- CommonSpirit Health (Phoenix, AZ)
- …for a health system, required. + Minimum 5 years of experience performing government, managed care , and commercial appeals required. + Minimum 7 years of ... care . **Essential Key Responsibilities:** + Leadership & Strategy: Lead the System-level Utilization Management (UM) department, ensuring alignment with… more
- WellSpan Health (Lebanon, PA)
- … needs, use of community resources and responsibilities of membership in managed care . + Completes necessary paperwork, prior authorizations and/or scheduling ... **General Summary** Performs screening to determine appropriate avenue for care of patients. Functions as a member of the...the impact of medical errors and methodology that will lead to the reduction of errors through the reporting… more
- WellSpan Health (York, PA)
- … needs, use of community resources and responsibilities of membership in managed care . + Completes necessary paperwork, prior authorizations and/or scheduling ... **General Summary** Performs screening to determine appropriate avenue for care of patients. Functions as a member of the...the impact of medical errors and methodology that will lead to the reduction of errors through the reporting… more
- Banner Health (Phoenix, AZ)
- …is patient care , research, and teaching. Join a nationally recognized health care leader and experience the future of medicine today. The Banner University ... Experience with office medical procedures and treatments and knowledge of insurance, managed care operations, EMR and scheduling software preferred. Additional… more
- Banner Health (Mesa, AZ)
- …Uses creativity in the delivery of services and products in a highly competitive managed care market. Ensures that planning within the departments is done in ... **Primary City/State:** Mesa, Arizona **Department Name:** Home Care Team-West **Work Shift:** Day **Job Category:** Clinical Care Banner Health believes… more
- Banner Health (Phoenix, AZ)
- …Medicine is patient care , research, and teaching. Join a nationally recognized health care leader and experience the future of medicine today. The Banner - ... Experience with office medical procedures and treatments and knowledge of insurance, managed care operations, EMR and scheduling software preferred. Additional… more
- Somatus (Nashville, TN)
- …years of program management experience or operational experience in population health, managed care , case management, or healthcare consulting, particularly in ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the...as needed. . Experienced clinical profit and loss (P&L) leader with the ability to oversee budgeting, reporting, planning,… more
- Banner Health (Phoenix, AZ)
- …is patient care , research, and teaching. Join a nationally recognized health care leader and experience the future of medicine today. Banner - University ... Experience with office medical procedures and treatments and knowledge of insurance, managed care operations, EMR and scheduling software preferred. Additional… more
- CVS Health (CT)
- …* Flexibility with work schedule to meet business needs * 3-5 years of Managed Care experience; Medicare highly preferred * 3-5 year of Case Management ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Magellan Health Services (Somerset, PA)
- …related to assessing the efficiency, effectiveness and quality of the delivery of managed care services. + Prepares monthly performance reports with assistance ... internally and externally. Provides clinical reviews of Quality of Care (QOC) and Critical/Adverse incidents related to clinical services....expected of an employee assigned to this job. A leader may assign additional or other duties which would… more