…Shares knowledge with staff through verbal and prepared written communication. Ensures CHS managed care contracts terms and conditions are adhered to by support

…andbe responsible for preparing, reviewing, analyzing, and responding to requests for managed care , provider, and other related healthcare agreements. + Prepares

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

…have at least 5 years' medical services experience including but not limited to Managed Care , Physicians Organizations, Ambulatory Care or hospital. + Must

…plans related to mental health and substance abuse across the continuum of care . Experience with managed care , case management, utilization management,

…+ Working knowledge of third party payor reimbursement - Medicare, Medicaid, Managed Care and commercial insurance. **Licenses and Certifications** **Working

…established standards and procedures. Follows up on payer payment variances. Applies managed care contract rules to determine payment accuracy. Reports trends

…substance use disorders and/or treatment services. + Knowledge of evidence-based treatments, managed care principles, and behavior practices. + Seminar in Field

…Ability to adapt to supporting software applications. Understanding and experience with managed care authorizations and referrals. Working knowledge of insurance

…to perform administrative work. + Familiarity and knowledge of authorization process & managed care programs UCLA Health welcomes all individuals, without regard