…staff in communicating medical information required by external review entities, managed care contractors, insurers, fiscal intermediaries, state, and federal

…with Medcompass + Must have prior authorization utilization experience. + Managed Care /Medicare experience preferred. **Skills:** + MUST HAVE MEDCOMPASS

…to assist with appeals of denied or downgraded coverage determinations by managed care , commercial payers, and recovery audit contractors. **MINIMUM

…nursing facilities including the Alexian Village, ambulatory care facilities, home health care , physician practices, managed care services, and 4 cancer

…full-risk VBC environment. + Strong understanding of healthcare regulations, compliance, and managed care . + Skilled in EMR systems, self-service business

…at an acceptable level (<40%/yr.). + You will work in coordination with VP of Managed Care Services for the St. David's HealthCare Partnership in developing and

…Assist in marketing the Orthopaedic Program to community physicians and managed care organizations. Participate In monthly division meetings, administrative

…review for polypharmacy, recent hospital or emergency department discharges, and co- managed care patients.7) Follows up via face-to-face, telehealth, eConsult,

…Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options

…Medical Terminology, third-party healthcare coverage experience, and a strong understanding of managed care regulations are preferred. + Experience with personal