- State of Colorado (Denver, CO)
- Managed Care Rate & Reconciliation Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5054342) Apply Managed Care Rate & ... overtime compensation. Department Contact Information Kelli Dauleh, Talent Acquisition Specialist ~ ###@state.co.us How To Apply Please submit an...driving value for Colorado. We are looking for a Managed Care Rate & Reconciliation Analyst to… more
- Beth Israel Lahey Health (Westwood, MA)
- … care or specialty physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations for patient care ... services, complying with BIDCO's and BIDMC's contractual rules for multiple managed care insurance payers. **Job Description:** **Essential Responsibilities:**… more
- LA Care Health Plan (Los Angeles, CA)
- Enhanced Care Management Clinical Specialist II Job...care professionals in a hospital, medical group or managed care setting, such as a health ... required to achieve that purpose. Job Summary The Enhanced Care Management (ECM) Clinical Specialist II is...with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed … more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category:...care professionals in a hospital, medical group or managed care setting, such as a health ... safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential functions… more
- Huron Consulting Group (Van Buren, AR)
- …pressure to improve clinical outcomes and reduce the cost of providing patient care . Investing in new partnerships, clinical services and technology is not enough to ... pressure to improve clinical outcomes and reduce the cost of providing patient care . Investing in new partnerships, clinical services and technology is not enough to… more
- LA Care Health Plan (Los Angeles, CA)
- …recording, and braille projects in a language service provider setting or its equivalent. Managed care /health care experience including working in a health ... management system, translation memory, machine/AI translation, etc.). Knowledge of managed care language assistance regulations. Licenses/Certifications Required… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Bachelor's Degree Experience Required: At least 2 years of experience in Managed Care with specific experience in resolving member and provider ... Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC...apply regulations. At least 5 years of experience in Managed Care working with Medicare, Medi-Cal and… more
- Ventura County (Ventura, CA)
- …with the compliance office. Experienced in leading and training staff on Managed Care , Medicaid, Medi-Cal, Medicare, and Commercial Insurance, they ensure ... billing and supervises or conducts training on the specific areas of Managed Care /Medicaid/Medi-Cal/Medicare and/or Commercial Insurance; + Works with the… more
- Rush Enterprises (New Braunfels, TX)
- …an advocate through the repair process in and outside the Rush network. The Customer Success Specialist must take care in acting as an agent for the managed ... The RushCare Customer Success Specialist is responsible for scheduling, expediting, and managing...vehicle. + Provide direction for recommended repairs to the managed fleet and the repair facility. + Communicate with… more
- National Health Care Associates (East Hartford, CT)
- …organization skills + General Knowledge of Medicare, Medicaid, Pending, Applied Income and Managed Care billing + Good working knowledge of Excel, Word, Outlook, ... to join our team! **-** **Business Office /AR2/ Medicaid Specialist ** **40 hour position** The position is responsible to...admitted (ie: offer QMB or LTC when applicable) + Managed Care Claims ( follow up; appeals… more