- Trinity Health (Silver Spring, MD)
- …to assist with appeals of denied or downgraded coverage determinations by managed care , commercial payers, and recovery audit contractors. **MINIMUM ... The Physician Advisor provides expertise related to appropriate utilization/level of care (LOC), length of stay (LOS) management, patient flow/throughput management,… more
- Banner Health (Phoenix, AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... Our leaders are at the front of the health care transformation, planning the future of Banner Health. If...experience and expertise in support of a nationally-recognized healthcare leader . We offer stimulating and rewarding careers in a… more
- Astellas Pharma (Northbrook, IL)
- …research + Extensive knowledge of US healthcare delivery systems (eg accountable care , managed care , pharmacy benefit management, government [Medicare, ... **Medical Lead , Oncology MA-US** Do you want to be...are encouraged to apply. **Purpose and Scope:** The Medical Lead Oncology, MA-US (Medical Affairs-United States), is accountable for… more
- Beth Israel Lahey Health (Woburn, MA)
- …International Classification of Diseases (ICD-10) o reimbursement theories to include RBRVUS, MPFS, and managed care o NCCI edits and Medicare LCD/NCDs o health ... aims to maximize synergies across HMFP departments, initiate and lead revenue integrity and coding process improvement, identify and...care documentation, coding and billing requirements as well as… more
- Highmark Health (Pittsburgh, PA)
- …+ Communication Skills + Presentation Delivery + Business Strategy + Collaboration + Managed Care **Languages (other the English)** None **Travel Required** 25% ... overall performance of a Medicaid plan, for quality of care and service as well as financial performance. The...with Actuary, Finance, Executive Leadership and key business partners, lead the state contract RFP or rate renewal activities… more
- Banner Health (Fallon, NV)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... Name:** Technology Mgmt-Bio-Med **Work Shift:** Day **Job Category:** Clinical Support Health care is constantly changing, and at Banner Health, we are at the… more
- Children's Hospital Los Angeles (Glendale, CA)
- …in Billing and Collections of all Government programs: CCS, Medi-Cal, CCS/Medi-Cal Managed Care , Healthy Families, CCS carve-outs, and Medi-Cal SSI. ... **NATIONAL LEADERS IN PEDIATRIC CARE ** Ranked among the top 10 pediatric hospitals...healthier futures. Children's Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and… more
- State of Connecticut, Department of Administrative Services (Bridgeport, CT)
- …dental services + Get clinical exposure to a variety of psychiatric diagnosis and, with no managed care seeking to discharge from your care , have the chance ... interview, depending on facility needs) YOUR ROLE Provision of high quality medical care is essential to our mission of leading safe and secure facilities while… more
- Banner Health (Tucson, AZ)
- …or area. Experience working in an integrated delivery system, multi-hospital system, or managed care organization in a management level position in assigned area ... look for people who share our vision making health care easier, so life can be better. Our leaders...the Banner Health Legal team. 5. Functions as the leader of all administrative and clinical support staff. Oversees… more
- Centene Corporation (Atlanta, GA)
- …a clinical/health care environment with related degree program Three to five years managed care experience in a health care environment Experience in ... groups to promote participation in quality improvement collaboratives to improve clinical care outcomes. + May lead and/or participate in external activities,… more