…and Provider Services, Healthcare Eligibility and Access, Integrated Health Partnerships, Managed Care , and other Medicaid divisions throughout the agency

…Minimum of two years of Sales, outreach, and/or community relationship within a managed care environment required. Minimum of two years' experience in a

…in the health care field including, but not limited to, provider's office, managed care organization, or other health care environment. * 3+ years

…Experience in a related setting using medical/psychiatric terminology and working with managed care and Behavioral Health carve outs is preferred. COMPETENCIES:

…acute care /medical experience. 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **REQUIRED LICENSE,

…Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required

…contracting issues. + Provides medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials

…and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PR** **E** **FE** **R** **RED L**

…planning, information systems utilization, financial management, budgeting, reimbursement, managed care , healthcare economics, medical practice management,

… care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral