- Molina Healthcare (Cleveland, OH)
- …or equivalent combination of education and experience **Required Experience** + 3-5 years managed care experience, including 2+ years in Provider Claims and/or ... higher) **Preferred Education** Bachelor's Degree **Preferred Experience** + 5+ years managed care experience + QNXT; SQL experience + Crystal Reports for data… more
- Molina Healthcare (Caldwell, ID)
- …2 years experience in customer service, consumer advocacy, and/or health care systems. Experience conducting intake, interviews, and/or research of consumer or ... members, providers, team members, and manager. Basic understanding of managed healthcare systems and Medicare. **PREFERRED EDUCATION:** Associate's or Bachelor's… more
- Mass Markets (VA)
- …BPO services, consulting, or software solutions. + Proven success in selling managed services, system integration, and technology products. + Familiarity with market ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- WellSpan Health (Lancaster, PA)
- …This includes the intricacies and nuances of complex funding issues for levels of care , Health Choices, managed care organizations and other funding ... treatment plans and hospital policies; performs a variety of client care . **Duties and Responsibilities** **Essential Functions:** + Provides day-to-day oversight of… more
- Highmark Health (Montpelier, VT)
- …value streams, and population health management. **Preferred** + 7 years of experience in managed care , primary care management or other clinical setting. + ... actionable opportunities in provider transformation aimed at high-quality, cost-effective care while improving patient outcomes. + Provide consultative workflow… more
- Molina Healthcare (Ann Arbor, MI)
- …support role in healthcare, Medical Assistant preferred. * 2 years Long Term Care experience preferred and/or Managed Care experience. * Fluency ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care , VUMC is a community of individuals who come to work each day ... to advance health and wellness through preeminent programs in patient care , education, and research. **Organization:** Pediatric Social Work Assessment **Job… more
- Emanate Health (Covina, CA)
- …Experience within an acute hospital setting, with strong emphasis on managed care contract and appeals/underpayment collection activities. Excellent customer ... at Emanate Health plays a vital role in the care we deliver. No matter what department you belong...2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19… more
- Queen's Health System (Honolulu, HI)
- …Microsoft Office applications (ie Outlook, Word, Excel, PowerPoint). * Knowledge of managed care and healthcare operations preferred. * Prior experience working ... understand the support services available to them through QCIPN for clinical care coordination, transitional care management, quality, risk adjustment, and other… more
- Banner Health (Mesa, AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to… more