…staff to optimize patient throughput and assure that the organization and the patient's care are managed in the most efficient manner possible and a

…with physicians and peers. 5. May provide clinical updates to representatives of managed care to assure coordination and reimbursement of treatments services.

…outlook required. 8 years of experience in multi- hospital system and / or managed care required. 10 years of experience in Federal, state and accreditation

…Anti-Kickback Statute, the False Claims Act, Certificates of Need/Facility Licensure, Managed Care and Value-Based Arrangements, Hospital Authorities, Provider

…billing and health insurance guidelines and practices, including commercial, Medicare and managed care payers.Solid knowledge of and ability to use, electronic

…care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals

…and capacity to think strategically and implement tactically + Well versed in managed care and health policy + Experience with healthcare informatics, electronic

…Through coordination with the medical team, ensures clinical practice compliance with Managed Care /HMO, SBHC contract and Federal and State guidelines.

…13166: Improving Access to Services for Persons with Limited English Proficiency, Medicaid Managed Care Requirements (42 CFR 438.10) The US Department of Health

…in Accounting, Business, Healthcare Administration or related field * Understanding of Managed Health Care * Demonstrated organizational skills and the ability