requirements for Managed Contracts, Medicare, Medicaid, and Campus related to admission and continued stay approval. Adheres... highest level of expert and compassionate care to the communities we serve. With a full scope of care, we offer advanced...
requirements for Managed Contracts, Medicare, Medicaid, and Campus related to admission and continued stay approval. Adheres... level of expert and compassionate care to the communities we serve. With a full scope of care, we offer advanced...
, managed care guidelines and contracts. Mobilizes resources and manages the systems to respond to concurrent and respective... interdisciplinary professional care of a select patient population as determined by individualized plan of care, clinical pathways...
Manager supporting the oversight and accountability of Medicaid and Medicare Managed Care Plans operating in South Carolina.... This is position is located in the Bureau of Managed Care, Richland County. This is an in-office role and not a telecommute or remote...
. Understanding of managed care and provider business models preferred. Team-oriented with the ability to build strong working... Contracting Team, reporting to the Contracting Manager. This role assists with and supports day-to-day contracting and network...
. Understanding of managed care and provider business models preferred. Team-oriented with the ability to build strong working... Contracting Team, reporting to the Contracting Manager. This role assists with and supports day-to-day contracting and network...
Manager, Customer Deal Desk and will be responsible for providing high quality, responsive support to Oracle's North American... for his/her assigned managed deal(s) and is responsible for the successful execution of the contracting process, ensuring consistency...
for the contracts with ongoing support. Analysts work to ensure contractual obligations that optimize key benefits... of a contract are managed closely with the contract owners. Scheduled and ad-hoc reporting and various project support activities...
access to care in rural communities. The Contracts Specialist 3 is ideal for someone with strong contract development...'s strategic goals. Within DLS, the Office of Contracting and Procurement (OCP) is managed by the agency's Contracts Administrator...
requests as required. Supports the Operations Manager of Pontoon MSP (Pontoon Managed Service Program) in ensuring financial..., and remittance processing of service contracts under Statement of Work (SOW) agreements. Partners with project buyers to facilitate...
to work independently and as part of a team, and strong interpersonal skills Experience in managed care contracting, provider...’s degree from an accredited institution. Certifications like Certified Professional Contracts Manager (CPCM) or Certified...
, and strong interpersonal skills Experience in managed care contracting, provider re-imbursement, fee-scheduling, prior experience... like Certified Professional Contracts Manager (CPCM) or Certified Federal Contracts Manager (CFCM) can be beneficial. Pay...
from startups to Fortune 500 and Managed Service Providers (MSP) across a wide variety of industries. KAYGEN is an emerging leader... hire staffing and project based solutions to companies worldwide ranging from startups to Fortune 500 and Managed Service...
and balances to assure that data is consistent, complete and accurate. Works with providers and managed care organizations related... reprocurement and implementation. Coordinates with pharmacy staff and acts as the project manager for tasks relating to designing...
certification a PLUS (PMI-BA, IIBA-CBAP, etc.) Prior experience with the State Managed care systems, or case management systems... for the current modernization of the care/case management project. The ideal resource will have experience engaging...
to assure that data is consistent, complete and accurate. Works with providers and managed care organizations related to claim... and implementation. Coordinates with pharmacy staff and acts as the project manager for tasks relating to designing or enhancing systems...
Integrated Managed Care (AHIMC), Apple Health Expansion (AHE), Health Homes, State Medicare Advantage Contract (SMAC... issues and responses when needed. e., monthly Washington state Health Care Authority (HCA) Managed Care Organization (MCO...
formulary status, as applicable May analyze impact of managed care in the territory and its effect on prescribing decisions... (in days) to receive an alert: Cardiometabolic Care Specialist I - P New York North New York Facility: Sales Location...
formulary status, as applicable May analyze impact of managed care in the territory and its effect on prescribing decisions...About the Department The Cardiometabolic Care Sales Team is at the forefront of US sales efforts for Novo Nordisk...
patterns. Participates in responding to requests for proposals for managed care contracts. Participates in: Establishment...Inspire health. Serve with compassion. Be the difference. Job Summary Provides primary health care to a specific...