- Rush Copley Medical Center (Aurora, IL)
- …+ CCMA, CMA or RMA Certification + **Certified in CPR** + ** Medical practice management and EMR software experience preferred (specifically Epic).** ... + **Microsoft Office Suite (specifically Word and Excel) helpful.** + **Excellent oral/written communication skills** + **Excellent organizational skills, detail-oriented** + **Flexible; able to adapt to change** + **Bilingual in Spanish** Rush is an equal… more
- Rush Copley Medical Center (Oswego, IL)
- …Requirements:** + CCMA, CMA or RMA Certification + Certified in CPR + Medical practice management and EMR software experience preferred (specifically Epic). + ... Microsoft Office Suite (specifically Word and Excel) helpful. + Excellent oral/written communication skills + Excellent organizational skills, detail-oriented + Flexible; able to adapt to change + **Bilingual Spanish highly valued** Rush is an equal… more
- AmeriHealth Caritas (Washington, DC)
- …regarding quality Reports and provider utilization platforms. + Will partner with medical management team to identify and measure methods to improve ... for managing the day-to-day activities of the Health DC Plan Network Management department and staff. Responsible for assisting the Leader with departmental… more
- CVS Health (Phoenix, AZ)
- …Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective ... care management solutions that promote high-quality healthcare for members. **Position...Use established guidelines to authorize services or escalate to Medical Directors as needed. + Navigate multiple computer systems… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions (BHPS) provides Case Management / Medical Management services to its clients. Clinical Coordinator facilitates ... case management by performing intake and clinical data collection &...providers and accurately acquire and relay clinical information about medical status, diagnoses, and future care needs. + Conduct… more
- CVS Health (Lansing, MI)
- …Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective ... care management solutions that promote high-quality healthcare for members. **Position...Use established guidelines to authorize services or escalate to Medical Directors as needed. + Navigate multiple computer systems… more
- University of Rochester (Rochester, NY)
- …Range or Pay Grade** 85376.00 **Description** The Laboratory Directorship with a MS in Medical Management position at the University of Rochester Medical ... management , medical directorship, and administration. Additional formal education in medical management will be accomplished with completion of a masters… more
- The Cigna Group (Los Angeles, CA)
- …communication with matrix partners including but not limited to, Claims Operations, Medical Management . Credentialing, Legal, Medical Economics, Compliance, ... in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management ** serves as an integral member of the Provider Contracting Team and… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …for data analysis and interpretation. Must be data driven with a passion for medical management . Possesses ability to organize and present data in a concise ... is seeking a DIRECTOR- SYSTEM CLINICAL QUALITY & RISK MANAGEMENT to join our CARE INTEGRATION team! The Director...team! The Director - System Clinical Quality and Risk Management is recognized as a subject matter expert in… more
- Molina Healthcare (Reno, NV)
- …need. + Provides leadership, direction and oversight functions to the health plan's medical management staff designed to achieve best in class performance as ... metrics. + Offers a positive leadership role in key health plan medical management initiatives aimed at optimizing utilization of medical resources. +… more