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Oversees negotiation of all managed care contracting activities, both fee-for-service (FFS) and value based care (VBC) agreements. Responsible for leading and directing strategic activities associated with negotiating, implementing, and maintaining complex managed care contracts and relationships with third party risk bearing entities (i.e. payers and providers.
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Managed Labor Solutions (MLS) , a leading nationwide rental car outsourcing company, is looking to hire committed and efficient people to work as Rental Car Fleet drivers for our partners' airport locations.
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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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Knowledge of managed care contracting and policies, provider networks, strategies to improve managed care performance, value-based care models, and quality measures. Serve as internal subject matter expert on managed care health plan policies and contracts, clinic networks, strategies to improve managed care performance, value-based care models, and quality measures in order to develop and/or manage the development of educational resources, training opportunities, and technical assistance (including webinars, in-person workshops and conference events, toolkits and manuals, newsletter articles and/or brochures, web-content, etc.
$92,701 - $98,154 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Human Resources Direct supervisor for the ambulatory practice leadership and technical leads, including practice managers/administrators (5 FTEs), Genetic Counselor Manager (1 FTE), Chief Sonographer (1 FTE), Embryology Technical Director (1 FTE), and Managed Care Manager (1 FTE.
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Leading the Contracting & Provider Relations functions for the Southern Bureau health plans and Provider Data Management function for the Managed Care Division. He or she is responsible for projecting and integrating the Mission and Core Values of the organization in the provision of provider data management services to internal and external customers of the Managed Care Division.
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Managed Care Coordinator - EFT and Bank Migration/Payer Credentialing (Remote) GENERAL SUMMARY OF DUTIES : Works with and supports Managed Care, Revenue Cycle, Finance, Treasury and both internal and external customers in various regions to execute tasks related to new payer enrollments for electronic funds transfer (EFT) and bank account consolidation and EFT migrations.
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Advise on managed care claims, third-party liability, Medicaid waiver programs, and provider enrollment. Extensive knowledge and practical experience in managed care claims, third-party liability, Medicaid waiver programs, and provider enrollment.
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Training Preferred: Quality Improvement, Behavioral Interviewing, Coaching Skills, Disease Management, Bilingual in Spanish, Certification in Case Management, Professional Utilization Review or Managed Care knowledge, Interqual Admission/Continued Stay criteria knowledge.
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GENERAL DESCRIPTION:The CFTSS and HCBS Claims Analyst coordinates with the CFTSS and HCBS Payroll Clerk, Finance Director, and Managed Care Director to ensure all CFTSS and HCBS services are billed and adjudicated in accordance with New York State Department of Health (NYSDOH) and federal regulations.
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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.
$80,000 - $90,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Qualified candidates will have a NYS LMSW and prior LMSW Care Management experience from a Managed Long Term Care Plan (MLTC). The LMSW Social Work Care Manager provides Telephonic Care Management services to Managed Long Term Care Members.
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Keywords: noc soc manager network security operations manager security managed service provider sla kpi seim rapid7 cisco amp carbon black pci cissp cisa cism ccna ccnp cisco firepower Stealthwatch amp umbrella python ips ids av edr email gateways #thetrevigroup.
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Current working knowledge of chronic care management, discharge planning, utilization management, case management, performance improvement and/or managed care reimbursement. Experience with Medicare Advantage, Value-based care, and/or Managed Care desirable.
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Qualifications: Experience presenting and selling the following: Access Control, IP, CCTV solutions, Structured Cabling, Audio-Visual, Wi-Fi, DAS, pLTE, IT Managed Services or other building automation solutions in the Federal and SLED markets.
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managed job Title: pharmacy technician Company: Genoa Healthcare Company
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