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CareerStaff Unlimited, LLC (“CareerStaff”) is a renowned industry leader in healthcare staffing, managed services, and workforce solutions. CareerStaff Unlimited partners with companies around the country to raise the bar in healthcare by setting new standards for quality care and personalized service.
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The AVP Business Development & Managed Care will drive company development, expansion and diversification of profitable national and regional contracted business solutions within the acute and post acute care continuum for home health services.
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Knowledge of third-party requirements and policies, including Medicaid, Managed Care, Blue Cross Blue Shield, care management organizations, health maintenance organizations, preferred provider organizations, commercial payors, and self-pay.
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Keep informed on issues and trends relating to Healthcare, Workers Compensation, Bill Review, Cost Containment, Managed Care, and related areas. Technical knowledge of healthcare billing procedures, documentation, and standards.
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Knowledge of the Healthcare industry including physician practices, market access, insurance, managed care, organized delivery systems, STARs/HEDIS, Value based care and risk adjustment models.
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They also focus on Georgia, Ambulance, Georgia, and New York state practices, and work on engagements from program design to implementation, collaborating with clients and team members on initiatives in Medicaid financing, managed care, and provider policy and reimbursement.
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For over 30 years, we've connected our clients with talented healthcare professionals to deliver proven excellence in patient care. With a gold star in Joint Commission-certified healthcare services, we offer per diem, local, and travel career opportunities for allied, interim healthcare leadership, nursing, and pharmacy.
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Reports to Executive Director Managed Care and Payer Strategy. Hands on knowledge of Medicare and Medicaid billing regulations; Experience with (Uniform Billing) UB-04 and Health Care Finance Administration (HCFA) 1500 claim forms billing and follow up functions - both electronically and manual.
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These departments include, but are not limited to: recruiting, scheduling, credentialing, payroll, risk management, documentation education, chart flow, provider enrollment, managed care, PSO, compliance, and scribes.
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Requires BS/BA degree in Mathematics, Statistics, or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical analysis and healthcare modeling; or any combination of education and experience, which would provide an equivalent background.
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Requires BS/BA degree in Mathematics, Statistics, or related field and a minimum of 3 years of experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical analysis and healthcare modeling; or any combination of education and experience which would provide an equivalent background.
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Physician relations, Case manager, Managed care, Knowledge of local healthcare market preferred. Minimum 2 years experience as a marketing representative, or nurse liaison in a healthcare environment.
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MedUS Healthcare is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Marietta, GA. Shift: 3x12 hr days Start Date: 05/06/2024 Duration: 13 weeks Pay: $1793 / Week.
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Current Opportunities: As a key member of a healthcare contracting department, the Payer/Managed Care Contracts Manager is responsible for the development, negotiation and maintenance of contracts and oversees the accurate, timely and appropriate implementation of contracts.
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Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.
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managed care healthcare jobs in Atlanta, GA
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