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Health Insurance experience and proficiency in understanding professional and facility claims and managed care concepts such as risk adjustment, capitation, FFS, DRG, APG, APCs and other payment mechanisms.
Full-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Minimum requirement: 2+ years in the pharmaceutical industry, life sciences consulting or a managed care setting in the direct conduct of health economics, outcomes research, real-world evidence, and epidemiology studies.
ExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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Experience in billing for Managed Care Organizations (MCO) and MLTC billings. Prior home care experience/billing or HHA exchange software. Sunnyside Community Services strives to address, explore, and educate all our stakeholders about the diversity of human experience and to advance and integrate racial equity and social justice into all organizational policies and programs.
Full-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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1+ years of marketing, sales or community relations experience including previous managed care experience, preferably in Medicare. Provide Facilitated Enrollment, help facilitate the continuance of health insurance, and offer assistance with recertification.
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The director will be responsible for the promulgation of all associated Rules to Local Law 9 of 2015/ 2018, and coordination of all efforts with State and City oversight Agencies, Managed Long Term Care (MLTC) plans and the community.
Full-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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Knowledge of health care, managed care, Medicare or Medicaid. 0-2 years of provider relations or contracting experience. Total compensation may also include additional forms of incentives.
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Fantastic Full Time/ Remote opportunity for an Expert Senior Level SQL Server DBA/Developer that will lead the development of a complex Managed Care Payer Analytics platform for one of the largest, most profitable and stable Healthcare/Hospitals on the East Coast.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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8+ years of experience in a B2B SaaS closing role, with a focus on large national Managed Care Organizations (UHG, CVS/Aetna, Elevance, Cigna, etc); additional experience selling to CIO or AI/innovation leaders is a plus.
Full-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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The Centers Health Care family offers Skilled Nursing, Urgent Care, Managed Care, Renal Dialysis Services, Clinical Laboratory Services, Adult Day Health Care, and Assisted Living services, as well as every level of Home Care. Centers is well known for our commitment to our employees, offering outstanding ongoing training and development, career advancement opportunities, competitive pay rates, generous compensation packages and more.
ExpandApply NowActive JobUpdated 26 days ago - UpvoteDownvoteShare Job
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Minimum of five (5+) years of experience in care/case management, disease management, population health management, utilization review, quality assurance, or discharge planning (preferably within a managed care, home care, or community health organization.
Full-timeExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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Spool the billing file from our various billing software, review the file further to ensure the accuracy and integrity, then bills New York State and the managed care companies for services rendered to our OPWDD clients and Managed Care clients.
$58,500 a yearFull-timeExpandApply NowActive JobUpdated 29 days ago - UpvoteDownvoteShare Job
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Working knowledge of third party payor reimbursement - Medicare, Medicaid, Managed Care and commercial insurance. Our doctors and scientists - faculty from Weill Cornell Medical College, Weill Cornell Graduate School of Medical Sciences, and the Weill Cornell Physician Organization - are engaged in world-class clinical care and cutting-edge research that connect patients to the latest treatment innovations and prevention strategies.
$26.32 an hourFull-timeExpandApply NowActive JobUpdated 28 days ago - UpvoteDownvoteShare Job
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Provide legal review of managed care and other SUNY-DMC revenue agreements and transfer and referral agreements for compliance with applicable laws, rules, regulations and policies.
Full-timeExpandApply NowActive JobUpdated 28 days ago - UpvoteDownvoteShare Job
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QUALIFICATIONS:MinimumAssociate's degree in Finance, Accounting, Business Administration, Economics, Statistics, or Related FieldExperience in finance, contracting, or data analysisEpic Expected Reimbursement Contracts Certification (Must receive with 6 months of hire)Microsoft Office (Excel, PowerPoint, etc.
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Experience implementing educational programming and working with students as a teacher, educational aide, after school care aide, and/or daycare operator or assistant. Students are offered a wide variety of activities including homework help, robotics, team sports, karate, dance, and music.
ExpandApply NowActive JobUpdated 12 days ago
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