- Bishop McCarthy Center (Vineland, NJ)
- Employee Heath/ Managed Care ...Control Registered Nurse has oversight over functions of the employee health program which include pre employment ... screening, employee verification, annual PPD testing, Covid testing, work related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to insurnace companies for continued stay… more
- RWJBarnabas Health (Oceanport, NJ)
- …NJReq #:0000150834 Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department: Managed Care ... Senior Managed Care Analyst (Remote/Hybrid) - Oceanport,...Life & Accidental Death Insurance + Tuition Reimbursement + Health Care /Dependent Care Flexible Spending… more
- Beth Israel Lahey Health (Boston, MA)
- …you're not just taking a job, you're making a difference in people's lives.** Our Managed Care Coordinator role is a hybrid work model, promoting a balance ... physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations...with walking and standing required only occasionally. **As a health care organization, we have a responsibility… more
- University of Miami (Medley, FL)
- … protocols and strategy. + Leads and participates in all managed care contracting negotiations for the health system. + Oversees all single-case negotiations ... sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of Business Development and Managed Care is currently seeking an Executive… more
- St. Luke's Health System (Boise, ID)
- …and overseeing comprehensive payer relations, strategic reimbursement, and managed care contracting strategies for St. Luke's Health System. A critical ... **Overview** The Associate Vice President (AVP), Payer Relations and Managed Care Contracting, is responsible for developing,...advance the overall strategic operational goals of St. Luke's Health System. **What You Can Expect:** + Owns all… more
- WTW (Chicago, IL)
- …our two business segments, Health , Wealth and Career and Risk and Broking. The Managed Care Growth Leader is the primary client lead managing the totality of ... Willis Towers Watson (WTW) relationship for clients within the Managed Care Industry. This individual is accountable...Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care … more
- e CancerCare (Nashville, TN)
- …or equivalent experience . Skills: Health care reimbursement experience in a health system, consulting firm, or with a managed care payer preferred. ... and providers. Team member will work closely with the Managed Care department team in generating and...representative of those that must be met by an employee to successfully perform the essential functions of this… more
- Hawaii Pacific Health (Honolulu, HI)
- …No **Minimum Qualifications:** High School or equivalent. One (1) year clerical experience in a health care setting. Experience with managed care and ... might be the ideal candidate to be our next Managed Care Representative. In this role, you...planning and a commitment to delivering the highest quality health care to Hawai'i's people. **Location:** Kapiolani… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and ... than 150 skilled nursing, assisted living, independent living, behavioral health , and long-term care facilities deliver sophisticated...timely filing of all managed care claims on their assigned caseload… more
- Highmark Health (St. Paul, MN)
- …is responsible for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ... RESPONSIBILITIES** + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques… more