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The Commonwealth of Pennsylvania’s Department of Health (DOH), Division of HIV Disease, Care Section is seeking an IT Business Analyst / DBA to serve as a part of the CAREWare centralization project team, assisting the effort to migrate all provider data from their instance of CAREWare to the central DOH CAREWare server.
Work from homeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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By bringing together the scope and reach of Jefferson Health – a top integrated health care system with a vast array of home health and hospice caregivers and volunteers– and the extensive management capabilities, operating platform, and clinical experience of BAYADA – a leading not-for-profit home health care provider, Jefferson Health at Home by BAYADA will strengthen and extend the continuum of care in the region.
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In-depth knowledge of all Fidelis Care products, including “metal” products offered through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability to answer product feature and benefit questions; compare and contrast Fidelis Care products and provider network of competing plans in assigned territory.
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As an Account Manager with Tender Care, you would be managing all aspects of agency marketing, establishing and maintaining positive relationships with customers and referral sources, responding to customer requests and concerns, and negotiating service contracts with managed care organizations, government agencies, and other payors.
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Strong, in-depth knowledge of revenue cycle management principles and practices, including medical billing, dental, coding, collections, managed care products, regulatory compliance, payor credentialing, clearinghouse, claims submission processes and financial reporting.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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The Care Coordinator is responsible for promoting coordination in the delivery and receipt of LTSS to enrollees assigned by Accountable Care Organizations (ACO) and Managed Care Organizations (MCO.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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7-10 years' experience in Healthcare Administration, Health Plan Operations, Managed Care, and/or Provider Services. Experience with Medicaid and Medicare managed care plans.
$122,430.44 - $238,739.34 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Three years experience in public health nursing, acute care, case management and/or in-home health care required; minimum of 2 years of managed care experience in case management with focus in inpatient and/or outpatient ambulatory care preferred.
$31 - $45.3 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The CFO is responsible for all financial reporting and the maintenance of the financial health of McLaren Thumb/Caro In addition to managing McLaren Thumb/Caro's overall budget, the CFO is also responsible for the system's managed care contracts, vendor contracts, and physician contracting, as well as decision support and the treasury function.
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WeAreInnovaCareOur practices offer: Women's Health, Wellness, X-Ray/Ultrasound, Dental, Chiropractic, Urgent Care, Managed Care, and Workers Comp servicesPremier Family Health is a leading healthcare provider that is committed to providing comprehensive and personalized care to families of all ages.
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About NYC Health + Hospitals MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
$260,000 - $287,000 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Serves as the Senior Plan leader and liaison for MHI Service Operations, including: Claims, Configuration Information Management, Enrollment, Contact Center Operations, IT, Provider Configuration Management, Program Integrity, Risk Adjustment, Provider Resolution Team, Provider Appeal and Grievances, Member Appeals and Grievances, and other departments as required.
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Knowledge of Federal and State guidelines, managed care contracting, payer filing and appeal limits, and credit and collection policies is also required. + Participate in provider education on proper documentation of services provided, coding and billing issues, charge capture process and reconciliation of charges as it relates to E&M coding guidelines.
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Founded in 2007, we are a physician-owned and managed company, providing high-quality, cost-effective clinical management services across the full continuum of care in hospitals, critical care and post-acute facilities.
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Basic knowledge of local, state and federal regulations relating to care of patients in a clinic setting; and prior experience with county, state and federal programs such as CHDP, FPACT, EWC, Medi-Cal, Managed Care, and Title X is preferred.
$90,000 - $115,000 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago
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