…verbal and written communication skills Required Qualifications: 2+ years of health and/or managed care experience 1+ years of experience with Medicare and

…initiatives with population health programs, Patient Center Medical Homes or in the managed care industry 2+ years of experience in interpreting and utilizing

…Five or more years of clinical experience, including two or more years of managed care experience Active, unrestricted medical license in applicable state(s), or

…including demonstrated solutioning and audit goal development Spanish Background in managed care Case Management experience Certified Case Manager (CCM)

…something better?Job Keywords: Nurse Practitioner, NP, Physician Assistant, PA, Adult, Family, Team Care , Managed Risk, Value Based Care , Harrisonburg, VA,

…or more years of progressively responsible healthcare experience to include experience in a managed care setting, and / or hospital settings, and / or physician

…in the market. You will work with hospital discharge planners, internal sales team, managed care organizations and referral sources. You will review and analyze

…full range of services to assist physicians and other providers in supporting patient care coordination and their managed care business operations.As a part

…Pediatrics, Field Based, Home Care , Home Health, Complex Case Management, Managed Care , Bilingual, Mental Health, Behavioral Health, Case Management, Case

…prescription documentation requirements, pharmacy laws and regulations. Understanding of basic managed care pharmacy principles and insurance coverage issues.