- Bishop McCarthy Center (Vineland, NJ)
- Employee Heath/ Managed Care ...Control Registered Nurse has oversight over functions of the employee health program which include pre employment ... screening, employee verification, annual PPD testing, Covid testing, work related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to insurnace companies for continued stay… more
- University of Miami (Medley, FL)
- … protocols and strategy. + Leads and participates in all managed care contracting negotiations for the health system. + Oversees all single-case negotiations ... sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of Business Development and Managed Care is currently seeking an Executive… more
- Houston Methodist (Houston, TX)
- … managed care payer contracts, the establishment of managed care plan agreements and maintenance of health plan relationships. This position directs ... At Houston Methodist, the Vice President Managed Care position is responsible for...all products including but not limited to all acute care services, behavioral health , ancillary services and… more
- Dignity Health (Bakersfield, CA)
- … Health 's Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative ... options including medical dental and vision plans for the employee and their dependents Health Spending Account...Responsibilities may include: - Develop all hierarchy levels in managed care platform for customer setups and… more
- WTW (Chicago, IL)
- …our two business segments, Health , Wealth and Career and Risk and Broking. The Managed Care Growth Leader is the primary client lead managing the totality of ... Willis Towers Watson (WTW) relationship for clients within the Managed Care Industry. This individual is accountable...Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care … more
- e CancerCare (Nashville, TN)
- …or equivalent experience . Skills: Health care reimbursement experience in a health system, consulting firm, or with a managed care payer preferred. ... and providers. Team member will work closely with the Managed Care department team in generating and...representative of those that must be met by an employee to successfully perform the essential functions of this… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and ... than 150 skilled nursing, assisted living, independent living, behavioral health , and long-term care facilities deliver sophisticated...timely filing of all managed care claims on their assigned caseload… more
- MaineGeneral Health (Waterville, ME)
- Job Summary:MaineGeneral Health is a leading health care system proud of the culture of excellence, compassion, and collaboration that extends to our ... our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects...to resources for a healthy lifestyle and help manage health care costs. + Employees have access… more
- Sutter Health (Goleta, CA)
- …to: Centers for Medicare and Medicaid Services (GR) Grouper (CMS), Department of Managed Health Care , National Committee for Quality Assurance (NCQA). ... + A broad knowledge base of health care delivery and case management within a managed...Yes **Unions:** No **Position Status:** Non-Exempt **Weekly Hours:** 40 ** Employee Status:** Regular Sutter Health is an… more
- Elevance Health (Winston Salem, NC)
- ** Managed Care Coordinator Clinician Non-RN** **Location:**...and in conjunction with the RN, member and the health care team, to ensure cost effective ... hours of 9 am - 6 pm CST. The ** Managed Care Coordinator Clinician Non-RN (US)** is...evaluation, coordination and management of members needs, including physical health , behavioral health , social services and community… more