/or substance abuse experience strongly preferred. + Previous managed care experience preferred. + MCG and...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Los Angeles, CA)
- …with a broad range of complex psychiatric/substance abuse and/or medical disorders. + Managed care experience required. + For Government business only LAPC LAMFT ... that may apply. **Preferred Skills, Capabilities, and Experiences:** + Managed care experience is strongly preferred. +...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more