FEATURED JOBS
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…preferred. (ie ambulatory surgery center, hospital, doctors office) preferred + Knowledge of managed care payers and medical terminology is preferred Consider a
…preferred. (ie ambulatory surgery center, hospital, doctors office) preferred + Knowledge of managed care payers and medical terminology is preferred Consider a
…years of experience performing pharmacy technician duties in a pharmacy setting with managed care emphasis preferably within a healthcare organization or retail
…appropriateness, and conformance to professional standards developed by the Hospital , managed care , and regulatory organizations. * Collaborates with Nursing
…using computerized inquiry functions. + Maintains a knowledge base of insurance/ managed care processes related to pre-certifications and authorizations and
Clinical Shift Supervisor (LICSW/LMHC)- Community Behavioral Health Center
Beth Israel Lahey Health
…+ Knowledge of commercial behavioral healthcare practices, evidenced based treatments, managed care principles, provider development and quality improvement
…graduate of NLN-approved BSN program, preferred Three years clinical homecare experience. Managed care or case management experience required. Familiar with
…timeframes. * Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. * Ensures all
…procedures relative to fee structure, fee collection, and prior approval for managed care and other insurance carriers. Assures seamless communication between
…and PAs (within the last 3 years) **or** 1 year of recent experience in Pharmacy Managed Care (within the last 3 years) is required. + Demonstrated knowledge of