FEATURED JOBS
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…combination of education and clinical pharmacy experience + 3+ years Clinical Long-Term Care , Managed Care , and/or Ambulatory Clinical Pharmacist experience

Care Review Clinician, Inpatient Review (BH) LMHC, LCSW, LMSW Remote in New York
Molina Healthcare
…be able to work independently in a high-volume environment. Candidates with managed care organization (MCO),NYS Medicaid guidelines, and Behavioral Health

…must be able to work independently in a high-volume environment. Candidates with managed care organization (MCO) and NYS Medicaid guidelines experience are

…Care Facilities and agencies, Durable Medical Equipment and Ambulance companies, managed care (insurance) personnel and physician office. Working Conditions,

…practice revenue cycle management/oversight. Ensure practice alignment with all standards. + Managed Care /Payer Management - Support implementation of managed

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

…Educates other health care providers, payors and patients on concepts of managed care , managed care networks, transplant networks, individual

…insurance cards. Update/ enter e-MDs demographic information.Collect appropriate co-payments for managed care members, post payment and issue receipt.Collect

…* 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/ Managed Care experience * Experience demonstrating strong management and

…Experience with office medical procedures and treatments and knowledge of insurance, managed care operations, EMR and scheduling software preferred. Additional