Managed Care Jobs in Pennsylvania
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Search Results - Managed Care Jobs in Pennsylvania
America's Best-Pittsburgh
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...
resume-library.com -
Access Services-Pottsville (PA)
and Managed Care Organizations
Qualifications:
Master’s degree in a recognized clinical discipline with documented training in behavioral health techniques and/or psychotherapy (required)
Licensed professional in the state of PA in one of the following...
America's Best-Pottstown (PA)
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...
resume-library.com -
Baldwin Health Center-Pittsburgh
REQUIREMENTS
Graduate of an accredited school of nursing; RN
Valid RN or LPN license in the state of Pennsylvania
Three years of experience in a long term care environment preferred
Experience with the MDS/RAI process and/or case management preferred
JOB...
Oxford Solutions, Inc-Pittsburgh
are met.
Provide mentorship and leadership to junior actuaries and staff.
Maintain a strong understanding of healthcare industry trends, regulations, and actuarial methodologies, particularly within managed care and value-based care models.
Leverage SQL...
resume-library.com -
Temple Health – Temple University Health System-Philadelphia
and implementing new programs (Required)
General Experience with both community physician practice needs and academic medical centers (Required)
General Experience working within PA/DE/NJ/MD managed care landscape (Required)
5 Years experience in pharmaceutical...
mindmatch.ai -
Delaware County, PA-Media (PA)
Department when skill ends
Assist in completion of required documentation
Oversight of Care Plan completion and timely updates
Notify IDC team of changes to ARD or IDC date
Provide information for Managed Care updates and audits as requested...
Access Services-Philadelphia
with the child/adolescent/family in order to maintain continuity of care.
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...
Prisma Health-Greenville (PA)
in responding to requests for proposals for managed care contracts.
• Participates in the establishment of quality assurance programs.
• Participates in the establishment of utilization management programs.
• Participates in the selection of management...
appcast.io -
Child Guidance Resource Centers-Havertown
Packet to managed care organizations (MCO).
• Complete and disseminate of Reports (ROI's/Access Standards/Etc.).
Who is CGRC? CGRC is a premier behavioral health provider that embraces our employees as partners in our organization's strategic plan.
What...
1 similar job: Philadelphia
Prisma Health-Greenville (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 -
Jefferson Health Plans-Philadelphia
Homecare and outpatient rehab services experience preferred. Experience working in managed care environment preferred.
• Experience with Medicare/Medicaid populations a plus.
Skills, We Value:
• Knowledge of medical necessity principles, including...
mindmatch.ai -
Amerihealth Caritas Health Plan-Philadelphia
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...
Mass General Brigham - Internal Travel-Boston (PA)
of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School...
Leidos-Trevose
system or civilian managed care medical/administrative environment
• Experience in a medical or clinical environment
• Experience with MHS Genesis or civilian healthcare computer system and in processing medical claims
• Experience in a customer...
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