…or exceeds standards set by the facility. + Educate patients on both clinical and managed care . + Participate in clinic and network task forces as requested and

…to treatment and delivering quality care within the constraints of managed care . **Qualifications** **Qualifications** **Required** + Ph.D or Psy.D. degree

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

…field of business, consumer, finance, and administration. Experience working in a managed care environment or integrated delivery network beneficial. Additional

…Word, Excel, etc.) **Preferred Qualifications** -Crisis intervention skills preferred - Managed care /utilization review experience preferred -Case management and

…and computer use + Excellent assessment skills and knowledge of insurance and managed care principles and practices + Ability to function independently +

…social work or protective services + Working knowledge/experience in utilization management, managed care , and payor issues Preferred + Essential Job Functions:

…+ A two (2) year college degree required. + Minimum of 10 years in a managed care operation, working with one or more of the following areas: Utilization

…+ Microsoft Excel required. Additional Information + Organization: Corporate Services + Department: Managed Care Contracting + Shift: Day Job + Union Code: Not

…for adhering to all third party payer requirements including Medicare, Medicaid, managed care , Blue Cross and commercial plans. Verifies insurance eligibility