- 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
- CDPHP (Latham, NY)
- …and mail. The Medicaid Special Programs Case Manager typically works in the telephonic managed care setting but may be called on to work from a variety of ... clinical experience is required. + Previous experience working with Medicaid Long Term Care Programs preferred. +...patients with social needs preferred. + Experience in home care , medical office setting, or managed health… 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
- 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
- Elderwood (Amherst, NY)
- …the HMO Managed Care Insurance Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review. Managed Care ... Salary Pay: $18.50 - $23.07 / Hour Overview Managed Care Coordinator Overview The ... liaison between the SNF and the HMO Managed Care Insurance Companies. This includes all… more
- Dignity Health (Bakersfield, CA)
- …shared goals. Responsibilities include: - Collaborate with the Chief Medical Officer, Managed Care and executive leadership to develop, implement, and oversee ... Leadership to ensure consistent physician/APP interactions and experience with all internal Managed Care operations such as enrollment, claims operations and… more
- AmeriHealth Caritas (Charleston, SC)
- …configuration process/systems and its relevance/impact on network operations. + 1 to 2 years managed care or related experience preferred. + 1 to 2 years ... care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral… 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. ... liaison between CCA and its providers including primary care practices, specialists, physician organizations, hospitals, ancillary and LTSS...**Experience (Desired)** + Medicare/ Medicaid experience preferred. + Experience with CPT coding and… 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 ... for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital,… more
- Molina Healthcare (MI)
- …**Required Experience:** + 3-5 years' experience in healthcare industry, preferably in the Medicaid Managed Care Programs + Previous healthcare marketing ... Molina Healthcare of Michigan is hiring a Tribal Liaison . Candidates must reside in Michigan. There will...locality with reliable transportation. **Preferred Experience:** Experience in the Medicaid Managed Care Programs Experience… more