Managed Care Jobs in Cincinnati
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Search Results - Managed Care Jobs in Cincinnati
Clifton Healthcare Center-Cincinnati
Medicare, Medicaid (case mix), and managed care oversight to ensure appropriate clinical services are provided and appropriate reimbursement is received for each resident. This includes ensuring that the centers are in compliance with federal and state...
Humana-Cincinnati
working with Severe and Persistent Mental Illness (SPMI) and/or Substance Abuse Disorder (SUD) patients.
• Managed Care Experience.
• Case Management Certification (CCM).
• Experience with behavioral change, health promotion, coaching and wellness...
Laurel Health Care Ohio Dayton Region-Cincinnati
Experience in health care sales, marketing, insurance or commensurate education required. Experience in managed care or insurance required.
We are a national organization of skilled nursing, subacute, rehabilitative, and assisted living providers dedicated...
tiptopjob.com -
Cincinnati
administration, nursing) or RN required.
• Three or more years’ experience in mental/behavioral health working with individuals in a clinical or observational capacity preferred.
• Experience in the managed care pre-certification process, level of care...
icims.com -
CSI Pharmacy-Cincinnati
compliant, and engaged culture. This includes: hiring and retaining talent, training and development, business planning, budget management and maintaining key customer relationships. This position will work closely with Marketing, Managed Care, Pharmacists...
tiptopjob.com -
Syntricate Technologies Inc-Mason (OH), 20 mi from Cincinnati
for extension)
Job Description:
Major Duties and Responsibilities:
Set up new Managed Care groups in the claims system.
Fulfill requested revisions to existing Managed Care groups (excluding Reseller product changes).
Create standard products in the system...
resume-library.com -
West Chester (OH), 28 mi from Cincinnati
for infusion therapy, enteral therapy and durable medical equipment
• Develops and maintains relationships with referral sources including but not limited to Care Coordinators; Managed Care case managers; physician offices, etc. regarding Infusion services...
icims.com -
CoreTechs-Norwood (OH), 12 mi from Cincinnati
applications with accuracy and thoroughness, contact providers for application information, when necessary, contact government agencies and managed care companies to obtain status and resolve discrepancies related to provider applications, and follow-up...
resume-library.com -
Cincinnati
and licensure required
• Master's degree in Business or Healthcare Administration preferred
• 3 or more years of managed care pharmacy or PBM operations leadership experience required at the manager level
• Experience with pharmacy claims, clinical operations...
tiptopjob.com -
Cincinnati
List (PDL) recommendations used to make coverage and PDL placement decisions
What were looking for
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• 5 or more years of experience in a clinical pharmacy setting, with managed care pharmaceutical service experience a plus...
tiptopjob.com -
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