…the department and resources within the company. Minimum Requirements:Strong understanding of managed care and accountable health system models and relationship

…mask in areas where physical distancing cannot be attained.Preferred Qualifications:3 years of Managed Care and/or Utilization Review experience in a Managed

…for medical services. Maintains proper documentation in Cerner. Works closely with Managed Care and understands health insurances rule sets, manuals, and

…in areas where physical distancing cannot be attained Preferred Qualifications Experience Managed Care Advanced proficiency in Excel Experience with writing

…Option Care . Description of available services is accurate. Meets with managed care organizations and other accounts to facilitate education regarding

…within 1 year of hire) 3+ years of clinic or hospital experience and/or managed care experience Knowledge of ICD10-CM coding Advanced proficiency with MS Office

…medic experience may be considered in lieu of an RN license3+ years of experience in managed care and / or disease management3+ years of experience in a clinical

…health care related field. Three (3) years related experience in managed care operations including specific functional experience related to assigned

…to provider's offices where appropriate and consistent with compliance guidelines. Align with managed care account managers and market access colleagues at the

…communication skillsExperience working with provider officesClinical nursing experience in managed care environmentExperience working with the Medicaid/Medicare