Managed Care

Managed Care Jobs

Overview

Managed Care is a health care delivery system organized to manage cost, utilization, and quality. Also known as managed healthcare.
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MDS Coordinator at Cadia Healthcare

Millsboro, DE | Full Time
$76k-91k (estimate)
3 Weeks Ago
Job Details. Job Location: Millsboro, DE. Salary Range: Undisclosed. Description. Cadia Healthcare is a leading provider of skilled nursing and rehabilitation in your area. Compassion and appreciation are at the heart of who we are. We are currently seeking a MDS Coordinator to join our team. Cadia rewards it's employees for their hard work and dedication to providing the best care possible, with a wide-range of benefits and perks to show we care...

Managed Care Pricing Analyst at Norton Healthcare

Louisville, KY | Full Time
$51k-85k (estimate)
3 Weeks Ago
Responsibilities. Under minimal supervision the Managed Care Price Analyst assists in furnishing health service estimates to patients. Manage incoming calls, voicemail, and email for price estimate inquiries. Contact patient’s to present information in a way that is easy for consumers to understand and use. Create common definitions and language to describe pricing information for consumers. Maintain Extensive knowledge of payor contracts and pol...

Referral Coordinator II at SSM Health Care St. Louis

Paul, MO | Full Time
$39k-48k (estimate)
1 Month Ago
It's more than a career, it's a calling. MO-SSM Health DePaul Hospital - St. Louis Worker Type: Regular Job Summary: Coordinates provider referrals, pre-certifications, and pre-authorizations for managed care insurance plans. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Attends in-services provided by various health plans. Travels to off-site locations as necessary. Gathers necessary clinical information and processes referrals...

Payment Poster at United Surgical Partners International

Miami, FL | Full Time
$38k-46k (estimate)
2 Months Ago
USPI South Florida Ambulatory Surgery Center at Miami, FL. is seeking a motivated. Payment Poster. to join our team. Memorial Hermann Surgery Center at Park Ten. is a multi-specialty surgery center committed to producing the highest quality work and experience for patients and their families. Job Summary. Responsible for posting insurance and patient payments in PAS, adjusting account write offs as necessary per the explanation of benefits, forwa...

Payment Poster at South Florida Ambulatory Surgery Center (10613)

Miami, FL | Full Time
$37k-45k (estimate)
2 Months Ago
USPI South Florida Ambulatory Surgery Center at Miami, FL. is seeking a motivated. Payment Poster. to join our team. Memorial Hermann Surgery Center at Park Ten. is a multi-specialty surgery center committed to producing the highest quality work and experience for patients and their families. Job Summary. Responsible for posting insurance and patient payments in PAS, adjusting account write offs as necessary per the explanation of benefits, forwa...

Pharmacy Sales Representative at AIDS Healthcare Foundation

Brooklyn, NY | Full Time
$63k-77k (estimate)
2 Months Ago
WHO WE ARE. AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation. . Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you. Are you looking to work for an organization that encourages growth and success from each and every one of its employees. . If so, AIDS Healthcare Foundation is the place for you. . Founded in 1987, AIDS Healthcare Foundation is the ...

Referral Coordinator II at SSM Health Care of Oklahoma, Inc.

Oklahoma, OK | Full Time
$37k-45k (estimate)
2 Months Ago
It's more than a career, it's a calling. OK-SSM Health St. Anthony Hospital - Oklahoma City Worker Type: Regular Job Highlights: Department: Sleep Lab Schedule: Mon - Fri, 8:00am to 4:30pm, No Evenings, Weekends, or Holidays Starting Pay: $17 *Must Have At Least 1 Year of Experience* Location: SSM Health St. Anthony Hospital - Oklahoma City Job Summary: Coordinates provider referrals, pre-certifications, and pre-authorizations for managed care in...

Credentialing Assistant at Baptist Health System KY & IN

Paducah, KY | Part Time
$41k-52k (estimate)
3 Months Ago
🌟 We're Hiring: Provider Credentialing Assistant at Baptist Health Paducah 🌟. Part-time: 30 hours/week. Are you detail-oriented, organized, and passionate about supporting healthcare professionals. Join our team as a Provider Credentialing Assistant and play a vital role in integrating our hospital and physician network into the PHO. You’ll serve as a key liaison between physicians, office staff, and payors—ensuring smooth credentialing process...

Credentialing Specialist at Sevita

Minneapolis, MN | Full Time
$67k-84k (estimate)
4 Months Ago
SEVITA. provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You’ll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived. Contracts and Payor Specialist - REMOTE. The Specialist is responsible for identifying and s...

Admissions Director at Chestnut Ridge Health & Rehabilitation

Louisville, KY | Full Time
$96k-141k (estimate)
6 Months Ago
We are seeking an experienced, highly motivated and dynamic individual to oversee, develop and maintain relationships with local hospitals, physicians and the community to drive patient referral efforts. QUALIFICATIONS. Education. At least a high school diploma, two or more years of college preferred. Experience. 2 years of prior SNF experience Healthcare, human services, public relations, LTC, social services. Responsibilities and Duties. Presen...

Case Manager at HCS Upgrade Client Test

Woburn, MA | Full Time
$99k-120k (estimate)
6 Months Ago
Facilitates timely and appropriate discharges from the hospital. identifies inappropriate or untimely services. identifies opportunities for improvements in patient care. functions as a liaison with insurance/managed care/utilization review companies and provides documentation of the above per regulatory requirements and hospital policy. Requirements: current FL license, BSN, at leats one year previous experience in a hospital setting

Case Manager at HCS Upgrade Client Test

Woburn, MA | Full Time
$99k-120k (estimate)
6 Months Ago
Facilitates timely and appropriate discharges from the hospital. identifies inappropriate or untimely services. identifies opportunities for improvements in patient care. functions as a liaison with insurance/managed care/utilization review companies and provides documentation of the above per regulatory requirements and hospital policy. Requirements: current FL license, BSN, at leats one year previous experience in a hospital setting
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