with (cumulatively) Managed Care, CMS, NCQA Health Plan Standard, and 2 years Quality Improvement required. Strong Analytical Skills... established system and employee eligibility criteria are met. Keywords: Talroo-health Plan, #Indeed, Managed Care, CMS, NCQA...
Comcast Business offers a suite of Connectivity, Communications, Networking, Cybersecurity, Wireless, and Managed... you to the support you need when it matters most, and should help you care for those who matter most. That's why we provide...
, transition of care between Medicaid Direct and Medicaid Managed Care entities, electronic visit verification and research... and oversees North Carolina Medicaid, NC Medicaid Managed Care and other programs that provide access to services and support...
warrant. Responsible for reviewing and communicating new government billing, regulations/guidelines, new managed care..., empowerment and growth Teamwork toward our common goal – providing exceptional health care services with a passion for making...
system improvements; acting as subject matter expert during contract negotiation processes; making recommendations to Managed... Care negotiators regarding terms of contract; and collaborating with key stakeholders for resolution of related issues...
environment experience/managed care environment Understanding of the following: Clinical operations Business operations..., healthcare, managed care or health insurance environment Clinical experience Experience with regulatory filings and working...
and solutions relating to current and future business environments. About the team: You'll support our Managed Services Support..., you will be required to undergo a drug test. ADA Disclaimer: In developing this job description care was taken to include all competencies...
 In Customer Care we are focused on delivering the desired customer experience for each of our customers. Everything we do starts... with the customer and our information about the customer. That information is collected and managed by our Customer Experience...
comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit...Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re...
Care we are focused on delivering the desired customer experience for each of our customers. Everything we do starts... with the customer and our information about the customer. That information is collected and managed by our Customer Experience...
, such as project management failures, or process dissonance between FIS and the client. About the team: The Managed Services team... this job description care was taken to include all competencies needed to successfully perform in this position. However, for Americans...
and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the... to systems is managed along with addressing privacy, confidentiality and standards administration. Conducts risk remediation...
, including mutual funds (MFs), exchanged-traded funds (ETFs), and separately managed accounts (SMAs) to the U.S. Private Bank... comprehensive health care coverage, on-site health and wellness centers, a retirement savings plan, backup childcare, tuition...
Company Description TA Services has been the premier integrated solutions provider for Freight Brokerage, Managed... relationships. Service– Service is at the core of what we do and who we are. We are honest in our approach, genuine in our care...
of experience in health care/managed care with direct responsibility within a Financial Planning & Analysis (FP&A) and/or Medical... Cost Management & Analysis discipline. Requires a progressive understanding of managed care business processes, data...
) Company: SYSTEM West Virginia University Health System Cost Center: 649 SYSTEM Managed Care and Payer Relations Address... technology/computer science, engineering, or health care management. 2. Two (2) years of experience in data or financial...
for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received...
and procedures. Act as a liaison with Patient Financial Services. Partner with managed care and other key departments to monitor... and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information banding...
of managed care contracts to determine that appropriate reimbursement is received. Utilizing many complex and varying regulations...
, Medical and Child/Elder Care, Flexible Spending Account Plans, Family Planning Benefits, Financial Education, Identity Theft... & networks, to software applications, to cloud and managed services; all of which include our staffing solutions for our clients...