- Molina Healthcare (Bellevue, NE)
- …managed care operations. * Knowledge of managed care enrollment processes, encounter processes, provider and contract configuration, provider ... information management, claims processing and other related functions. **Preferred Education** Bachelor's Degree **Preferred Experience** * Six years proven analytical experience within an operations or process-focused environment. * Previous audit and/or… more
- Molina Healthcare (Lincoln, NE)
- …+ 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare ... provider issues that may cross departmental lines and involve Senior Leadership. + Serves as a subject matter expert...and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting… more
- Mass Markets (NE)
- …passion for building strategic partnerships and driving revenue? We're seeking a Senior Business Development Executive to lead new client acquisition, manage key ... + Client Acquisition & Relationship Building Identify, qualify, and engage senior business leaders through outbound calls, emails, social media, and networking.… more
- Molina Healthcare (NE)
- …programs, utilization management standardization, and cost-effective quality outcomes in a managed care environment. Contributes to overarching strategy to ... in behavioral health and at least 3 years as a medical director in a managed care setting supporting utilization management and quality initiatives. + At least 3… more
- Oracle (Lincoln, NE)
- …advisory, architecture, assessments, and expert services for Oracle Technology, including managed services sales. + The successful candidate will be responsible for ... to forecast accurate numbers + MUST have experience negotiated contract terms & conditions + Must demonstrate experience selling...CSS Fields Sales Rep; you'll be responsible for closing managed service engagements within a defined set of Key… more
- Molina Healthcare (Lincoln, NE)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and… more
- Omaha Children's Hospital (Omaha, NE)
- …various analysis to understand impact to the organization + Work with Director of Managed Care to aid in understanding of reimbursement issues and analyze payor ... to improve the life of every child through exceptional care , advocacy, research and education. As the state's only... contract changes + Coordinate with various areas in analysis… more
- Oracle (Lincoln, NE)
- …and selling AI models to enterprise customers + Commercial constructs and contract management, including construction of TCO analyses and pricing for complex service ... technical and non-technical audiences **Skills** + **Project Management:** Experience managed multiple projects concurrently. Developing a plan, deliverables, and… more
- Oracle (Lincoln, NE)
- …and maintaining AI models in production environments + Commercial constructs and contract management, including construction of TCO analyses and pricing for complex ... may include data cleaning, transformation, and augmentation. Leverage (and integrate between) managed data services such as AWS RDS, Azure SQL Database, GCP… more
- Highmark Health (Lincoln, NE)
- …auditing, investigations, regulatory accreditation, process improvement, project management and/or managed care operations **Knowledge, Skills and Abilities** + ... Continuously monitors regulatory changes, legislative efforts, industry trends, and/or contract changes. **ESSENTIAL RESPONSIBILITIES** + Manage and coordinate compliance… more