Managed Care Jobs in Charlotte
between providers and vendors in compliance with federal fraud and abuse laws as well as participation agreements with managedcare organizations or provider networks in compliance with federal Medicare and Medicaid managedcare regulations...
deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managedcare products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
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- Closely communicates and collaborates with primary care practitioners, interdisciplinary team and family members. Works...
Knowledge (Preferred): Working knowledge of managedcare, commercial insurance, and Medicare reimbursement is a plus.
Ferretti Search is an award-winning Recruitment Firm specializing in Executive Recruiting and Staffing. Our product is people. Ferretti...
- Demonstrated track record of building business from the ground up
- Proven...
additional medical licenses as needed Preferred Qualifications: License in North Carolina or New Mexico a plus Experience in managedcare UM activities Experience with integration of clinical and financial data, development of utilization and performance...
- Demonstrates leadership in the professional practice of nursing evaluating his or her own nursing practice in relation to professional practice standards and guidelines...
state executives, managedcare organizations and other industry leaders to ensure the appropriate services are accessible to the families we serve. Compliance is an integral part of all Angels of Care processes. The robust compliance team and compliance...
to obtain additional medical licenses as needed
Preferred Qualifications:
- License in North Carolina or New Mexico
- Experience in managedcare UM activities
- Experience with integration of clinical and financial data, development of utilization...
in the state where the RN works required. Minimum of three years nursing experience preferred. Prefer two years in acute health care inpatient setting; home health, managedcare, hospice, or case management. Current driver’s license.
Atrium Health Job ID...
health/Human service experience. Knowledge of Medicaid standards, NC ManagedCare, Continuous Quality Improvement, and regulatory compliance required. Experience with conducting investigations of grievances and knowledge of Joint Commission accreditation...
institution
Job-Related Experience- Preferred two years' directly applicable experience including relevant clinical and supervisory experience for clinical scope
- Preferred two years’ experience in managedcare and physician management.
- Experience...
- Licensure/Certification: Current RN licensure in appropriate state, required.
- Additional Skills...