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MHA provides expertise in Group Purchasing, Managed Care and Payer Contracting, Reimbursement Management, Specialty Pharmacy Solutions, Pharmaceutical Data Analytics, Consultant Pharmacy Software and Legislative Advocacy.
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Full-time associates are eligible to participate in a comprehensive benefit package, which includes medical/dental/vision plans, life insurance, ST/LT disability options, 401K options, tuition assistance, discounted room rates at Concord managed hotels, plus training & development and career advancement opportunities.
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Have a min 3 years client-facing management experience providing services to large health care claims processing organizations. Managed an organizational unit within a Medicaid Agency in a State or U.S. territory.
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Tracks authorizations from managed care organizations and requests when due. Must have a good working knowledge of local community based services, the NYS Medicaid System, The DOH Universal Assessment system and experience in obtaining services through waivered and/or managed Medicaid plans.
Full-timeExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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MetroPlus Health 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.
$64,579 - $80,723 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Completes all requested forms, documentation and other reporting requirements in a timely manner and in accordance with Department of Children and Family (DCF), managed care, probate court, JCAHO and other standards with which program must comply, as evidenced by chart reviews and supervisor observation.
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Performance Management & Regulatory Compliance: Develop and implement performance metrics, monitor key performance indicators, and provide feedback to clinicians to improve productivity, efficiency, and quality of care in conjunction with the Quality Director and development and implementation of Quality Improvement Plan. Participates in the review of managed care performance data and implementation of corrective action as needed.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Managed by Oakmont Management Group, we provide exceptional quality, comfort, and care with five-star services and amenities. The Care Provider is responsible for providing personal assistance and daily care and services related to the residents in order to enhance the residents’ independence and quality of life, in accordance with the company’s mission and values.
$16.5 - $18 an hour depends on experienceFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Initiates and coordinates contract negotiations with facilities, insurance companies and managed care facilities. At least three (3) years' experience in health care marketing management preferably in hospice care operations.
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Posted job title: RN - Critical Care About Accountable Healthcare Staffing Managed by Nurses we think a little differently from the normal staffing structure out there. Accountable Healthcare Staffing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Abilene, Texas.
$2,020 a weekExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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The Pre-Cert Specialist 2 is responsible for maintaining information flow in the managed care procedure pre-certification for all contracted managed care health plans. Skill in developing and maintaining effective relationships with staff, doctors, nurses, patients, and managed carerepresentatives.
Full-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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Under general direction of the CFO, this position provides leadership and coordination of Deaconess Illinois’ managed care contracting function. Under general direction of the CFO, this position provides leadership and coordination of Deaconess Illinois’ managed care contracting function.
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The Clinical Supervisor will provide weekly individual supervision to clinicians and para-professionals, which includes teaching and providing support, ensuring that cases are assigned and closed on a timely basis, reviewing medical charts for quality, hiring and evaluating worker performance, ensuring worker productivity, conducting marketing activities, and acting as liaison to the community and Managed Care Entities.
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Monthly Employee Recognition and Fun Programs Free onsite parking Unlimited Employee Referral Bonuses On the MBTA bus line, close to the Alewife Red Line Station A Landmark Management Solutions, LLC Managed Center.
$38 - $51.65 an hourPart-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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As part of one of the largest Catholic health care systems in the U.S., this physician-led and professionally managed multi-specialty group is the foundation of care and well-being of our patients in seven states, delivered cohesively through 43 hospitals, 900 physician practices and outpatient facilities, and our robust virtual care platform.
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