…a difference. The Contract Negotiator will provide data analysis for and negotiate managed care contracts with commercial and government payers for all Adventist

…and quality of services provided. * Maintain an awareness of overall concepts of managed care and make administrative judgments to ensure care provided

… setting Preferred\: At least five (5) years of nursing experience Prior knowledge of managed care / utilization review Your next move. Now that you know more

… setting Preferred: At least five (5) years of nursing experience Prior knowledge of managed care / utilization review Your next move. Now that you know more

…* Functions as a liaison for management staff, administration, physicians, managed care companies, community organizations, and other customers. *

…The Clinical Supervisor will also act as liaison with community stakeholders and Managed Care Entities and will contribute to developing programmatic policies

…productivity, conducting marketing activities, and acting as liaison to the community and Managed Care Entities. The Clinical Supervisor will be a member of

…with complex medical and behavioral health needs who are enrolled in an Accountable Care Organization (ACO) or Managed Care Organization (MCO) plan. S/he

…of Office of Mental Health regulations. Familiarity with regulations and managed care operation, including billing. Knowledge of program administration.

…Manager acts as a consultant and educator on matters referring to alternative levels of care and managed care issues,. In collaboration, to provide optimal