- Henry Ford Health System (Troy, MI)
- …preferred. + Ability to communicate effectively with colleagues, supervisor, and manager . + Ability to work independently. + Strong organizational and time ... management skills required to effectively prioritize workflow to meet third party requirements. Additional Information + Organization: Corporate Services + Department: CBO Insurance Recovery - HB + Shift: Day Job + Union Code: Not Applicable Additional Details… more
- Molina Healthcare (Owensboro, KY)
- …to identify principle member needs and works under the direction of the care manager to implement care plan. * Schedules member visits with care managers as needed. ... * Screens members according to Molina policies and processes and assists care management staff during process of identifying appropriate member services. * Coordinates required member services in accordance with member benefit plan. * Promotes communication… more
- Molina Healthcare (MA)
- …to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team members as needed. ... + Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify appropriate medical services. + Coordinates required services in accordance with member benefit plan. + Promotes communication, both internally and… more
- Molina Healthcare (TX)
- …be active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified ... Professional in Health Care Quality (CPHQ) or other health care or management certification. * Medicaid/Medicare population experience. * Clinical experience. * Supervisory/leadership experience. To all current Molina employees: If you are interested in… more
- Datavant (Honolulu, HI)
- …+ Help guide, mentor and train other junior analysts in support of their direct manager What you will bring to the table: + Experienced (5+ years or more) in ... data analysis, database technologies (Oracle/MS SQL Server, Snowflake, Databricks), SQL queries, MS Excel, Python, etc. + **_Deep understanding of and experience in Risk Adjustment_** (MA, ACA and MD) business analytics with knowledge of different risk models… more
- Anywhere Real Estate (St. Louis, MO)
- …through all phases of the sales process independently with support from manager in final meetings. Lead primary meetings and discussions continuously throughout ... process. **Qualifications:** What you must have + **Education:** Bachelor's degree preferred + **Experience:** 1 - 3 years of sales experience in a sales and/or inside sales environment with emphasis on business development and or management consulting. Real… more
- Sharecare (Trenton, NJ)
- …CST. **Job Summary:** Under the general supervision of a Customer Service Manager , the Program Engagement Representative has the primary responsibility of making ... outbound calls and receiving inbound calls to enroll and schedule members in the telephonic lifestyle management or clinical coaching. Additionally, Engagement Specialists will explain platform features and services available to members based on their… more
- AECOM (Wichita, KS)
- …is seeking out a results focused State Business Lead / Senior Project Manager to support current leadership as well as contribute to the Business Line's ... growth in several areas of the Midwest and Southwest. If you have a proven track record of success obtaining and managing large Transportation projects with Local and State Agencies, specifically within Traffic and ITS Disciplines please apply and your… more
- Henry Ford Health System (Grand Blanc, MI)
- …prioritize work. + Ability to communicate effectively with colleagues, supervisor, and manager . + Ability to work independently. Ability to work remotely. + ... Proficient in medical terminology. + Proficient in ICD-10 CM, CPT, HCC and HCPCS coding. + Able to recognize patterns and trends and escalate to supervisors to support root cause analysis. + Able to assist other team members. Additional Information +… more
- Insight Global (New York, NY)
- …on for our customers is completed efficiently and accurately. As a Credentialing Manager , you will be responsible for overseeing the day-to-day activities of the ... Credentialing department to ensure smooth and efficient operations. The Credentialing Director's primary objective is to develop a comprehensive understanding of Medallion's credentialing processes and client-specific workflows. They will leverage this… more