Managed Care Jobs in Dublin (OH)
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Search Results - Managed Care Jobs in Dublin (OH)
ICONMA, LLC-Dublin (OH)
Our Client, a Clinical company, is looking for a Coordinator, Account Management for their Remote location.
Responsibilities:
Will possess basic knowledge of all Managed Care solutions
GMB Routing and Monitoring
Customer outreach through email...
resume-library.com -
Randstad-Dublin (OH)
The candidate possesses foundational knowledge of Managed Care solutions and excels in customer outreach through various channels, managing 10-15 cases and handling 15-40 daily calls from pharmacies and sales teams. They demonstrate strong...
randstadusa.com -
Dublin (OH)
or Healthcare Administration preferred
• Pharmacy degree and licensure highly preferred
• 5 or more years of managed care pharmacy or PBM operations leadership experience required at the director level
• Experience with end:to:end pharmacy claims lifecycle...
tiptopjob.com -
Optalis Healthcare-Columbus, 8 mi from Dublin (OH)
oversight of managed care residents, effective Center coordination through a well-run IDT Meeting and utilization of our Optimus system. Ensure MDS compliance, resident driven outcomes and financial results that mirror the care given.
Ensure that the center...
Phaxis LLC-Columbus, 8 mi from Dublin (OH)
continuity of care.
Coordinate with managed care companies for peer reviews and appeals, maintaining accurate records.
Develop processes to minimize denials and communicate updates to leadership.
Facilitate effective communication with families...
resume-library.com -
Ohio's Hospice-Columbus, 8 mi from Dublin (OH)
Associate of Science in Nursing (ASN); Bachelor of Science in Nursing (BSN) preferred
Three to Five years clinical experience in Case Management, Care Coordination, Discharge Planning, Medicaid and/or Medicare managed care, LTC experience and/or community...
Columbus, 8 mi from Dublin (OH)
We've partnered with UKG Wallet, a voluntary Earned Wage Access benefit, to offer employees access to their pay on their own schedule
Position Details:
What you will do in this role:
• Displays knowledge of clinical criteria, managed care requirements...
icims.com -
Monogram Health Professional Services-Columbus, 8 mi from Dublin (OH)
understanding of all federal and state regulations including HIPAA and OSHA
2 or more years of direct patient care required
Managed Care/IPA/Health Plan experience
Experience conducting annual wellness visits or similar comprehensive visits virtually...
Randstad-Dublin (OH)
This includes providing product information and identifying upselling opportunities to enhance revenue. Within the Managed Care Department, the Solutions Enrollment Specialist will assist customers in enrolling in the Pharmacy Services Administrative...
randstadusa.com -
Randstad-Dublin (OH)
The Quality & Training Coordinator is responsible for monitoring and analyzing customer contact quality while developing resources and training for the customer support team within the Managed Care Department. This role focuses on evaluating...
randstadusa.com -
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