- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring ... healthcare people throughout Los Angeles and beyond. **Req ID** : 11981 **Working Title** : Managed Care Compliance Specialist - Managed Care … more
- Rady Children's Hospital San Diego (San Diego, CA)
- …degree. 5 years of Managed Care experience PREFERRED QUALIFICATIONS: The Compliance Specialist is a service oriented individual with a high degree of ... and functioning as an independent, the Compliance Specialist 's primary function is to ensure the Managed Care business unit is meeting compliance… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Managed Care Credentialing Specialist position is responsible for the timely and accurate completion and submission of managed ... and commercial managed care plans and medicare and medicaid. The Managed Care Credentialing Specialist position has consistent interaction with the… more
- Community Health Systems (Franklin, TN)
- Job Summary The Collections Specialist II - Managed Medicare is responsible for managing outstanding patient accounts, ensuring accurate and timely collections ... regulations to maximize reimbursement and minimize bad debt. The Collections Specialist II works independently to research accounts, resolve payment discrepancies,… more
- MSC Industrial Supply Co. (Detroit, MI)
- …Oak, Ferndale, and Berkley areas** **BRIEF POSITION SUMMARY:** The- _Vendor Managed Inventory (VMI) Specialist -_ ensures customer satisfaction through solutions ... MSC customer solutions and sales associates through execution of CARE program. + CARE is defined as...incremental solution growth. + Lead focus of 100% safety compliance for VMIS team + Repair and maintain vending… more
- LA Care Health Plan (Los Angeles, CA)
- Enhanced Care Management Clinical Specialist II Job...care professionals in a hospital, medical group or managed care setting, such as a health ... required to achieve that purpose. Job Summary The Enhanced Care Management (ECM) Clinical Specialist II is...by the ECM Provider. Identify any gaps in the Care Plan services or regulatory compliance and… more
- Capital One (Richmond, VA)
- …objectives and processes in a well- managed and compliant way. A successful Compliance Advisory Specialist III in this role will be self-motivated and possess ... Compliance Advisory Specialist III, Principal Associate...advising and collaborating with business partners to mitigate consumer compliance risk and to take care of… more
- Huron Consulting Group (Van Buren, AR)
- …pressure to improve clinical outcomes and reduce the cost of providing patient care . Investing in new partnerships, clinical services and technology is not enough to ... pressure to improve clinical outcomes and reduce the cost of providing patient care . Investing in new partnerships, clinical services and technology is not enough to… more
- LA Care Health Plan (Los Angeles, CA)
- …recording, and braille projects in a language service provider setting or its equivalent. Managed care /health care experience including working in a health ... management system, translation memory, machine/AI translation, etc.). Knowledge of managed care language assistance regulations. Licenses/Certifications Required… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category:...care professionals in a hospital, medical group or managed care setting, such as a health ... net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills...systems. Knowledge of and ability to comply with HIPAA compliance . Ability to interview, assess and coordinate care… more
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