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Serve as a subject matter expert on managed care contracting and payor strategy, providing guidance and support to senior leadership and other stakeholders. Stay current on industry trends, regulations, and best practices related to managed care contracting and payor strategy.
$275,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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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Responsible for remaining current on regulatory changes that could impact reimbursement relative to CMS, Medicaid, Tricare and Workers Comp and effectively communicates this information with Managed Care team and other organizational leadership.
$30.901 - $46.351Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Supports Managed Care Contracting and Revenue Cycle by gathering, analyzing, and sharing data on managed care payors' compliance with payment provisions of their contracts with CHST providers and developing and implementing strategies for improving payer contract compliance, resulting in increased net revenue.
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Provides timely and thorough transfer of nursing care on assigned patients to other health care team members to ensure integration of services and continuity of patient care.
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Remains current on managed care and other insurance contracts held by Post Acute Medical; collects co-payment, as appropriate, and counsels patients on financial responsibility; assures the accuracy, completeness, and timelines of charge capture, per system, facility/department policies and procedures.
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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 (TDCJ) and the Texas Juvenile Justice Department (TJJD.
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Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Develops and maintains current knowledge of state and federal regulatory requirements related to all aspects of grievances and appeals for Medicare managed care organizations, Medicaid, home health care, managed long term care as well as contractual requirements.
$93,000 a yearPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Collaborate with other organizational departments responsible for functional aspects of the HIV Special Needs Plan, including, but not limited to Integrated Care Management, Behavioral Health, Managed Long-Term Care, Utilization Management, Quality Management, Credentialing, Regulatory Affairs, Compliance, Corporate Affairs, Provider Network Operations, Medicare Services, Information Systems, Finance, Claims, and Member Services and Eligibility.
$157,236 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Perform follow-up with Medicare, Medicaid, Medicaid Managed Care, and commercial insurance companies on unpaid insurance accounts identified through aging reports. The Medical Billing and Collection Specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers.
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We will give you the opportunity to grow towards gaining your Registered Behavior Technician (RBT) and then Board Certified Behavior Analyst (BCBA) with guidance and financial assistance Children and families are at the heart of our work, and we take care of the people who make all the difference - People like You.
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Practice is attached to a 25 Bed Joint Commission Accredited Critical Access Hospital and Rural Health Clinic.
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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.
$18 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Oversight of all aspects of collections care and management for the U. S. Department of Energy’s Hanford Collection and HHP/WSU owned and managed collections. More information on WSU’s policies and procedures to respond to discrimination and harassment are available here: Nondiscrimination statement.
$6,579 a monthFull-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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Timely create and exchange/transmit continuity of care document(s) with other practitioners and providers Responsible for the performance of HEDIS Part D measures (medication adherence), and SPC and CBP, CDC, MRP measures from Part CEnsures patient is managed based on risk level of EPIC Registry Predictable Risk ModelIdentify patients not meeting clinical goals, such as BP control or glucose control, and arranging for follow-up services by protocol or as appropriate.
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care on managed jobs Company: Optum in Troy, New York
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