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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 mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice and the Texas Juvenile Justice Department.
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1-3 years in case management, disease management, managed care or medical or behavioral health settings. PREFERRED EXPERIENCE: 3-5 years in case management, disease management, managed care or medical or behavioral health settings.
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Experience with state Medicaid program, Medicare/PPS program, Managed Care programs, RUGs III and RUGs IV classification and reimbursement systems, Part A coverage. Serves as facility contact with Managed Care providers to ensure appropriate authorization and reimbursement for facility services provided.
$87,750 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Education & Experience Minimum of three (3) years of experience as a data entry specialist or coordinator High school diploma or GED required Key Qualifications Requires knowledge of ICD-9/10 and CPT codes Managed Care or physician office a must Skilled in computer applications, including word processing, database, and spreadsheets Good customer service skills.
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Provides Medicare, Medicaid (case mix), and managed care oversight to ensure appropriate clinical services are provided and appropriate reimbursement is received for each resident. QUALIFICATIONS & EXPERIENCE REQUIREMENTSGraduate of an accredited school of nursing; RNValid RN license in the state employedThree years of experience in a long term care environment preferredExperience with the MDS/RAI process and/or case management preferred JOB RESPONSIBILITIESThe MDS Nurse RAC (Resident Assessment Coordinator) reports to the Executive Director and is responsible for accurate and timely completion of mds assessments and coordination of the RAI process.
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THE COMMUNICARE COMMITMENTA family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH.
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Support other projects/programs that are managed and supported within the local office, and other Tetra Tech offices and business units. Wide-ranging experience in traditional geotechnical engineering, advanced analyses & numerical modeling (slope stability, groundwater and seepage, liquefaction triggering, seismic response and deformation), and instrumentation expertise are a plus.
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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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The Web Content Manager is responsible for developing and maintaining the voice for the university's online web presence, ensuring a consistent, seamless, accessible, and unified user experience across all web properties managed by the Office of Strategic Marketing and Communications.
$75,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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ASM Global, the leader in privately managed public assembly facilities, has an excellent and immediate opening for an Operations Coordinator at NRG Park in Houston, Texas. + Demonstrate knowledge of practices and procedures related to event set-up and conversions; typical methods and techniques for cleaning and maintaining the facility equipment; and proper use and care of hand and power tools.
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As a Community and Social Health Policy Director, you would serve as a subject matter expert with health plans, functional teams, and external partners to provide needed policy expertise and consultation on issues pertaining to Medicaid, Medicare, integration of Medicaid and Medicare, managed care, long term supports and services.
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Participate in end user on-boarding meetings to help explain the Complete Care program and show clients how to interact with our Service Desk. Walk users through the Complete Care end user guide and ensure the client understands the process while emphasizing our commitment to excellent customer service.
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We serve as a trusted advisor and managed service provider bringing a mix of capability and capacity across data modernization, data ops, AI, and ML. Through our unrivaled breadth and depth of services across every major industry and domain, we help our clients run smarter, faster, and more efficiently.
$241,000 a yearFull-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Role Overview: This role, Program Integrity Managed Care Coordinator, is responsible for the oversight and managing the work of the the State's Managed Care Entities (MCE) Special Investigation Units (SIU) to ensure that fraud, waste, and abuse in the Indiana Medicaid system is addressed.
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managed care jobs Title: pharmacy Company: Genoa Healthcare Company
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