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DMC's 150-year legacy of medical excellence and service provides patients and families world-class care in cardiovascular health, women's services, neurosciences, stroke treatment, orthopedics, pediatrics, rehabilitation, organ transplant and other general and specialty services.
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Serve as a liaison and collaborate with other NYS human service agencies including OASAS, DOH, OPWDD, and OCFS as well as other Divisions within OMH on managed care related billing issues.
$72,128 - $82,241 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Working knowledge of billing/coding terminology (i.e., ICD-10, CPT, Revenue codes); Procedural knowledge of hospital and physician practice accounts receivable managementIn-depth knowledge of payor contracting and negotiationWorking knowledge of privileging, credentialing, provider enrollment and managed care contracting requirements, practices, and industry standards.
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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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Big Sky Managed Care provides pharmacy services to assisted living facilities, group homes, and mental health patients. At Big Sky Managed Care, we are constantly evolving with our patients and their needs, providing high-quality training and education with our own personal touch.
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Oversee full range of services including but not limited to: reproductive health care, primary care, managed care, and surgical services. Oversee full range of services including but not limited to: reproductive health care, primary care, and managed care.
$78,000 - $94,000 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The Managed Care Coordinator supports the behavioral health inpatient programs by implementation or investigation of the procedures in the Utilization Review and Discharge Planning program at Westchester Medical Center.
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The Accounts Receivable Manager will communicate directly with each aircraft owner's designated point of contact, Charter Supervisor, and Maintenance Billing Team to ensure timely remittance of payments and is responsible for managing the collection efforts related to each managed aircraft account, maintenance progress invoice, and charter invoice.
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LCSW/ASW, LMFT/AMFT required, current registration with Board of Behavioral Sciences
$75,000 - $85,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Working knowledge of lnterQual IS-SI, Milliman and Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part A and Part B, Medi-Cal, NCQA, HEDIS and other criteria as identified by the Quality/Case Management Department.
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At the direction of the AVP of Operations: Collaborate with IRC, Case Management / URS, Parallon, PCA, Legal and other HUB resources, to oversee the strategic resolution and prevention of denials, payment discrepancies and other claims adjudication issues from HCA's managed care book of business.
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Experience working with managed care claims, third-party liability, Medicaid waiver programs, and provider enrollment; Knowledge and expertise in managed care claims, third-party liability, Medicaid waiver programs, and/or provider enrollment.
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This includes but is not limited to Managed Care Organizations (MCO), Specialty Pharmacies (SP), Pharmaceutical Benefit Managers (PBM), and Integrated Delivery Networks (IDN). The National Managed Healthcare Medical Scientist (MHMS) is a field-based scientific expert who applies clinical, health economic, managed care, and health policy expertise to engage in peer to peer scientific and clinical value discussions with top key national and relevant regional population-based decision makers.
$209,000 - $255,000 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Recommends the transfer to Managed Assets Department as appropriate per MSB credit policy. Manage the day-to-day operations of the Managed Assets Department (MAD) and the Bank’s OREO properties with the assistance of Department personnel.
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In conjunction with the Health System AVP for Care Coordination, this position provides daily operational oversight, management and leadership for staff of the Case Management Department whose activities are associated with the continuum of care, clinical cost reduction, utilization management, care transitions, population management, quality, performance improvement, reimbursement and discharge planning.
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managed care jobs Title: pharmacy technician Company: Genoa Healthcare Company
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