…the VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Completes any and all clinical reminders "due" at the time of

…& Access department who uses clinical expertise and experience/ knowledge of managed care , health policy, and pharmacoeconomics to support AbbVie's scientific

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

…The ideal applicant will have previous experience working as a case manager within a managed care organization (MCO) like Molina, but if you hold one of the

…application of positive language principles + Knowledge of Medicare, Medicaid and Managed Care requirements + Progressive knowledge of community resources,

…in a hospital or healthcare setting with prior experience in clinical quality or managed care departments. Proven experience in ambulatory care settings,

…abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced

…and linguistically diverse setting is essential + Experience working within a managed care environment strongly preferred We're ChenMed and we're transforming

…pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral.

…substance abuse population Prior medical administration experience Skills: Quality improvement, and managed care program and information systems, as well as