FEATURED JOBS
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…* 3-5 years experience in healthcare industry, preferably in the Medicaid Managed Care Programs * Previous healthcare marketing and/or grassroots/community
…firm understanding of the trends and issues affecting the healthcare industry, including managed care , clinical integration and quality outcomes. + Must have an
…abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced
…monitor appointments. 3. Schedule outpatient procedures. 4. Apply third party and managed care policies, procedures and guidelines. 5. Obtain insurance
…or Public Relations. **Special Skills** + Understanding of government commercial/ managed care payers requirements regarding verification of eligibility
…program, residential program, and substance abuse program. + Must have knowledge of managed care practices. + Must be familiar with public sector system
…and collaboration with providers and other healthcare entities, such as managed care coordinators, insurance providers, and external healthcare partners
…meetings** **Job Overview** This position triages incoming requests from patients and primary care providers for managed care referrals for patients who
…data, budget cost/expenditure documents, staffing, and other reports in decision-making. Understands managed care practices, including health care finance,
…and/or case management in a hospital or home health setting or with a managed care organization. Preferred Other prior experience working with a geriatric