- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must ... + Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Experience:** + Required Bachelor's Degree. Master's Degree preferred. + 3 to 5 years Managed Care experience with Medicaid Market and/or other ancillary ... Medicaid Market executive leadership. + Acts as a liaison to operating entity and staff group organizations to...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more
- Humana (Baton Rouge, LA)
- …communication skills + 5 years of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial ... hospital, LTAC, Acute rehab, SNF) according to the Humana Medicaid Model of Care . *Participate in Quality...with various providers and ancillary providers. *Serve as clinical liaison with inpatient facilities and joint operating committees to… more
- AdventHealth (Maitland, FL)
- …Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; governmental ... key contract data elements which are populated into the Managed Care database including addition of new...ensures expeditious handling of related issues. + Support and Liaison * Supports and serves as liaison … more
- Elderwood (Buffalo, NY)
- …the HMO Managed Care Insurance Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review. EOE Statement WE ARE AN ... Salary $20 - $22 / Hour Overview Therapy Managed Care Coordinator Be the vital... liaison between our skilled nursing facilities and managed care organizations. Your work ensures patients… more
- Elderwood (Waverly, NY)
- …the HMO Managed Care Insurance Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review. Managed Care ... Salary $ 20 / $ 22 Overview Managed Care Coordinator Overview Mon-Fri 8am-4pm... liaison between the SNF and the HMO Managed Care Insurance Companies. This includes all… more
- AbbVie (North Chicago, IL)
- …DO, Pharm.D. or Ph.D. + Three (3) to five (5) years of experience in a Managed Care /PBM, VA/DoD, CMS, State Medicaid , health care consulting, ... & Access department who uses clinical expertise and experience/ knowledge of managed care , health policy, and pharmacoeconomics to support AbbVie's scientific… more
- Molina Healthcare (Columbus, OH)
- …integrity and other cost recovery processes + Direct PM experience in Managed Care Operations (claims, system configuration, provider data management preferred) ... and appreciates the member environments we serve + Exposure to all Managed Care industry functional departments **JOB QUALIFICATIONS** **Required Education** +… more
- Molina Healthcare (MI)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + Must ... Financial and Utilization Metrics of Healthcare. + Must be able to act as a liaison between Finance and Network Contracting as well as other external teams. + Must… more
- Molina Healthcare (Nampa, ID)
- …**Required Experience:** 3-5 years' experience in healthcare industry, preferably in the Medicaid Managed Care Programs Previous healthcare marketing and/or ... Molina Healthcare is hiring a Tribal Liaison in Idaho. This role is remote with...as claims or billing **Preferred Experience:** Experience in the Medicaid Managed Care Programs Experience… more