Managed Care Jobs in Philadelphia
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Search Results - Managed Care Jobs in Philadelphia
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 -
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...
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...
Mitchell Martin-Philadelphia
with Managed Care companies and obtain approval for treatment as ne
Keep informed of current trends in diagnosis and treatment
Provide education to staff, caregivers and legal guardians regarding treatment interventions.
Attend all mandatory State, County...
resume-library.com -
Child Guidance Resource Centers-Philadelphia
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...
Wedge Recovery Centers-Philadelphia
supervised by the Program Director of the location where they work. Contact with individuals and groups, family members, managed care and insurance companies, and public welfare offices are a major aspect of this position. Ultimately, the Mental Health...
iSoftTek Solutions Inc-Philadelphia
define desk level procedures as required.
Coordinate with internal and external project management staff as required.
Knowledge of health insurance/health care/managed care environment preferred.
Education and Experience
• Bachelor’s degree...
resume-library.com -
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 -
Gallagher Bassett-Philadelphia
of managed care with emphasis on use of criteria, guidelines and national standards of practice.
• Advanced written and oral communication skills, along with organizational and leadership skills.
• Self-directed and proactively manage assigned case files...
Mitchell Martin-Philadelphia
all mandatory State, County, Managed Care, and Certification trainings required
• If your position requires Licensure and/or Certification, the workforce member must ensure all credentialing and CEUs are completed in order to maintain an active...
resume-library.com -
EVERSANA-Philadelphia
ability to build and leverage networks, healthcare business acumen, establish and maintain connections, knowledge of healthcare and managed care policies, knowledge of reimbursement process, and a good understanding of both the Client’s product(s) as well...
mindmatch.ai -
Mitchell Martin-Philadelphia
hours a day, 7 days a week to provide consultation during crises
Attend all mandatory State, County, Managed Care, and Certification trainings required
If your position requires Licensure and/or Certification, the workforce member must ensure all...
resume-library.com -
Pfizer-Philadelphia
of 4 years of previous Oncology Healthcare Professional (HCP) experience working with key Oncology thought leaders or high influence customers in hospitals, large group practices or managed care organizations
+ A demonstrated track record...
dejobs.org -
Philadelphia
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 assessments and utilization preferred.
LICENSES/DESIGNATIONS/CERTIFICATIONS...
icims.com -
Access Services-Philadelphia
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 training in behavioral health techniques...
resume-library.com -
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