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Nationally Ranked Orlando Health Is Seeking an Interventional Pulmonologist in Sunny Central Florida
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To treat the whole person — body, mind and spirit — the institute offers supportive and palliative care, cancer genetic counseling and high-risk care, and complementary services through various wellness programs, integrative medicine and a Cancer Support Community.
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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. We offer a 403(b) retirement plan, tuition reimbursement, child care subsidy reimbursement program, identity theft protection and an employee assistance program.
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Advanced knowledge of program evaluation methodologies and analytic strategies in a payer managed care setting or advanced skills in data visualization. Essential responsibilities are aligned with practices and teams within a defined geographic area, coordinated care organization (CCO), benefit or line of business and may provide guidance to less experienced analysts.
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Act as business owner of the contract between Amgen and its customer, specifically owning the contracting strategy and execution of one of the Big 3 (Mega) managed care PBM/GPO customers.
$149,891 - $184,797 a yearExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Consistently monitors and updates information regarding insurance data, physicians, authorizations and managed care contracting. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents.
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Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Work Experience (Years and Area):5 + years of CHIP experience in product management or development roles within the healthcare or managed care industry.
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1-3 years in case management, disease management, managed care or medical or behavioral health settings. 3-5 years in case management, disease management, managed care or medical or behavioral health settings.
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Previous healthcare ultrasound sales experience and selling to managed care / hospital organizations preferred. Our mission at BK is to change the standard of care in surgical interventions with real-time visual guidance, giving surgeons the information needed to immediately make critical decisions.
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Methodist Healthcare System is seeking a general surgeon to provide care in our rural managed hospital communities of Pearsall, Texas. Methodist Healthcare System is seeking a general surgeon to provide care in our rural managed hospital communities of Pearsall, Texas.
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Minimum of six (6) years in a managed care operations, working with one or more of the following areas: Utilization Management, Claims, Pharmacy Operations, Compliance, FDR oversight activities, Quality Management, Care Management, and/or Grievances and Appeals.
$38.37 - $48.93 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Qualifications : Child Psychiatrist Board Certified with managed care experience. Follows high risk cases throughout treatment continuum from inpatient, rehabilitation, partial hospitalization, outpatient and other levels of care.
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Strong analytical, data management and PC skills Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement.
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Remains current on managed care and other insurance contracts held by Post Acute Medical; collects co-payment, as appropriate, and counsels patients on financial responsibility; assures the accuracy, completeness, and timelines of charge capture, per system, facility/department policies and procedures.
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Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.
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Our campus also includes partnering facilities, including Kindred Hospital New Jersey for long-term, acute care and Care Connection, a 24-bed subacute hospital dedicated to rehabilitating patients before they are discharged, managed by Alaris Health.
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