- Penn Medicine (Philadelphia, PA)
- …* Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. Additional Duties (where ... * Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. Credentials: Education or… more
- Houston Methodist (Houston, TX)
- …by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, state, and federal ... national coverage determinations + Comprehensive knowledge of Medicare, Medicaid, and Managed Care requirements + Comprehensive knowledge of community resources,… more
- Erickson Living (Springfield, VA)
- …community. In this role, you will be responsible for ensuring program and procedural compliance, overseeing quality assurance and improvement, conducting ... + Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of...programs, and others as needed + Partner with SES Manager to update and maintain the Emergency Preparedness Plans… more
- MarketSource (Peoria, AZ)
- …achieve all sales and customer service objectives. . Works collaboratively with District Manager to achieve all client and program objectives. . Communicates and ... MarketSource Inc., an Allegis Group Company, develops and delivers innovative managed sales solutions for enterprise customers. MarketSource provides the unique… more
- Sea Mar Community Health Centers (Mount Vernon, WA)
- …Rate: $20.76 Position Summary: Full-time Community Resource Navigator position available for our Managed Care Department in Mount Vernon, WA. The role of the ... organizations, agencies, institutions and businesses as directed by the Managed Care Department. + They will routinely...responsible for assisting high risk patients in scheduling a care manager appointment and facilitate processes to… more
- MyFlorida (Tallahassee, FL)
- …waivers and home and community based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review ... language for: the Medicaid/CHIP report guides, contracts, and amendments; Dear Managed Care Plan letters, contract interpretations, policy transmittals, and… more
- AON (Boston, MA)
- …of talent in the market and succession planning. + Demonstrate understanding of health care industry and local markets for managed health care products. ... of talent in the market and succession planning. + Demonstrate understanding of health care industry and local markets for managed health care products.… more
- East Boston Neighborhood Health Center (Revere, MA)
- …EXPERIENCE: One to three year's experience working in a Medical Staff Office, Credentialing or Managed Care in a hospital, managed care insurance, or ... of our patients and communities. Whether you're a nurse or physician providing direct care , a manager leading dedicated teams, or part of the essential support… more
- UTMB Health (Huntsville, TX)
- … Program Manager for Assistive Disability Services for UTMB Correctional Managed Care . **_ESSENTIAL JOB FUNCTIONS_** + Contributes to the success of the ... UTMB Health Requisition # 2506596 The mission of Correctional Managed Care is to address the healthcare...department. + Performs related duties as assigned by the Program Manager of ADS. **_EQUIPMENT_** **:** Standard… more
- Elevance Health (Denver, CO)
- …process and the ability to interpret and apply member contracts, member benefits, and managed care products are strongly preferred. + Prior managed ... schedule: Monday-Friday, 10 - 6:30 pm EST.** **Federal Employee Program - FEP** , a proud member of the...and together we will drive the future of health care . The **Telephonic Nurse Case Manager II**… more