- POWER (Pittsburgh, PA)
- …Assurance Plan, DDAP requirements, State Licensing standards, County Monitoring requirements, and managed care regulations. Requirements + High school diploma or ... with substance use and co-occurring disorders. The Recovery Support Specialist , who is a member of the Treatment Team,...issues, and other relevant information to ensure continuity of care . + Maintains daily written documentation of each client's… more
- Elevance Health (Mason, OH)
- …would provide an equivalent background. **Preferred Qualifications:** + Understanding of managed care or Medicaid/Medicare strongly preferred. + Call center ... health, long term services and supports, and psychosocial needs._ **Medical Management Specialist I** **Location:** This role requires associates to be in-office [1]… more
- BriteLife Recovery (Englewood, NJ)
- … care for substance use and co-occurring disorders. + Familiarity with managed care principles, insurance authorizations, and payer requirements. + Bachelor's ... communicating clinical information and advocating for appropriate levels of care . The UR Specialist works closely with...for appropriate levels of care . The UR Specialist works closely with clinical staff, admissions, medical providers,… more
- CDPHP (Latham, NY)
- …Adjustment Coder) credential preferred. + Minimum one (1) year of experience in an HMO, Managed Care Organization or in a health care setting preferred. + ... a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart review and...a comprehensive total rewards package that includes award-winning health care coverage, health care dollars, a generous… more
- Adelante (Phoenix, AZ)
- …and communications can be considered in place of formal degree + Experience in managed care with knowledge of HEDIS and STARS Quality Metrics preferred + ... WIC Quality Assurance Specialist Job Details Job Location Adelante Healthcare Center...+ Certification to perform cardiopulmonary Resuscitation for the Health Care Professional (CPR) and AED through courses that follow… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Referral & Pre-Certification Specialist , Southern Medical Group - South Knoxville FullTime, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is ... Covenant Health's employed and managed medical practice organization, with more than 300 top...300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include… more
- JPMorgan Chase (New York, NY)
- …and insight that few other firms can match. **Job Summary:** As a Product Specialist supporting Customized Managed Account Solutions, you will help drive key ... project initiatives impacting our strategic roadmap supporting our retail separately managed accounts (SMA) and Model Portfolio business. Working in direct… more
- Motion Recruitment Partners (Memphis, TN)
- MFT Migration Specialist Memphis, TN **Hybrid** Contract $58.93/hr - $58.93/hr Our client is looking for a IT Production Advisor on a 11-month contract in Memphis, ... High School Graduate/GED + Experience with IBM Sterling B2Bi/PCM and/or other Managed File Transfer systems including Messageway. + Experience working with fast pace… more
- New York State Civil Service (Albany, NY)
- …of individuals who use services on mental health related issues.* Provide support for managed care /Medicaid billing of peer services. * Address parent calls and ... HELP No Agency Mental Health, Office of Title Advocacy Specialist 2 , Central Office; Occupational Category Health ...Specialist 2 , Central Office; Occupational Category Health Care , Human/Social Services Salary Grade 18 Bargaining Unit PS&T… more
- Pfizer (Olympia, WA)
- …leaders or high influence customers in large group practices, hospitals, or managed care organizations preferred. + Strong organizational and analytical skills ... lives. **What You Will Achieve** The Gastroenterology Health & Science Sales Specialist is responsible for launching new products, deciding upon best strategies to… more