• Pre-Delivery Specialist - Machine Arrival…

    AGCO Corporation (Hesston, KS)
    Pre-Delivery Specialist - Machine Arrival Inspection Date: Aug 27, 2025 Req ID: 101416 Location: Hesston, KS, US Workplace Type: Onsite Do you want to help solve the ... ACR and MAI process with the distribution network. + Work with internally managed Assembly Centers involved in the receiving assembly and readiness inspections of… more
    AGCO Corporation (07/01/25)
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  • Sr. Specialist -Pharmacy Contracts - Sharp…

    Sharp HealthCare (San Diego, CA)
    …the system. **Required Qualifications** + 3 Years experience in a hospital, ambulatory care and/or managed care pharmacy environment. + California Pharmacist ... of Pharmacy -REQUIRED **Preferred Qualifications** + 3 Years experience with managed care , PBM and/or Medicare Part D, Medicaid, Commercial Health Insurance. +… more
    Sharp HealthCare (07/27/25)
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  • Case Mgmt Specialist - BSN

    Parkview Health (Fort Wayne, IN)
    …knowledge of InterQual criteria. Other Qualifications: Demonstrates knowledge of DRGs managed care initiatives, payment methods, and statistical analysis. ... InterQual training program and ongoing Inter-reliability testing. Demonstrates understanding of managed care concepts. Demonstrates ability to engage in complex… more
    Parkview Health (08/07/25)
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  • Specialist , Provider Contracts HP…

    Molina Healthcare (Cincinnati, OH)
    …in the health care field including, but not limited to, provider's office, managed care organization, or other health care field. **PREFERRED EDUCATION** ... combination of education and experience **PREFERRED EXPERIENCE** : 1-3 Years Managed Care experience To all current Molina employees: If you are interested… more
    Molina Healthcare (08/24/25)
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  • Provider Engagement Network Specialist

    Centene Corporation (Frankfort, KY)
    …processing, billing and/or coding experience preferred. Three years of experience in managed care environment, medical provider office, customer service within a ... healthcare organization, and medical claims. Knowledge of health care , managed care , Medicare or Medicaid.Pay Range: $22.79 - $38.84 per hour Centene offers… more
    Centene Corporation (09/13/25)
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  • Referral/Transfer Specialist , Referral…

    Sutter Health (Sacramento, CA)
    …years of recent relevant experience. **SKILLS AND KNOWLEDGE:** + Working knowledge of managed care requirements and processes. + Knowledge of system, affiliate ... authorization process and HIPPA requirements. + Familiar with medical and managed care terminologies. + Understanding of disease process to assess referral… more
    Sutter Health (09/12/25)
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  • Medicaid Eligibility Specialist

    Conduent (Topeka, KS)
    …to use knowledge of State eligibility processes, policies, and procedures governing managed care enrollment to communicate with consumers regarding a variety ... and guidelines. **Preferred Skills or Knowledge:** Knowledge of Medicaid and managed care programs Minimum of two (2) years' experience in determining Long-Term… more
    Conduent (08/29/25)
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  • Transfer & Referral Specialist

    Sutter Health (Sacramento, CA)
    …and/or electronic medical record. **SKILLS AND KNOWLEDGE** + Working knowledge of managed care requirements and processes. + Knowledge of system, affiliate ... authorization process and HIPPA requirements. + Familiar with medical and managed care terminologies. + Understanding of disease process to assess referral… more
    Sutter Health (08/28/25)
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  • Senior Specialist , Delegation Oversight…

    Molina Healthcare (Sioux City, IA)
    …or equivalent combination of education and experience. **Required Experience** + 3+ years managed care experience. + Min. 1 year experience completing delegation ... Care related field. **Preferred Experience** + 5 years managed care experience. + 2 years' experience completing delegation oversight assessments/audits. +… more
    Molina Healthcare (08/21/25)
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  • Excel & Powerpoint Specialist

    Insight Global (Mayfield Heights, OH)
    …5k lines, but inputs necessary from multiple business areas) Ability to learn managed care concepts quickly to help communicate and aggregate strategic insights ... Managed care experience more
    Insight Global (09/09/25)
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