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Subject matter expert and Managed Care lead for joint ventures, acquisitions, new facility/ancillary openings, and special projects. In the role of Senior Managed Care Consultant, you will be responsible for negotiating agreements and amendments with health plans, necessitating hospital contracting experience.
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Position Purpose: Financial Analyst for Managed Care is responsible for analyzing and modeling managed care and population health risk agreements on behalf of Sinai Chicago Managed Care Department and Progress Health, Sinai Chicago’s, Clinically Integrated Network (CIN.
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Responsible for remaining current on regulatory changes that could impact reimbursement relative to CMS, Medicaid, Tricare and Workers Comp and effectively communicates this information with Managed Care team and other organizational leadership.
$30.901 - $46.351Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Deputy Director has two primary responsibilities: 1) ensuring that Managed Care Organizations who contract with MassHealth are appropriately utilizing state funds, and 2) enabling the operational effectiveness of Program Integrity across all its sub-teams.
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The position supports the coordination of member care as instructed by the Transitional Care Services (TCS) program requirements including the reinforcement of follow up provider appointments, coordination of transportation and Durable Medical Equipment (DME); linking member to Community Supports, Managed Long Term Supports and Services, Doula, health education information and other community resources to address the Social Determinants of Health (SDoH.
$75,324 a yearExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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This center is managed by TRANSITIONAL CARE MANAGEMENT. We currently provide comprehensive management services to several inpatient healthcare centers throughout Northern IL & the Chicagoland area.
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Collaborate with other organizational departments responsible for functional aspects of the HIV Special Needs Plan, including, but not limited to Integrated Care Management, Behavioral Health, Managed Long-Term Care, Utilization Management, Quality Management, Credentialing, Regulatory Affairs, Compliance, Corporate Affairs, Provider Network Operations, Medicare Services, Information Systems, Finance, Claims, and Member Services and Eligibility.
$157,236 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Opportunity for an OB/Gyn physician to work in Rural Health Setting.
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BAYADA Home Health Care's Nurse Residency Program is the only program in home care to earn accreditation by the ANCC Practice Transition Accreditation Program® (PTAP) for its standard of excellence.
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At least five (5) years of analytics development experience for a health provider, health plan or accountable care organization including:Experience working in a health plan and/or Health Delivery System focused on medical economicsExperience working in healthcare provider analytics related to managed care contracting, population management, clinical or financial decision supportStrong data mining skills using tools like SQL, R, Python, SAS, etc.
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The Flexible Housing Subsidy Pool (FHSP) is a supportive housing rental subsidy program of the Los Angeles County Department of Health Services (DHS), along with other governmental partners, managed-care organizations, and foundations.
$50,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Candidates must have demonstrated knowledge and experience in healthcare regulatory law (e.g., commercial, sales and marketing, managed care contracting) and clinical development, product strategy, and healthcare compliance in a biopharma/biotech company, as well as the statutes, regulations, and guidance documents applicable to these activities.
$306,700 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Program Oversight: You will be responsible for the overall management and administration of the program and implement Trauma Informed Care and Attachment, Regulation, and Competency (ARC) treatment philosophies of the agency.
$70,120 a yearPart-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Boston Health Care for the Homeless Program Street Team is seeking a full-time RN Care Manager. Provide outreach-based care management, and non-judgmental clinical support, in collaboration with other Street Team members, and as part of the Behavioral Health Community Partners Program.
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Overview:The Adult Protective Services Litigation and Program Counseling Unit represents the agency with respect to support for the Home Care Services Program, the HIV and AIDS Services Administration (HASA), Adult Protective Services (APS), the Medical Assistance Program (MAP), and the Medicaid Managed Care Program.
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program managed care jobs Title: quality manager safety
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