. About the Opportunity The Managed Care Consultant supports the Skilled Nursing Facility leaders in managed care contracting... Consultant will provide guidance regarding development of managed care relationships and rate negotiation, ensuring timeliness...
JOB SUMMARY: CARE seeks to deliver an HR Transformation program, aiming to leverage innovative technologies... for following project management practices utilizing CARE’s Project Delivery Lifecycle, managing relationships with key stakeholders...
of FTEs and/or managed service partners. · Degree educated This position is eligible for a bonus in accordance with the... environment for our team and clients alike. Enjoy benefits that take care of what matters At AIG, our people are our greatest...
of clinical resources, and compliance with managed care contractual obligations. Tracks operational metrics to support fact-based... healthcare solutions. Evaluates the daily operations to ensurethe Section is providing quality patient care and maximizing...
budget as assigned to ensure compliance with fiscal constraints. Keeps current on insurance regulations, managed care... execution of patient access operations. Works directly with physicians to improve patient access to care. Analyzes...
and implements corrective action as necessary. Keep current on insurance regulations, managed care contracts billing regulations... access to care deficiencies, applies PASS principles and methodologies. Proactively manages physician scheduling to reduce...
processes are managed timely with proper adjudication procedures. Intervenes with third party entities when necessary. Serves... for monthly reporting of collections, appeals and payment variances to the Finance Department, Care Coordination and CFOs...
to Azure Experience administering Azure SQL Managed Instance Experience with Splunk for monitoring Experience with Agile..., professional development, tuition assistance, work-life programs, and dependent care. Our recognition awards program acknowledges...
and managed. Monitor the use of clinical best practices in resident care and ensure CIH Team Leads are trained accordingly... visits at CIHs to ensure compliance, safety, and quality of care for all residents and staff. Conduct bi-annual site visits...
, or population health management. Familiarity with health plan operations, managed care, or VBC models. Advanced analytical skills..., and improved health outcomes for members. Operates at the intersection of clinical care, interdisciplinary data analytics...
operations, managed care, or VBC models. Advanced analytical skills: SQL (required), SAS, Python, or R for statistical analysis.... Operates at the intersection of clinical care, interdisciplinary data analytics, and population health strategy by conducting...
, or population health management. Familiarity with health plan operations, managed care, or VBC models. Advanced analytical skills..., and improved health outcomes for members. Operates at the intersection of clinical care, interdisciplinary data analytics...
must as be able to connect E2E required for execution as they scale cloud migration Has Managed enterprise DevOps CICD agile teams... like adoption assistance, surrogacy, and cryopreservation Social well-being benefits like subsidized back-up child/elder care...
and physiology, billing regulations, Medicare & NCCI guidelines, insurance coverage limitations and managed care protocols preferred... consistency of work flow and optimize resource usage. The position also organizes, manages, and monitors the performance...
limitations and managed care protocols preferred; and/or GE Centricity Business experience preferred. Successful completion... clinical specialty in an effort to build consistency of work flow and optimize resource usage. The position also organizes...
-out requisitions and samples for referral testing. Assures validity of requisition to meet applicable Managed Care... to clinical laboratory personnel. Performs pre-analytical processes. Works effectively with others to meet patient and care...
/compliance with managed care accounts. Scientific understanding of clinical papers. Teaming with customers as a business... your territory in order to maintain existing physician groups, clinics and proprietary primary care offices. As a member of the...
outcome data, reimbursement, and managed care policies and procedures Experience in developing and establishing professional... and provide accurate forecasts Leverage internal resource team across Sales, Clinical, Service, and National Accounts to optimize...
to end product development for the AI driven automation solution that supports centrally managed portfolio initiatives... like adoption assistance, surrogacy, and cryopreservation Social well-being benefits like subsidized back-up child/elder care...
Managed Care and Medicaid guidelines. Processes Lab Corp and Quests specimens from outpatients and draw stations... with others to meet patient and care provider needs. Actively promotes a lean work culture by performing team member duties to encourage...