coding/processing. Prefer knowledge Managed Care principles. Prefer the ability to analyze and resolve problems... in pending status. Acts as liaison with providers, members and Care Managers. Perform other relevant tasks as assigned...
experience working with members to close gaps in care. 4. Requires a minimum of 1 year managed care experience. Knowledge: 1.... Requires knowledge of the Managed Care or Health Insurance Industry. 2. Requires knowledge of medical terminology. 3...
licensing, certifications, registrations: Knowledge: Require solid understanding of managed care principles, including... and projects; i.e., Product Rationalization and Health Care Reform. Develop, coordinate and disseminate physician communications...