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Managed Care Jobs in Worcester

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Search Results - Managed Care Jobs in Worcester
Fallon Health-Worcester
Medical claim terminology, coding, and managed care expertise or clinical background. Strong attention to detail with the ability to identify fraud, assess the impact, resolve investigations, mitigate risk, and capture results.   5.  8 years of related...
The National Coalition of Healthcare Recruiters-Worcester
and clinical staff via case reviews, quality improvement reviews, and in-service meetings. Provides direct clinical services in accordance with approved clinical privileges, including off-hours coverage when necessary. Interacts with managed care organizations...
appcast.io -
Worcester
Assist with facilitating the most appropriate referral to the appropriate level of care and/or agency for individuals in collaboration with the team.  •  Develop and maintain a thorough knowledge of managed care and health insurance systems; provide other...
icims.com -
Point32Health-Worcester
years of managed Medicare, Managed Long Term Care and/or Medicaid sales, or health insurance sales required. Minimum of two years of Sales, outreach, and/or community relationship within a managed care environment required. Minimum of two years...
Sigma Inc-Boston, 41 mi from Worcester
Verification of Payor information on admission is verified in computer system and attended according to agency standards. Documentation to support Managed Care authorizations/DME requirements is maintained and transmitted within designated time frames. Visit...
resume-library.com -
Beth Israel Lahey Health, Inc.-Worcester
referrals and pre-certifications for patient's insurance and managed care plan. Collects required co-payments according to standards. Directs patients to next service area.   4.  Monitors patients and visitors entering, waiting, and leaving the practice...
appcast.io -
US Tech Solutions, Inc.-Canton (MA), 37 mi from Worcester
Qualifications:   2.  3 years of experience in a Healthcare/ Managed care setting. Strong experience in Excel – managing spreadsheets in Excel Telephone Etiquette experience required Customer Support experience About US Tech Solutions: US Tech Solutions...
resume-library.com -
Point32Health-Canton (MA), 37 mi from Worcester
departments within Point32Health including Medical Management, Contracting, Payment & Policy, etc.  •  Utilizing in-depth understanding of reimbursement methodologies and trends in managed care finance, lead the development and analysis of new reimbursement...
CBOHN-Boston, 41 mi from Worcester
such as coverage, reimbursement, managed care delivery systems, or demonstration projects under section 1115 of the Social Security Act. Candidates without such experience are nonetheless encouraged to apply if they have a strong interest in and willingness...
resume-library.com -
Shrewsbury Rehabilitation and Nursing at Southgate-Shrewsbury (MA), 7 mi from Worcester
management and VNA referrals  •  Notify and update insurance companies on admissions, discharges and changes in condition for managed care residents  •  Attend and participate in weekly Medicare meetings  •  Attend and participate in daily meetings  •  Conduct...

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