- Centene Corporation (Austin, TX)
- …of experience Call center/customer service experience. Experience in healthcare environment (pharmacy operations , managed care , pharmacy hospitals and or ... pm - 10:30 pm EST, schedule.** **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter expert and handles more complex pharmacy… more
- Gentiva (Atlanta, GA)
- …andbe responsible for preparing, reviewing, analyzing, and responding to requests for managed care , provider, and other related healthcare agreements. + Prepares ... **Overview** We're looking for a **Contract Specialist ** to join our team.You will report directly to the VP of Regulatory Counsel… more
- American Family Insurance - Corporate (Madison, WI)
- …IT operations support. + Basic knowledge and understanding of managed service delivery and/or outsourcing contracts. + Basic knowledge and understanding of ... support is offered for eligible candidates._ The Technology Services Specialist collaborates with others in the division to provide...vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive… more
- Stantec (Denver, CO)
- When you care deeply about the work you do, it's rewarding to see it through from concept to completion. We partner with clients to provide both program management ... transit systems, water treatment facilities, mines, and wind farms, we've successfully managed thousands of projects. Joining our team, turning visionary ideas into… more
- Molina Healthcare (Cleveland, OH)
- …or equivalent combination of education and experience **Required Experience** + 3-5 years managed care experience, including 2+ years in Provider Claims and/or ... level (or higher) **Preferred Education** Bachelor's Degree **Preferred Experience** + 5+ years managed care experience + QNXT; SQL experience + Crystal Reports… more
- Centene Corporation (Frankfort, KY)
- …processing, billing and/or coding experience preferred. Three years of experience in managed care environment, medical provider office, customer service within a ... in claim payments and route to the appropriate site operations team for claim adjustment + Provide assistance to...healthcare organization, and medical claims. Knowledge of health care , managed care , Medicare or… more
- Mass Markets (VA)
- …and budget-compliant project delivery. Partner with marketing, product, and operations teams to deliver contract-winning solutions. CANDIDATE QUALIFICATIONS WONDER ... BPO services, consulting, or software solutions. + Proven success in selling managed services, system integration, and technology products. + Familiarity with market… more
- WellSpan Health (Lancaster, PA)
- …This includes the intricacies and nuances of complex funding issues for levels of care , Health Choices, managed care organizations and other funding ... treatment plans and hospital policies; performs a variety of client care . **Duties and Responsibilities** **Essential Functions:** + Provides day-to-day oversight of… more
- Highmark Health (Montpelier, VT)
- …value streams, and population health management. **Preferred** + 7 years of experience in managed care , primary care management or other clinical setting. + ... and time management skills + Demonstrates a deep understanding of primary care practice operations and workflow across the continuum of variability in primary … more
- Walmart (Bentonville, AR)
- …or problem statements. Requires knowledge of day-to-day activities performed in customer care service operations , Ticketing systems and other tools used to ... resolving customer and associate issues that arise as a result of contacts managed within the specific line of business. Analyzes customer issues to understand… more