- The Cigna Group (Mclean, VA)
- …Experience in developing and managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus + Team player ... to live in either **Richmond or McLean, VA area** Hybrid position - will need to work in the...the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports… more
- American Family Insurance - Corporate (Madison, WI)
- …for 2 Lead Network Engineers to join our team. You will report to the Senior Manager , Technical Services. If located within 50 miles of one of our core locations (35 ... and will be considered based upon the needs of the role. \#LI- Hybrid Position Compensation Range: $128,000.00 - $216,000.00 Pay Rate Type: Salary _Compensation… more
- Cedars-Sinai (Los Angeles, CA)
- …inclusive environment that fuels innovation and the gold standard of patient care we strive for. **Why work here?** Technology Ventures protects and supports ... Counsel will also support the legal needs of the business units managed by Technology Ventures, the Cedars-Sinai Accelerator, Cedars-Sinai Health Ventures, and other… more
- Fallon Health (Worcester, MA)
- …a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon ... Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top...**Brief Summary of Purpose:** Under the direction of the Manager of Prior Authorization, communicates with contracted and non-contracted… more
- Health Care Service Corporation (Belleville, IL)
- …of operations within 90 days of hire. + Plus 3 years' wellness or managed care experience presenting clinical issues with members/physicians. + Knowledge of the ... your professional development. **Job Summary** This position is responsible to provide care coordination to members via telephonic and/or field-based care … more
- Mount Sinai Health System (New York, NY)
- …pharmacy group. 11.Obtains prior authorizations from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. ... direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access… more
- LA Care Health Plan (Los Angeles, CA)
- …applying: + The candidate selected for this role MUST have recent experience with healthcare/ managed care grievances + The candidate selected for this role must ... Registered Nurse (RN) Manager , Appeals and Grievances General Operations (Clinical) Job...care grievance and/or appeals issues, preferably in a managed care or Medicaid Health Plan environment… more
- BrightSpring Health Services (Englewood, CO)
- …to 4 years experience in medical billing with a working knowledge of managed care , commercial insurance, Medicare and Medicaid reimbursement; home infusion ... providers in the country. The Billing Specialist will report to the Billing Manager and work in our Centennial, CO office. Amerita is an entrepreneurial-founded… more
- American Family Insurance - Corporate (Madison, WI)
- …using expert business and systems knowledge. You will report to the Senior Manager , Technology Services. In this flex office/home role, you will be expected to ... IT operations support. + Basic knowledge and understanding of managed service delivery and/or outsourcing contracts. + Basic knowledge...vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive… more
- Molina Healthcare (El Paso, TX)
- …and productivity is important. Preferred candidates will have previous case management, managed care , inpatient hospital experience._ _TRAVEL in the field to ... unrestricted RN license in the state of TX._ _Case Manager RN will work Hybrid (Telephonic and...**Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health… more
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