- State of Minnesota (St. Paul, MN)
- **Working Title: Managed Care Organization ( MCO ) Program Integrity Consultant** **Job Class: Human Services Program Representative 2** **Agency: Human ... location to be eligible for telework._** **_*Approximately 10% travel._** Minnesota's contracted Managed Care Organizations (MCOs) are required by federal rule… more
- Stony Brook University (Commack, NY)
- …of SBM providers for the purpose of enrolling a provider in a managed care organization or other payer (" MCO ") network. Work collaboratively with SBM ... Care checklist; Demographic data; and Participation Information. For MCO 's not under a delegated agreement: Complete enrollment applications,...moderate or significant size or on behalf of a managed care organization or payer.… more
- Signature Healthcare (Louisville, KY)
- …initial baseline assessment of resident care needs and communicate that effectively to the Managed Care Organization ( MCO ) ensuring all aspects of ... and the authorization for services and outliers. + Communicate/collaborate with the Managed Care Organization ( MCO ) at required intervals as determined… more
- Molina Healthcare (GA)
- …to those candidates with previous experience working with the Medicare population within a Managed Care Organization ( MCO ). Mileage is reimbursed as ... & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Required License, Certification,… more
- Molina Healthcare (Mason City, IA)
- …service. The ideal candidate will have experience as a Care Manager within a managed care organization ( MCO ) like Molina or have experience working ... Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **PREFERRED EXPERIENCE:** + 3-5… more
- Centene Corporation (Austin, TX)
- …+ May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization ( MCO ) and provides coaching and ... one person at a time. As a diversified, national organization , you'll have access to competitive benefits including a...Management + CHIPS or STAR Kids Service Coordination + Managed Care Pay Range: $35.49 - $63.79… more
- Centene Corporation (Austin, TX)
- …+ May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization ( MCO ) and provides coaching and ... one person at a time. As a diversified, national organization , you'll have access to competitive benefits including a...Teams, ZOOM, etc) are required + Experience working in managed care environment is a plus (Federal… more
- Centene Corporation (Austin, TX)
- …+ May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization ( MCO ) and provides coaching and ... of our communities, one person at a time. As a diversified, national organization , you'll have access to competitive benefits including a fresh perspective on… more
- Centene Corporation (New York, NY)
- … + Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization ( MCO ) and provides coaching and ... of our communities, one person at a time. As a diversified, national organization , you'll have access to competitive benefits including a fresh perspective on… more
- Centene Corporation (Hartford, CT)
- …+ Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization ( MCO ) and provides coaching and ... of our communities, one person at a time. As a diversified, national organization , you'll have access to competitive benefits including a fresh perspective on… more
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