- Elevance Health (Ashburn, VA)
- ** Managed Care Coordinator ** Location:...** , as required by applicable state law and contract , contributes to the care coordination process ... ** Managed Care Coordinator...members that would benefit from an alternative level of care or other waiver programs. + Conducts clinical assessments, as… more
- Elevance Health (Richmond, VA)
- ** Managed Care Coordinator ** Location:...of position, as required by applicable state law and contract . **How you will make an impact:** + Responsible ... meet with members face to face is required. The ** Managed Care Coordinator ** is responsible...experience may be required based upon state law and contract requirements. **Preferred skills, capabilities, and experiences:** + BA/BS… more
- ManpowerGroup (Columbia, SC)
- …to assist their team. This is an Onsite role. **Industry: Healthcare Industry** **Title: Managed Care Coordinator UM II** **Location: ONSITE - Columbia SC** ... critical thinking skills. + Experience in case management or care coordination and telephonic care experience is...healthcare needs of our members **Notes:** + NON SCA CONTRACT TO HIRE MONDAY-FRIDAY, 8AM-4:30PM OR 8:30AM-5PM + PANEL… more
- ManpowerGroup (Columbia, SC)
- **Title: Coordinator , Managed Care I** **Address: Columbia, SC 29229** **Duration: 3 months** **Rate range: $25 to $30** **Position Overview** The ... such as Medical Directors, Case Managers, or Quality of Care teams. + Ensure compliance with ERISA, NCQA, URAC,...**Claims & Provider Communication (10%)** + Maintain knowledge of contracts and network statuses for service providers. + Assist… more
- Fresenius Medical Center (Franklin, TN)
- …coordination, and administration of contracting and pricing procedures. This includes contract terms and conditions, products and prices for various market segments ... supporting analysis, documentation and reports + to support negotiations of contract terms and department administration. + Maintains complete, accurate, and… more
- Kelsey-Seybold Clinic (Houston, TX)
- …Degree **Experience** Required: 5 years of working experience in a Managed Care environment as Senior Analyst, Coordinator , OR Supervisor or Advance Degree ... and coaching and other duties as assigned. **Job Title: Supervisor, Managed Care Claims** **Location: Pearland Administrative Office** **Department:** **Claims**… more
- Sea Mar Community Health Centers (Lacey, WA)
- …mix, funding sources, AR, billing and reimbursement. + In collaboration with the Managed Care Coordinator and Utilization & Referral Manager, effectively ... 3%, timely and accurate submission of encounters and ledgers, contract compliance and maximizing in clinic collections. + Be...manage the clinic's utilization management and managed care programs to achieve… more
- Immigration and Customs Enforcement (El Paso, TX)
- …Managers, BH Medical Assets Support Team), and other IHSC personnel (ie, Field Medical Coordinator , Managed Care Coordinator , etc.), other health ... civil servants, and contract staff. The IHSC provides on-site direct patient care to ICE detainees at 20 detention facilities throughout the country and manages… more
- LA Care Health Plan (Los Angeles, CA)
- …LAC; and provision of in-service orientation meetings with providers. Responsible for monitoring managed care contracts for renewals and expirations. (30%) ... achieve that purpose. Job Summary The Provider Network Account Coordinator II works directly with the Contract ...experience in contract and/or regulatory analysis in managed care or healthcare industry. At least… more
- State of Massachusetts (Boston, MA)
- *_Executive Office of Housing and Livable Communities (EOHLC)_*__*_is seeking a Contract Coordinator in the Division of Housing Stabilization!_* *_AGENCY ... Coordinator II will function as the Continuum of Care Grants Coordinator for the Massachusetts Balance...providers and clients if needed in relation to the contracts and projects managed in this position.… more