…+ Three to five (3-5) years in MLTC, LTHHCP, MAP, PACE, or other managed care programs. + Experience in working independently without significant oversight and

…(ACM-RN), or UM Certification preferredAble to apply clinical guidelines to ensure progression of care . + Knowledge of managed care and payer environment

…poisons, narcotics, acids, caustics, and flammable items; restriction imposed by various managed care carriers, various forms inherent to profession preferred. +

…combination of education and clinical pharmacy experience + 3+ years Clinical Long-Term Care , Managed Care , and/or Ambulatory Clinical Pharmacist experience

…Care Facilities and agencies, Durable Medical Equipment and Ambulance companies, managed care (insurance) personnel and physician office. Working Conditions,

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

… care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral

…Educates other health care providers, payors and patients on concepts of managed care , managed care networks, transplant networks, individual

…insurance cards. Update/ enter e-MDs demographic information.Collect appropriate co-payments for managed care members, post payment and issue receipt.Collect

…* 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/ Managed Care experience * Experience demonstrating strong management and