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…health field preferred, focused on trauma, chemical dependency, eating disorders within a managed care environment CPR & First Aid Certified. CPI Certified.
Envision Physician Services
…internal work groups, as well as clinical and operational leadership Assist the Managed Care Department as required in facility global arrangements, self-pay and
…Undergraduate degree or equivalent experience required* healthcare experience including Managed Care experience, healthcare administration and or healthcare
…process regarding new referrals, including scanning, uploading, indexing documents into the managed care database and assigning utilization review and/or case
…experience or knowledge of InterQual criteria. Demonstrates knowledge of DRGs managed care initiatives payment methods and statistical analysis. Demonstrates
MetroPlus Health Plan
…list of products, including, but not limited to, New York State Medicaid Managed Care , Medicare, Child Health Plus, Exchange, Partnership in Care
…Required Experience * 10+ years progressive experience in Healthcare Administration, Managed Care and/or Provider Services. * Experience managing employees.
…within a commutable distance of Louisville, KYPreferred Qualifications:3+ years of experience in Managed Care Pharmacy either in a Health Plan or PBMExperience
Managed Care Staffers
…with hours of 8:30-5:00pm M-F. Requirements of position Must have health care insurance bil ling/ revenue cycle experience Must be bilingual (Spanish/English) Must