- Molina Healthcare (Florence, SC)
- …improving provider Quality performance through provider engagement, practice transformation, managed care quality improvement, or equivalent experience. * ... JOB DESCRIPTION Job Summary The Provider Engagement Specialist , role implements Health Plan provider engagement strategy to achieve positive quality and risk… more
- Endo International (Webster Groves, MO)
- …everyone we serve live their best life. **Job Description Summary** The Specialist , Controlled Substances Compliance - Analyst position reviews direct customer ... with customers as necessary; audits internal processes to ensure compliance with company policies and procedures; facilitates activities of...need to act on it; remains aware and takes care of details that are easy to overlook or… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …and HHSC rules for managing member complaints and appeals + Experience with managed care , Medicaid programs, call center support tools, customer service ... **Work from Home Appeals and Grievance Specialists** . The Appeals and Grievance Specialist plays a key role in helping members navigate and understand their… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …of health care resources, with attention to the quality and appropriateness of care within a managed care environment. Additionally, the Director of UM ... preferred 5 or more years of management experience in a health plan and/or managed care environment required 3 or more years of supervisory experience preferred… more
- Commonwealth Care Alliance (Boston, MA)
- …Strong claims experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/Medicaid) + Experience in health plan ... Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening relationships with… more
- Commonwealth Care Alliance (Boston, MA)
- …Bachelor's Degree or equivalent experience **Experience (Required)** + 3-5 years + Managed Care experience + Experience in health plan provider relations. ... responsible for cultivating, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) provider community. In this highly visible field… more
- 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
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Managed Care Specialist Job Summary Handles credentialing and enrollment processes for healthcare providers and facilities. This role is critical to the ... of Western Kentucky Healthcare System (WKHS) and the Jennie Stuart Health Managed Care Department, supporting accurate provider setup and alignment with… more
- MSC Industrial Supply Co. (Harrisburg, PA)
- …N7 **Work Location :** Harrisburg, PA **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
- MSC Industrial Supply Co. (Savannah, GA)
- …**Work Location** : Savannah, GA **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 Clean, Arrange,...incremental solution growth. + Lead focus of 100% safety compliance for VMIS team + Repair and maintain vending… more
