Managed Care Jobs in Philadelphia
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Philadelphia (PA)
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Search Results - Managed Care Jobs in Philadelphia
Camden (NJ), 10 mi from Philadelphia
Description:
The Manager of Managed Care Contracting will be responsible for the following functions:
Craft, evaluate, negotiate and execute a wide variety of different contracts covering a range of transactions for hospital and physician entities.
Create...
icims.com -
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...
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 -
Upward Health-Camden (NJ), 10 mi from Philadelphia
Understanding of healthcare reimbursement models, including value-based care and managed care programs.
• Prior experience with reconciliation, financial audits, and revenue cycles.
• Strong analytical and problem-solving abilities, with a keen attention...
Partners Consulting, Inc.-Philadelphia
systems solutions in a clear and concise manner.
Ability to clearly define desk-level procedures as required.
Ability to coordinate with internal and external project management staff as required.
Knowledge of health insurance / health care / managed...
resume-library.com -
Amerihealth Caritas-Bensalem, 24 mi from 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...
Access Services-Abington (PA), 19 mi from Philadelphia
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...
resume-library.com -
Amerihealth Caritas-Philadelphia
in Newtown Square, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management...
Camden (NJ), 10 mi from Philadelphia
at Cooper University Health Care.
The Specialist will also be responsible for designated managed care audit coordination. The position collaborates with the Director Medical Staff Services to ensure compliance with the Medical Staff Bylaws, Joint Commission...
icims.com -
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...
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...
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...
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 -
Community Behavioral Health.-Philadelphia
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 communication skills...
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