- UPMC (Erie, PA)
- …party health care coverage experience and strong understanding of managed care regulations are required.Licensure, Certifications, and Clearances: + Act ... UPMC Children's Community Pediatrics is hiring a Full-Time Access Lead to support the office in Erie. EPIC, registration,...insurance verification experience preferred. Job Overview As an Access Lead , you'll play a key role in managing daily… more
- Abbott (Baltimore, MD)
- …opportunity in the Abbott Diabetes Care Division. We are helping people with Diabetes lead healthier, happier lives. As a global leader in diabetes care , ... Abbott is a global healthcare leader that helps people live more fully at...and assess their skills. + Accountable for retail and managed care accounts within the defined district.… more
- Virtua Health (Moorestown, NJ)
- …in billing and health insurance guidelines and practices, including commercial, Medicare and managed care payers. Solid knowledge of and ability to use, ... the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing … more
- Bassett Healthcare (Cooperstown, NY)
- …through payment collection, cash handling, processing of insurance eligibility and managed care information. Demonstrates a high level of understanding, ... This is a key role in the patient centered care team. Demonstrates excellence in all patient and customer...the job (ie. Scheduling, Registration, Referrals etc.). Takes a lead in the training of new incoming staff members.… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …direct patient care /clinical experience is required. + 2 years of experience in managed care is preferred. + Experience in the use of behavioral interviewing ... for all positions. POSITION PURPOSE Responsible for organizing, coordinating, and providing care coordination and case management services to members who are most at… more
- Valor Health (San Antonio, TX)
- …with front desk for check-in, check-out and phone coverage. o Assists in co- managed care collaboration with non-VA providers, and facilities. + Provides patient ... to federal government service. We aim to deliver high-quality care in a way that upholds the health of... for them with respect and through methods that lead to superior clinical outcomes.Valor is different because of… more
- CVS Health (AZ)
- …pertain to neurodevelopmental disorders. + Make recommendation for enhancements to current managed care , review guidelines, and clinical criteria based on ... for their clinical quality and effective use of health care resources. Under the direction of the Lead... care resources. Under the direction of the Lead Director, Service Operations, this position will focus on… more
- Elevance Health (Topeka, KS)
- …Frail Elderly, Brain Injury, and/or Physical Disability waivers strongly preferred. + Managed care experience strongly preferred. Please be advised that Elevance ... (PCSP) and backup plan, interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care … more
- Highmark Health (Montpelier, VT)
- …value streams, and population health management. **Preferred** + 7 years of experience in managed care , primary care management or other clinical setting. + ... for the Organization's value-based reimbursement programs and continuous improvement models. Lead or support key strategic initiatives across Enterprise and Markets… more
- The Cigna Group (Jersey City, NJ)
- …Experience in developing and managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus + Team player ... NYC office two times per month._** The **Provider Contracting Lead Analyst** serves as an integral member of the...of life. We guide our customers through the health care system, empowering them with the information and insight… more