FEATURED JOBS
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iCircle is a licensed non-profit Managed Care Organization offering a health plan to individuals enrolled in Medicaid in 30 counties throughout the Western,
…practice revenue cycle management/oversight. Ensure practice alignment with all standards. + Managed Care /Payer Management - Support implementation of managed
…credentialing files in an + Organizational and consistent manner. + Conducts all managed care credentialing audits for Cleveland Clinic Florida Hospital. +
…database management background with 3-5 years' experience in diverse settings, preferably managed care .** + Strong PowerPoint presentation experience and skills
…customer experience. Thrive under new reimbursement models - collaborate with Finance and Managed Care to develop program strategies and partner with payers,
…hour/7 days a week operations of the LIFE Program. The LIFE program is a managed care health plan that includes the management of the interdisciplinary team
…or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **REQUIRED LICENSE,
RN Nurse Case Management Senior Analyst - Medicare - Work from Home, Anywhere , USA (Compact RN License Required)
The Cigna Group
…effective decision making. + Experience in medical management and case management in a managed care setting is highly desirable. + Knowledge of managed
…+ Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. Additional Duties (where
…able to communicate effectively to appropriate personnel regarding emergencies. About Athena Health Care Systems: The Oxford is managed by Athena Health Care