- Beth Israel Lahey Health (Boston, MA)
- …referral and authorization rules and related policies for multiple insurance and managed care payers, including transplant-specific policies; maintains record of ... customer service through clear communication. As the Heart Transplant Program develops and grows, there is a need for... to assist in the safe delivery of patient care . Additional support staff of the Heart Transplant department… more
- BAYADA Home Health Care (Cape May, NJ)
- **Cape Regional Home Health Care Managed by BAYADA** is looking for compassionate and dedicated **Full-Time, Part-Time, or per-diem** **Registered Nurses (RN)** ... and their families deserve the highest quality home health care delivered with compassion, excellence, and reliability - our...401k with company match, direct deposit and employee assistance program + To learn more about BAYADA Benefits, click… more
- LA Care Health Plan (Los Angeles, CA)
- …of experience performing claims audits or claims processing related to Medi-Cal, Medicare, and/or other managed care product lines similar to LA Care 's LA ... $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...audits timely. Performs ongoing tasks as assigned by the manager of Financial Compliance which may include compiling Monthly… more
- Commonwealth Care Alliance (Boston, MA)
- …Strong claims experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/Medicaid) + Experience in health plan ... for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital,… more
- Athena Health Care Systems (Sandwich, MA)
- …All individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow federal and state ... are hiring per diem Receptionists to join our dynamic care team at Cape Heritage Rehabilitation & Health ...a clerical position, or successfully completed a secretarial science program from an accredited school/college, is preferred. + Must… more
- Athena Health Care Systems (Webster, MA)
- …All individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow federal and state ... a full-time evening Nursing Supervisor to join our dynamic care team at Lanessa Extended Care in...family relations. + Other duties may be assigned by manager . Specific Requirements: + Must be able to read,… more
- Commonwealth Care Alliance (Boston, MA)
- …experience in provider relations, network management, or healthcare operations within a managed care organization, health plan, or integrated delivery system. * ... leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role… more
- Always Best Care Senior Services (Philadelphia, PA)
- …equipment safely. * Maintain adherence to medical orders regarding treatment, visit frequency, and managed care authorizations. * Develop care plans for home ... At Always Best Care , our focus is providing our patients with...not active. This position reports directly to the Clinical Manager . Essential Duties and Responsibilities Clinical Skills * Perform… more
- CVS Health (Trenton, NJ)
- …internal departments. **Required Qualifications** + Minimum of 3 to 4 years recent Managed Care Network Value Based Contacting experience with 2-3 years Medicaid ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Novo Nordisk (Salinas, CA)
- …in order to influence formulary status, as applicable + May analyze impact of managed care in the territory and its effect on prescribing decisions, and ... Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious...the CMCS I reports to the Portfolio District Business Manager of the specific sales territory. The CMCS I… more