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Managed Care Jobs in Pennsylvania

1 - 15 of 50
1 - 15 of 50
Search Results - Managed Care Jobs in Pennsylvania
America's Best-Cranberry Township
in accordance with National Vision protocol. Processes and understands managed care plans while obtaining document information from the insurance company as needed. Provides customers basic and accurate information. Schedules and confirms appointments, follow...
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Community Behavioral Health.-Philadelphia
Degree in behavioral health, healthcare or social sciences  •  License/Certification (if applicable): N/A  •  Relevant Work Experience: Minimum of 2 years of experience in a managed care or quality management setting Skills:  •  Proficient in Microsoft office...
America's Best-Erie
in accordance with National Vision protocol. Processes and understands managed care plans while obtaining document information from the insurance company as needed. Provides customers basic and accurate information. Schedules and confirms appointments, follow...
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Amerihealth Caritas-Bensalem
comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us...
Access Services-Allentown
Complete assessments and treatment updates as required by the agency and Managed Care Organizations Qualifications: Master’s degree in a recognized clinical discipline with documented training in behavioral health techniques and/or psychotherapy (required...
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Amerihealth Caritas-Reading (PA)
comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us...
Angels of Care Pediatric Home Health-Pittsburgh
and Hospice and the Home Care Association of Colorado. Our team is frequently involved in meetings with legislatures, home care state executives, managed care organizations and other industry leaders to ensure the appropriate services are accessible...
Prisma Health-Columbia (PA)
in responding to requests for proposals for managed care contracts.  •  Assists in the development of operational and capital budgets.  •  Participates in operational assessments in search of revenue enhancement, expense reductions, consolidation efficiencies...
appcast.io -
Angels of Care Pediatric Home Health-Allentown
Association of Home Care and Hospice and the Home Care Association of Colorado. Our team is frequently involved in meetings with legislatures, home care state executives, managed care organizations and other industry leaders to ensure the appropriate services...
Community Behavioral Health.-Philadelphia
and treatment planning; and/or experience in a managed care setting Skills:  •  Excellent clinical case conceptualization skills  •  Meeting facilitation  •  Proactive planning  •  Customer service  •  Familiar with medications  •  Excellent verbal and written...
Monogram Health Professional Services-Wilkes Barre
autonomously Must be proficient with medical instruments and equipment required by the work Managed Care/IPA/Health Plan experience Knowledge of computer-based data management programs and information systems, as well as medical records and point-of-interview...
Community Behavioral Health.-Philadelphia
Experience: Minimum of 3 years of direct clinical care experience working with adults, children, adolescents and/or their families in behavioral health settings and experience in assessment and treatment planning; and/or experience in a managed care setting...
Danville (PA)
recommendations to the physicians, regarding utilization review and specific managed care issues.  •  Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department...
icims.com -
Exact Sciences-Philadelphia
will work with managed care, reimbursement, patients, to include patient support groups, Exact Sciences advocacy group, and providers to ensure access to products. Essential Duties include, but are not limited to, the following:  •  Consistently meet...
ChenMed-Philadelphia
license.  •  Certified Case Manager certification is preferred. Certification through the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired. We’re ChenMed and we’re transforming healthcare...
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