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Denials/Collections Manager is responsible for providing oversight, management, reporting, prevention, and resolution of the denial inventory for Government, Managed Care, Non- Government, and Commercial plan payors.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Must have six (6) years of expert level Medical Staff Professional Services experience in hospital setting, clinical practice, or managed care that is related to healthcare administration programs such as privileging, credentialing, peer review, professional performance evaluation, quality improvement/assurance, provider education, legal and compliance, risk management/prevention or internal/regulatory audit is required.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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3-5 years of experience in a sales management role within pharma, medical devices, health tech, managed care, insurance, or similar fields. Collaborate with the National Sales Director and Vice President to devise and implement a strategic sales and operational plan.
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CareerStaff Unlimited, LLC (“CareerStaff”) is a renowned industry leader in healthcare staffing, managed services, and workforce solutions. Occupational Therapist - OT - Acute Care. Communicate effectively with patients and families, departmental coworkers, and members of the medical care team.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Must have advanced understanding of physician practice start-up requirements, provider recruitment, RVU principles and concepts, billing/collections, accounts receivable management, employee supervision, managed care, patient relations, physician credentialing, medical office policies/procedures, marketing, coding EHR/Practice Management IT systems, and MGMA benchmarks.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services.
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Administer the psychiatric operations of the Mental Health Services Center within district, state, federal, and managed care guidelines. Provide consultation, review and guidance to other primary care and mental health care in the evaluation and treatment of children.
$83,692 - $102,062 a yearExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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1-year experience in Care Management in a health insurance/managed care setting Current CCM certification Knowledge of medical management policies and procedures 1-year education experience in Specialty area "This role will telecommute full time IL or TX. Applicants in IA, IN, MO, WI, AR, LA will also be considered so long as they are within a 250-mile radius from posted location and hold a current compact nursing license.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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PSU staff will also coordinate with various internal HHSC departments such as Managed Care Compliance and Operations (MCCO) and Medicaid for the Elderly and People with Disabilities (MEPD.
Full-timeExpandUpdated 4 days ago - UpvoteDownvoteShare Job
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Minimum Five (5) years of related experience required to include two (2) years of direct clinical care AND three (3) years of combination of either case management/managed care setting/discharge planning/utilization management required.
$88,000 - $100,000 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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For Arizona Complete Health - Complete Care plan: Pediatrics assignments require 2+ years' RN experience in pediatrics (clinical acute care, community or managed care setting) and 1+ year experience in care management.
$66,100 - $118,900 a yearFull-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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The channel includes any of the following customer types: reHealth Plans, Managed Care Organizations, Employer Groups, managed Medicaid and Medicare plans within the market access channel.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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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.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Minimum 10 years of relevant experience with a Master degree (or 7 years with a doctoral degree) working in HEOR and/or RWE outcomes research in the pharmaceutical, managed care or consulting industries.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Position Purpose Coordinates the behavioral health and socioeconomic services of Managed Long Term Care (MLTC) members across the continuum of illness. Preferred 2+ years of experience in a managed care environment.
$52,900 - $95,200 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago
managed care jobs in Irving, TX
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