Managed Care Jobs in Bronx
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Search Results - Managed Care Jobs in Bronx
Bronx
registration billing information of patients, and obtains managed care insurance referrals. Schedules patient appointments, manages provider clinic schedule, reschedules missed appointments and maintain patient demographics.
Responsibilities:
• Establish...
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Urban Health Plan, Inc-Bronx
Position Summary:The Outreach and Enrollment Associate is responsible for supporting consumers with the Managed Care Consumer Assistance Program (MCCAP). The Outreach & Enrollment Specialist will assist individuals and families in navigating...
smartsearchonline.com -
Bronx
program goals.
Quality and Regulatory Compliance
• Ensure compliance with applicable federal, state, and local requirements, including New York State Medicaid managed care and Care Management regulations.
• Partner with Compliance, Legal, and Clinical...
icims.com -
Urban Health Plan, Inc-Bronx
patients and identifying their needs.
Prepares examination rooms, stocks inventory, and sterilizes instruments.-
Verifies insurance information through managed care website.-
Answers incoming calls and takes messages for providers.-
Register patients...
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Bronx
experience, with 3+ years in a senior leadership role.
• Healthcare experience required — managed care, value-based care, care management, or physician-facing services strongly preferred.
• Proven ability to build and manage a brand across multiple...
icims.com -
Urban Health Plan, Inc-Bronx
with board certification/eligibility in a primary care discipline (e.g., Pediatrics, Family Practice, and Medicine/Pediatrics), valid unrestricted state license, valid unrestricted DEA certification, familiarity with managed care protocols, PCMH requirements...
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Bronx
a managed care or health plan environment.
Responsibilities:
Key Responsibilities
• Conduct complex coding audits and documentation reviews for accuracy, completeness, and regulatory compliance.
• Review ICD-10-CM, CPT, HCPCS, and risk adjustment coding...
icims.com -
Urban Health Plan, Inc-Bronx
environment. -Team player Key Duties: -
Greeting patients and identifying their needs.
Prepares examination rooms, stocks inventory, and sterilizes instruments.-
Verifies insurance information through managed care website.-
Answers incoming calls and takes...
smartsearchonline.com -
Bronx
and ensuring continuity of care.
• Collaborates with Utilization Management (UM) and PFS (Patient Financial Services) staff to secure treatment authorizations from, and provide treatment information to, managed care organizations and other payors.
• Submits...
icims.com -
Urban Health Plan, Inc-Bronx
between now and throughout 2026.
Typical Responsibilities: Greet and assist patients in a professional and friendly manner.
Schedule appointments and reschedule no shows appointments
Verify insurance information through managed care website.
Register...
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Bronx
physician group, managed care organization, health plan, or payer environment.
• Strong knowledge of CMS regulations, Medicare Advantage, New York State Medicaid, HIPAA, and other applicable healthcare regulations.
• Demonstrated experience supporting...
icims.com -
Urban Health Plan, Inc-Bronx
procedures.
Key Duties:-Greets patients and identified their needs.-Verifies insurance information through managed care website.-Answers incoming calls and takes messages for providers.-Registers patients, assigned PCP (when applicable), checks...
smartsearchonline.com -
Bronx
in the healthcare or managed care industry.
• Strong negotiaion and communication skills
• Knowledge of healthcare regulations and compliance requirements
• Understanding of value-based payment models
• Ability to analyze data and make informed decisions
• Required...
icims.com -
Bronx
programs, or similar systems-navigation work.
Strong working knowledge of Medicaid, Medicare, Essential Plan, QHPs, managed care, and health insurance processes.
Familiarity with MAGI vs. non-MAGI eligibility, Medicaid spenddown, and APTC reconciliation...
icims.com -
Bronx
or similar systems-navigation work.
• Knowledge of Medicaid, Medicare, Essential Plan, QHPs, managed care, and health insurance processes.
• Familiarity with MAGI vs. non-MAGI eligibility, Medicaid spenddown, and APTC reconciliation.
• Comfortable being...
icims.com -
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