- Houston Methodist (Houston, TX)
- …the designated area(s) of responsibility or populations served. The Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, ... At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties enabling the delivery of optimal… more
- Stony Brook University (Stony Brook, NY)
- …: Professional Clinical **Primary Location** : US-NY-Stony Brook **Department/Hiring Area:** : Managed Care **Schedule** : Full-time **Shift** : Day Shift ... Care Manager - Readmission Specialist **_Position Summary_** _At Stony Brook Medicine the_ Care Manager - Readmission Specialist _must have both hospital… more
- Houston Methodist (Houston, TX)
- …the designated area(s) of responsibility or populations served. The Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, ... At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties enabling the delivery of optimal… more
- Robert Half Office Team (Palm Springs, CA)
- …credentialing and recredentialing process for healthcare providers participating in managed care networks. Verify licenses, certifications, education, training, ... (CMS), The Joint Commission (TJC), and California-specific guidelines. Knowledge of Managed Care Requirements: Maintain up-to-date understanding of managed… more
- Option Care Health (Dallas, TX)
- …Summary:** Responsible for overseeing repairs, maintenance, and operations for Option Care Health's licensed pharmacies. Facilities Technical Specialist will ... across the national Option Care portfolio and thus limit patient care risk. Facilities Technical Specialist will ensure that reactive maintenance issues… more
- McLaren Health Care (Flint, MI)
- …facility or other health care setting. **Preferred:** + One (1) year Managed Care Utilization review experience. + Experience and knowledge of the ... We are looking for a Intake Specialist , to join us in leading our organization...and knowledge of Medicare, HMO, PPO, TPA, PHO and Managed Care functions (eg administration, medical delivery,… more
- LA Care Health Plan (Los Angeles, CA)
- …environment required. Previous experience with Medi-Cal and Medicare in a managed care environment. Preferred: Tableau experience. Skills Required: Advanced ... Customer Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- Weill Cornell Medical College (New York, NY)
- Title: Clinical Behavioral Health Care Specialist Location: Upper East Side; Brooklyn; Hamptons; Lower East Side; Midtown; Queens; West Side Org Unit: Melissa ... providers. + Develops and maintains a working knowledge of community resources and managed care review processes. + Assumes responsibility and accountability for… more
- University of Washington (Seattle, WA)
- **Job Description** Harborview Medical Center is currently recruiting for a RESPIRATORY CARE SPECIALIST to join our Respiratory Care Team! WORK SCHEDULE 40 ... Collaborates with appropriate disciplines to coordinate continuity of patient care from admission through discharge in support of the...Northwest region. HMC is owned by King County and managed by the University of Washington (UW) and serves… more
- Staffing Solutions Organization (Albany, NY)
- …Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse ... a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) in Albany, NY** **Division of Eligibility & Marketplace… more