…SKILLS & ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including 2+ years

…requirements and quality standards are being monitored effectively.Maintain an understanding of basic managed care concepts and principles including Managed

…+ Maintain a working knowledge of Federal and State regulations and reimbursement ( Managed Care , Medicare, and Medicaid). + Provide assistance with new

…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

…skills. You will work collaboratively with the patient, community resources, other providers, managed care operations, the UCLA Health System, and health plans

…an understanding of MDS requirements related to varied payers including Medicare, Managed Care and Medicaid + Ensures timely electronic submission of

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

…relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting, as well as the provision and reimbursement

…Uses creativity in the delivery of services and products in a highly competitive managed care market. Ensures that planning within the departments is done in

…payer regulations and processes. You will possess a thorough understanding of managed - care concepts and length-of-stay management relating to patient and