- United Therapeutics (CA)
- …and develop business relationships with the largest and most complex Payers and MCO stakeholders. Act as the primary resource for all Market Access related ... and Execution: Identify, develop, and implement payer access strategies and product-aligned MCO business plans. Optimize UT coverage opportunities with a focus on… more
- Teresian House (Albany, NY)
- …to residents in compliance with NYS Medicaid, Medicare, Mafae Care Organizations ( MCO 's) and private insurance. + Preparing and submitting claims, resolving billing ... daily. + Preparing and submitting timely billing for Medicare, MCO 's, Medicaid and private insurers using electronic and payer...claims. + Maintaining up to date knowledge of Medicare, MCO and NYS Medicaid regulations and billing practices. +… more
- HCA Healthcare (Nashville, TN)
- …Surgery Division Regional VPs and prioritize them for PCA VPs to pursue during MCO negotiations. + The AVP will work with Ambulatory Surgery Division business office ... with MCOs on data-driven collaboration to identify opportunities to offer a savings to the MCO and patients. The AVP may need to create a quality story for PCA VPs… more
- Caz Recovery (Buffalo, NY)
- …processes, which includes but is not limited to Managed Care Organizations ( MCO ), Department of Social Services (DSS), Supplemental Security Income (SSI), Social ... * Ensures prospective residents have an active in-network Managed Care Organization ( MCO ) or assists applicants in need of Medicaid managed care with information… more
- Eaton Corporation (Arden, NC)
- …leadership team to develop and implement the strategic initiatives of EatonCare and MCO /NAS Sales Operations. + Drive change and improvements through the OEM, Global ... organization is clearly understood and is strongly tied to the objectives of MCO and NAS.Build relationships with senior sales management and product line management… more
- Boehringer Ingelheim (Mcallen, TX)
- …with Managed Care Area Managers to generate and sustain support for products on MCO formularies. Develops and influences an extended team to pull-through MCO ... decisions. Delivers on "continuation of care" model, including discharge protocol, treatment algorithms, disease management, etc. + Analyzes qualitative and quantitative territory information to optimize territory business plan and customer calls. Monitors… more
- State of Minnesota (St. Paul, MN)
- …capitation rate setting with the Managed Care Organizations (MCOs) for multiple MCO contracts covering Medicaid Families and Children and MinnesotaCare and Special ... Commerce, and MNSure. This position is also responsible for coordinating the MCO coverage policies, rate development impacts, and contract compliance with other… more
- Herbalife (Torrance, CA)
- …Revision Requests (PRRs), non-project Engineering Changes (ECs) and Manufacturing Changes ( MCO ) for new product release, country rollouts, supplier moves, and ... create and route non-project Engineering Changes (ECs) and Manufacturing Change Orders ( MCO ). In addition, they process and route ECs within project tasks. Serves… more
- Abbott House (Bronx, NY)
- …a full-time position. Duties and Responsibilities: 29I Core Services Coordinate with MCO (Managed Care Organization) Foster Care Liaison Inform and coordinate PCP ... Assist with consent and/or confidentiality issues Obtain authorizations from all MCO Update the AccuMedic (EHR) system with the authorization information to… more
- Mental Health Association of SCK (Wichita, KS)
- …required progress notes/billing information in a timely manner as per agency, MCO /Medicaid, and COMCARE guidelines and contracts. This includes providing s ervice ... within established MCO caps for service types. Completion of OTRs is expected with any service overages due to consumer need. 5. Assists consumers in setting… more