- Centene Corporation (Queens, NY)
- …Administration (MHA) or Business Administration (MBA).:** Five or more years of managed care or medical group experience, provider relations, quality ... providers to ensure delivery of the highest level of care to our members. Participate in the development of...Joint Operating Committee meetings (JOC) + Acts as a lead for the external representatives + Coaches and trains… more
- Molina Healthcare (Rochester, NY)
- …new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified ... services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to… more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, ... **Minimum Qualifications:** - Bachelor's Degree - Knowledge of value based care and population health. **Preferred Qualifications:** - Previous experience in an… more
- Sevita (Lecanto, FL)
- …for each person served. + Maintains a functional understanding of funding, managed care requirements, and licensing requirements for each person served. ... mission. **SUMMARY** Directs a department or program responsible for delivering health care services to clients/individuals. Manages staff RNs, and works in tandem… more
- Pfizer (Sacramento, CA)
- …thought leaders or high influence customers in hospitals, large group practices or managed care organizations. + A demonstrated track record of success and ... responsibilities, ranging from promoting Pfizer's product portfolio to health care providers and specialists, to educating members of the...and generous benefits and programs to help our colleagues lead healthy lives and to support each of life's… more
- Trinity Health (Westerville, OH)
- …in business or related field preferred or equivalent experience required. + Experience: Managed care insurance industry experience required. + Able to apply ... our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician… more
- ConvaTec (Houston, TX)
- …within assigned territory with overnight stays when applicable. + Has solid understanding of managed care at both a local and national level. + Budget management ... of chronic conditions, with leading positions in Advanced Wound Care , Ostomy Care , Continence Care ,...in "getting past the gatekeeper" and business acumen. + Lead by example by demonstrating "what good looks like."… more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals ... monitor and assure the appropriateness and medical necessity of care as it relates to quality, continuity and cost...of scale across provider types and geographies and will lead the effort in developing Dignity Health's Medicaid population… more
- Elevance Health (Louisville, KY)
- …preferred. + BS in a health or human services related field is preferred. + Managed Care experience is preferred. Please be advised that Elevance Health only ... Case Management** is responsible for managing a team of nurse care managers engaged in assessing, developing, implementing, coordinating, monitoring, and evaluating… more
- AdventHealth (Tavares, FL)
- …delivery of patient care services, including but not limited to Medicare, Managed care , Medicaid, third party providers, challenges to current health care ... patient population. The Assistant Nurse Manager assures quality of care is delivered to our patients and demonstrates effective...the ANA Scope and Standard for Nursing Practice. + Lead the Employees Has a working knowledge of performance… more