Managed Care Jobs in Charleston
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Search Results - Managed Care Jobs in Charleston
Prisma Health-Charleston
Overview
In this role you will support and influence the financial strategy behind payer contracts and managed care initiatives. You’ll analyze initiatives, model financial outcomes, and assist in contract negotiations to align with organizational...
8350 Oak Street Health MSO LLC-Charleston
feedback, and resolution of daily operational questions.
• Train medical directors on data-driven tools, quality dashboards, and initiatives to keep patients healthy and reduce avoidable hospitalizations.
• Instill managed care perspectives into leadership...
appcast.io -
UnitedHealth Group-Charleston
Share insights on product design/marketing and collect staff input
• Fulfill duties to meet department and company goals
• Maintain knowledge of Medicare regulations, managed care landscape, and legislative context
Key requirements
• Health, Life...
West Virginia Department of Health-Charleston
background and experience with managed care organizations (MCOs) and value-based payment models.
• Experience with value-based payment models (AHEAD, ASPIRE, etc.) is highly desirable.
Core Competencies:
• Communication: Excellent communication skills...
Abbott-Charleston
Overview
As a Diabetes Sales Specialist, you drive growth for ADC Products by engaging healthcare providers across channels and regions. You collaborate with Managed Care, Retail, and Point of Care teams to expand access and influence decisions...
West Virginia Departments of Health, Health Facilities and Human Services-Charleston
experience with grant management, and knowledge of health IT and regulatory environments.
• The ideal candidate will have a financial background and experience with managed care organizations (MCOs) and value-based payment models.
• Experience with value...
Merck Sharp & Dohme (MSD)-Charleston
and sustain senior-level relationships to support strategic engagement
• Align account plans with payer and managed-care considerations for optimal access
• Deliver regional business results and achieve P&L targets
• Embed a customer-centric vision across...
Disability Solutions-Charleston
Demonstrated teamwork and leadership skills.
• Strong business planning skills and ability to multi-task.
• Respiratory product experience is a major plus but not necessary.
• Familiarity with; Managed Care Plans, Insurance Formularies, Retail Pharmacies...
UnitedHealth Group-Charleston
field; OR CPQH/CHCQM certification
• 2+ years of experience in managed care, Medicaid, maternal/child health, pediatrics, or population health
• Proven technical skills with Microsoft Excel, PowerPoint, Word, and Adobe PDF
• Solid organizational, time...
Sedgwick-Charleston
with emphasis on data analysis or planning
• Knowledge of project management and insurance-related procedures or managed care systems (preferred)
• Strong Excel/data analysis skills
• Excellent verbal and written communication, including presentations
• PC...
SCAN Health Plan-Charleston
experience (or 4+ years in Healthcare/Managed Care)
• Experience with HEDIS and medical claims data preferred
• Advanced MS Office proficiency; strong MS SQL querying skills
• Snowflake experience preferred; SQL Server Reporting Services and Integration...
SCAN Health Plan-Charleston
and corrective actions
• Actively support SCAN’s vision and goals
• Other duties as assigned
Key requirements
• Bachelor's Degree or equivalent experience
• 2+ years in managed care, healthcare, or case management
• 2+ years experience with seniors and remote...
UnitedHealth Group-Charleston
determinations, and participate in peer consultations. The position supports health outcomes by ensuring appropriate ABA services are used within managed care. You work remotely within a fast-paced, cross-functional environment that values inclusion...
Pennant Group-Charleston
Responsibilities
• Oversee full-cycle accounts receivable for assigned communities
• Audit AR functions for accuracy and compliance
• Analyze AR trends, aging, and reimbursement activity to identify risks and opportunities
• Prepare AR, Medicaid, and managed care...
CSpring-Charleston
of experience with Medicaid or public-sector healthcare programs
• 3+ years of experience writing SQL to analyze data in relational databases or data warehouses
• Understanding of Fee for Service and managed care claim adjudication
• Basic understanding of CMS...
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