• Managed Care Contract

    Henry Ford Health System (Troy, MI)
    …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
    Henry Ford Health System (07/11/25)
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  • Program Manager - Managed

    Cedars-Sinai (Los Angeles, CA)
    …people throughout Los Angeles and beyond. **Req ID** : 10223 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting all facets of...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
    Cedars-Sinai (06/01/25)
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  • Manager , Intake Operations…

    CVS Health (New York, NY)
    …And we do it all with heart, each and every day. **Position Summary** The Manager , Intake Operations ( Managed Long-Term Care ) will oversee the day-to-day ... operations. You will develop a team to manage MLTC ( Managed Long-Term Care ) referrals processing, eligibility verification,...contract requirements; work to improve the quality of care provided to upcoming members. + Present new strategies… more
    CVS Health (07/13/25)
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  • Healthcare Consulting Manager

    Huron Consulting Group (Van Buren, AR)
    …a rewarding path forward. Create your future at Huron. As the Healthcare Consulting Manager in Managed Care , you will: + Manage complex multi-workstream ... leadership and workplan management experience with a focus on managed care with fee-for-service contract ...and may be implemented in the future. **Position Level** Manager **Country** United States of America At Huron, we're… more
    Huron Consulting Group (07/18/25)
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  • Clinical Pharmacist - Managed Care

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …other projects, work, and activities as assigned by the Pharmacy Director Qualifications: + Managed Care experience preferred, but not required + Part D Coverage ... and coding to be submitted to the Pharmacy Benefit Manager , New Contract Year formulary evaluation, and...of, or currently enrolled in, residency program (PGY1) in managed care pharmacy, or pharmacy practice. +… more
    DOCTORS HEALTHCARE PLANS, INC. (07/16/25)
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  • Managed Care Coordinator

    Elevance Health (Seattle, WA)
    ** Managed Care Coordinator** **Location:** The candidate should reside within Jefferson, King, or Pierce County. **Field** : This field-based role enables ... responsiveness to client needs, and direct, hands-on engagement. The ** Managed Care Coordinator** is responsible for overall...of position, as required by applicable state law and contract . **How you will make an impact:** + Responsible… more
    Elevance Health (07/01/25)
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  • Senior Managed Care Analyst

    Atrius Health (Newton, MA)
    …welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Senior Managed Care Analyst* **Location:** *Newton MA - ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical… more
    Atrius Health (06/04/25)
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  • Managed Care Coordinator (LBSW, LSW,…

    Elevance Health (Norfolk, VA)
    …integration, and ensures essential face-to-face onboarding and skill development._ The ** Managed Care Coordinator Clinician Non-RN** is responsible for ... contributing to the care coordination process by performing activities within the scope...member's case, as required by applicable state law and contract . **Primary responsibilities include, but are not limited to**… more
    Elevance Health (07/14/25)
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  • Registered Nurse - Managed Care

    InGenesis (Columbia, SC)
    InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review ... * Identify and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). *… more
    InGenesis (05/16/25)
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  • Manager Contract Management

    AdventHealth (Altamonte Springs, FL)
    …and clinical departments * to keep them informed of any concerns related to managed care reimbursement and operational contract issues. * Ensures hospital ... position is responsible for managing the AdventHealth Multi-State Division Contract Management team. This team is responsible for ...other products, policies and procedures that would impact the Managed Care team relative to processes and… more
    AdventHealth (07/04/25)
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