- Elevance Health (San Francisco, CA)
- …broad range of complex psychiatric/substance abuse and/or medical disorders. + Managed care experience required. **Preferred Skills, Capabilities, and ... Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- CVS Health (Miami, FL)
- …and exercise sound judgment in problem-solving. **Preferred Qualifications** + Familiarity with managed care processes, healthcare sales, or pharmacy benefits. + ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …experience in medical management, utilization review and case management. + Knowledge of managed care products and strategies. + Demonstrated ability to educate ... not limited to, Medical and Pharmacy Utilization Management, quality management, member care management, and medical policy processes, and support for our various… more
- Trinity Health (Silver Spring, MD)
- …case management and financial counseling staff when appropriate. Completes all managed care notification requirements. + Maintains patient confidentiality, and ... settings. + One-year experience in a hospital and/or other health care setting, preferably in registration, billing, cash collections or insurance requirements.… more
- CommonSpirit Health (Rancho Cordova, CA)
- …or including supervisory role + Experience in Utilization Management, Case Management or Care Coordination, Managed Care is preferred **Where You'll Work** ... Patient Logistics RN and other staff as needed + Ability to function and lead independently with self-initiative and discipline + Other duties as assigned to meet… more
- Elevance Health (Columbus, OH)
- …would provide an equivalent background. **Preferred Qualifications:** + Understanding of managed care or Medicaid/Medicare strongly preferred. + Call center ... Specialist I** responsible for providing non-clinical support to the Care Coordination Team. **How you will make an impact.**...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Centene Corporation (Queens, NY)
- …equivalent experience. 7+ years of provider relations or contracting experience in a managed care or insurance environment, preferably in Medicare or Medicaid. ... department including negotiations and administering organization policies and procedures. + Lead and inspire a high-performing team, fostering a collaborative and… more
- HCA Healthcare (Houston, TX)
- …provide oversight to your physician partnership activity within your portfolio + Influence managed care contracting to ensure your market initiatives are met + ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- WTW (Seattle, WA)
- …organization, health benefits consulting or brokerage environment, health insurance carrier, managed care organization or another leading health care ... of project plans; finalize and present deliverables to clients + Lead contracting efforts, including coordinating with client procurement and/or legal teams.… more
- Elevance Health (Reno, NV)
- …with a broad range of complex psychiatric/substance abuse and/or medical disorders. + Managed care experience required. + For Government business only LAPC LAMFT ... Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more