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The 12 states we serve are locally managed by a regional director and team of BCBAs∯*∯ Our corporate office located in Deerfield Beach, Florida is home to our leadership team and administrative staff who assist with daily operations, including client services, human resources, talent acquisition, finance, revenue cycle management, quality assurance, compliance, professional development, and professional ethics.
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Experience with Managed Care, Utilization Management, Prior Auth, and Benefits Management decision support in the Non-MSK, Non-Vascular Surgical Domains. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology.
$244,800 - $440,640 a yearFull-timeExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
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EDUCATION, TRAINING, EXPERIENCE:Minimum Bachelors degree from accredited University, Masters preferredValid CA clinical license; RN, LCSW, PsyD, NPMinimum 10 years management role Managed Care Environment, preferably in Behavioral health.
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Keep informed on issues and trends relating to Healthcare, Workers Compensation, Bill Review, Cost Containment, Managed Care, and related areas. As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medical claims; analyzing and optimizing bill review procedures and systems; and leading a team of experienced medical bill review auditors, nurse auditors, med-legal nurse, negotiators and related staff in an environment of continual performance improvement.
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Managed by Oakmont Management Group, we provide exceptional quality, comfort, and care with five-star services and amenities. The Business Office Director is responsible for the administration of payroll and accounting control functions and procedures in accordance with company policies and procedures.
$27 - $30 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Participates in the strategic planning process and works closely with the VP Managed Care Operations. Strong working knowledge of current ambulatory healthcare industry, as well as, managed care experience working with Department of Managed Care.
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All clinical & state regulatory supervision of support teammates (PTA) are to be directly managed with direct support from their Clinic Manager (CM), Regional Clinic Manager (RCM) & Director of Clinical Operations (DCO.
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You will work closely with the Executive Director and VP of Sales to create a cutting-edge and strategic marketing plan. Sales and Marketing Director. based in Irvine, California, is a recognized leader in the senior living industry that manages a portfolio of communities under the Oakmont Senior Living and Ivy Living brands.
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Superior knowledge of the regulatory requirements of healthcare insurance, specifically the Center for Medicare & Medicaid Services (CMS), Covered California, and the Department of Managed Health Care (DMHC.
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ScionHealth is recruiting for a Director of Managed Care Relations, DOMCR, to join our managed care team. The Director of Managed Care Relations (DOMCR) works with Senior Directors of Managed Care to lead, develop, and execute on our Managed Care Market Strategies.
ExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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Under the direction of the Medical Director &/or Clinic Administrator, this position provides medical services to the Home Visit Program for complex client care cases, ensuring appropriate and professional medical care focusing primarily on Medicare Annual Wellness Visits, as well as providing care and coordination for home-bound complex care clients.
$26.13 - $32.55 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Job SummaryThe Director of Managed Care Relations (DOMCR) works with Senior Directors of Managed Care to lead, develop, and execute on our Managed Care Market Strategies.
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Supervisory or operations management experience, a strong understanding of skilled nursing standards of care, and federal and state regulations including Medicare, Medicaid, and Managed Care reimbursement rules.
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Minimum of 3 years relevant work experience in Network Management, Contracting or Provider Relations in a managed care setting, health plan or large medical group administration. The Provider Relations Network Manager is responsible for general management of the provider network as assigned by the Director of Network Management as well as for supporting the Network Management Department in meeting the overall network growth and development goals.
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