- Dignity Health (Bakersfield, CA)
- …information. Responsibilities may include: - Develop all hierarchy levels in managed care platform for customer setups and configuration - Review and verify ... and adhere to all Policies and Procedures for the benefit workflow within the managed care...questions **Qualifications** **Minimum Qualifications:** - 3+ years experience with benefits configuration , set up, or implementation -… more
- Centene Corporation (Austin, TX)
- …workplace flexibility. Candidates must have a strong background with claims / benefit configuration **Position Purpose:** Perform and lead various analysis and ... contracting or claims and knowledge of provider reimbursement methodologies. Knowledge of managed care information or claims payment systems preferred. Previous… more
- University of Miami (Medley, FL)
- …. The Department of Business Development and Managed Care is currently seeking an ... Executive Director, Managed Care Operations to work at our offices in Medley,...for directing all timely and accurate provider loading and configuration of UM credentialed, employed physicians within all contracted… more
- CGI Technologies and Solutions, Inc. (Fort Belvoir, VA)
- …identification structure for products and assign unique identifiers. Ensure changes to configuration baselines are properly managed and verified. Capture and ... ** Configuration Management Specialist** **Category:** ERP/CRM/Tools **Main location:** United...in the US is $80,00.00 - $105,300.00. CGI Federal's benefits are offered to eligible professionals on their first… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …compliance and oversight of Medicare Part D laws, regulations and reporting requirements, benefit configuration and benefit transition process, and drug ... reviews and coding to be submitted to the Pharmacy Benefit Manager, New Contract Year formulary evaluation, and rebate...activities as assigned by the Pharmacy Director Qualifications: + Managed Care experience preferred, but not required… more
- CVS Health (Frankfort, KY)
- …materials compliance + Knowledge of Medicare Advantage rules, including the Medicare Managed Care Manual and Medicare Marketing Guidelines + Familiarity with ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Sprinklr (FL)
- …Learn more about our culture here: The Sprinklr Way. **Job Description** **Meet Our Managed Services Team!** Our Managed Services Team at Sprinklr drives product ... our team to reach their full potential. **Consultant Roles We Hire For:** Our Managed Services Team commonly hires for three Consultant roles: + ** Managed … more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …as assigned by management Qualifications: + Experience in Medicare Advantage Plan, managed care or healthcare environment at large + Experience with ... Position Purpose: Configuration and maintenance of provider contracts and benefits Responsibilities: + Configure and load provider contracts + Maintain provider… more
- Capgemini (Dallas, TX)
- …benefits like adoption assistance, surrogacy, and cryopreservation + Social well-being benefits like subsidized back-up child/elder care and tutoring + ... Chicago preferred. Hybrid work environment **Job Summary** The Service, Asset and Configuration Manager (SACM) Lead is responsible for the management, maturity, and… more
- Dignity Health (Camarillo, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, ... with a business objective to excel in coordinating patient care in a manner that supports containing costs while...competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives… more
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