- Commonwealth Care Alliance (Boston, MA)
- …and drive both program-wide and provider -specific performance improvement. The LTSS Program Manager reports to the Senior Director of Delegation ... 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for...+ Serve as the primary liaison for assigned community-based LTSS provider organizations, with a focus on… more
- Molina Healthcare (Rockwell City, IA)
- JOB DESCRIPTION Opportunity for an experienced Care Manager to join the LTSS team with our Iowa Health Plan in the Greene, Carroll, and Calhoun Counties service ... to determine the types of services we need to provide and managing their care until they are discharged...The ideal candidate will have experience as a Care Manager within a managed care organization (MCO) like Molina… more
- Elevance Health (Arcadia, WI)
- **Title** : Manager II GBD Special Programs - LTSS Care/Service Coordination **Location: We are currently seeking people in the following counties:** Durand, ... an accommodation is granted as required by law. The ** Manager II GBD Special Programs** will be responsible for...for Wisconsin Family Care, a long-term service and supports ( LTSS ) program. **How you will make an impact:** +… more
- CVS Health (Harrisburg, PA)
- …with knowledge of basic negotiating skills. + Proven working knowledge of standard provider contracts , terms, and language. + High proficiency with Microsoft ... and meet network adequacy and expansion goals. + Audit, build, and load contracts , agreements, amendments, and/or fee schedules in contract management systems.… more
- Centene Corporation (Mcallen, TX)
- …on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, ... **License/Certification:** Licensed Behavioral Health Professional or RN based on state contract requirements: LCSW, LPC or RN with direct Behavioral Health… more
- Centene Corporation (Mcallen, TX)
- …on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, ... **License/Certification:** + Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMFT, LPC and RN with BH experience… more
- Elevance Health (Tampa, FL)
- ** LTSS Service Coordinator (Bilingual in Spanish/English)** **Schedule:** Monday-Friday 8am-5pm **Location** _:_ This is primarily a field based position. Candidate ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator** is responsible for conducting service coordination... needs, as required by applicable state law and contract , and federal requirements. **How you will make an… more
- Elevance Health (Neillsville, WI)
- ** LTSS Service Coordinator (Case Manager )** **Hiring near Southwestern Wisconsin in counties:** Pepin, Buffalo, Trempealeau, Jackson, Clark, La Crosse, Monroe, ... independent living, employment, and contributing to their communities. The ** LTSS Service Coordinator** is responsible for conducting service coordination functions… more
- Humana (Springfield, IL)
- …and help us put health first** Humana Gold Plus Integrated is seeking Provider Engagement Professionals ( LTSS ) who are responsible for day-to-day, front-line ... long-term relationships with physicians, providers and healthcare systems. The Provider Engagement Professional ( LTSS ) roles and responsibilities include:… more
- Elevance Health (Carroll, IA)
- …and comprehensive service to the company's provider community. + Provide assistance regarding education, contract questions and non-routine claim issues. ... ** LTSS Network Relations Consultant, West Iowa** **Location:** Carroll,...Network Relations Consultant, West Iowa** develops and maintains positive provider relationships with provider community by regular… more