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Borgess Ascension Hospital includes more than 130 sites of care in 15 southern Michigan cities, as well as eight owned or affiliated hospitals, a nursing home, ambulatory care facilities, homehealth care, physician practices, managed care services, a cancer center and an air ambulance service.
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Oversees negotiation of all managed care contracting activities, both fee-for-service (FFS) and value based care (VBC) agreements. Senior Manager Payor Provider Contracting Managed Care@ Chicago, IL (Chicago, IL.
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Physician-led and physician-managed practice group which is dedicated to high-quality, patient-focused care comprised of more than 25 physician practice groups. Home of the Colts ( NFL ), Fever ( WNBA ), Pacers ( NBA ), Indians ( MiLB ), Indianapolis 500 ( IndyCar ), Indy Eleven ( NASL ), NCAA and USTA Midwest.
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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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As Reimbursement Analyst, you will provide reimbursement maintenance and project support for topics such as hospitals, home health agencies, health clinics, Durable Medical Equipment, primary care, fee schedules, managed care, value care, graduate medical education, and supplemental payment programs.
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Assists in marketing and business development efforts with our existing state DOT clients while developing and overseeing a personal practice at Kimley-Horn that encompasses the planning, design, implementation, operations, and maintenance of managed lanes facilities and tolling systems/infrastructure.
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Our RDIWorks (RDIWorks.com) division is seeking a General Manager to lead our MSP (managed service provider) team. RDIWorks (RDIWorks.com) is a regional leader in the Midwest United States, providing IT consulting, network architecture/engineering, and managed services to businesses, government, healthcare, and education.
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Medicaid Eligibility Retention Specialist to work with and assist current members to retain or renew their Medicaid eligibility and remain a member in the ABHMD Managed Care Organization (MCO) Plan, by preventing or rectifying the disenrollment of members due to loss of their Maryland Medicaid eligibility.
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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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Founded by Brigham and Women’s Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities.
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Required Skills & Abilities: 4 years of IT experience in managed services, help desk, service desk, desktop support, system administrator, or network administrator positions. Confidently troubleshoot Tier 1-Tier 2 issues, including Windows Server, Active Directory, Active Sync, LAN/WAN, MS Exchange, O365 (Teams, SharePoint, Azure, Auto Pilot, Intune, etc.
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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.
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Clarendale of Mokena, managed by Life Care Services, offer Extraordinary Impressions and a work-life balance that’s truly rewarding. If you're an enthusiastic, compassionate, senior care professional who is passionate about hospitality and senior engagement- please apply, we'd love to get to know you.
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Acts as an advisor and consultant in the establishment of operational policies of the practice to include: (1) Purchasing and capital allocations; (2) Managed care plan participation; (3) Budget and practice expenses; (4) Medicare/Medicaid participation; (5) Billing and collection of professional fees; (6) Personnel management and related policies; (7) Risk management and quality assurance; and (8) Coding compliance.
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Prior authorization or Managed Care experience preferred. The UM Prior Authorization Nurse confers with Nursing Manager, VP of Clinical Policy and/or Medical Director whenever appropriate in utilization management or problem solving.
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managed care jobs Title: pharmacy technician Company: Genoa Healthcare Company
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