- 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
- Hilton (Columbia, SC)
- …franchised Hilton hotels world\-class revenue management talent and tools\. As a Revenue Manager , RMCC Managed , you will support the team that's helping hotels ... consistently grow market share and outperform competitors\. On the Managed team reporting to the Assistant Director, you will...spending accounts, a health savings account, an employee assistance program , access to a care coordination … more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: The Lead Care Manager (LCM) operates a as a member of the patient's Enhanced Care Management (ECM) team and is responsible for coordinating all ... agencies or community service providers that are engaged in care coordination activities. The LCM will enroll patients in...Quality Successful completion of a Community Health Worker training program One year exp working in a psych … 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