- Cedars-Sinai (CA)
- …people throughout Los Angeles and beyond. **Req ID** : 5668 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- State of Indiana (Indianapolis, IN)
- …is fully engaged with this mission. Role Overview: This role, Program Integrity Managed Care Manager , is responsible for the oversight and managing the ... Managed Care Entity Manager ... Managed Care Entity Manager Date Posted: Apr...is addressed. You will serve as coordinator for the Program Integrity Provider Review Committee (PIPRC) which reviews referrals… more
- City of New York (New York, NY)
- … NM-III, to function as the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under ... (MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and...NY, 11238 Hours/Schedule: 9 am - 5 pm ADM MANAGER -NON-MGRL FRM M1/M2 - 1002C Qualifications 1. A baccalaureate… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the ... physicians of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract… more
- Sutter Health (Goleta, CA)
- …knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of ... RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by entity and time...Medicare and Medicaid Services (GR) Grouper (CMS), Department of Managed Health Care , National Committee for Quality… more
- St. Luke's Health System (Boise, ID)
- …& Contracting is a key leadership role accountable for St. Luke's Health System's managed care contract portfolio, to include activities related to new contract ... As an internal expert in payer reimbursement strategies, the Manager will provide insight and guidance to internal stakeholders...internal stakeholders and the leadership team with regard to managed care contract capabilities, in alignment and… more
- Sutter Health (Goleta, CA)
- …knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of ... Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. Oversees the management… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- Elevance Health (Wichita, KS)
- ** Managed Care Coordinator - Foster Care ** **Schedule:** Monday-Friday 8am-5pm with flexibility **Location:** Wichita, Kansas - Sedgewick County **$2,500 ... Sign On Bonus** The ** Managed Care Coordinator - Foster Care...+ Responsible for performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions… more
- MyFlorida (Tallahassee, FL)
- …Consultant / Managed File Transfer Administration Lead Office of FX Program Administration (FXPA) State of Florida Agency for Health Care Administration ... 68065029 - SENIOR INFO TECH BUSINESS CONSULTANT / MANAGED FILE TRANSFER ADMINISTRATION LEAD Date: Apr 21, 2025 The State Personnel System is an E-Verify employer.… more