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Managed Care Jobs in Cleveland

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Search Results - Managed Care Jobs in Cleveland
Prisma Health-Cleveland
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...
Scientific Search-Cleveland
and/or IVD products  •  Strong knowledge of HEOR, managed care, reimbursement, and health policy  •  Diagnostics, oncology, or point-of-care expertise strongly preferred  •  Comfortable leading cross-functionally in an agile, evolving environment How To Apply...
Huron Consulting Group-Cleveland
Overview In this role, you advise healthcare executives on managed care strategy and value-based care transformation, and you lead analytics to evaluate contracts and financial performance. You work with senior leaders to deliver strategic...
Scientific Search-Cleveland
and/or IVD products  •  Strong knowledge of HEOR, managed care, reimbursement, and health policy  •  Diagnostics, oncology, or point-of-care expertise strongly preferred  •  Comfortable leading cross-functionally in an agile, evolving environment How To Apply...
Merck Sharp & Dohme (MSD)-Cleveland
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...
Aucta Pharmaceuticals Inc.-Cleveland
presence in the neurology/epilepsy sector by increasing our field sales territories to 20. Our objective is to enhance our marketing, managed care, and sales capabilities to support future pipeline products in neurology over the coming years Position...
Abbott-Cleveland
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...
Purposelink Recruitment-Cleveland
Gerontological Nurse Practitioner (GNP) Preferred  •  1+ years of Managed Care experience, especially with Medicaid or Dual Eligible (D‑SNP) populations  •  Experience working in interdisciplinary care teams  •  Familiarity with HCC coding, risk adjustment, STAR...
careers-page.com -
UnitedHealth Group-Cleveland
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-Cleveland
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...
Pennant Group-Cleveland
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...
Pennant Group-Cleveland
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...
Devoted Health-Cleveland
Active BLS certification at hire  •  Comfort delivering care via video telehealth and using electronic documentation systems  •  Familiarity with managed care models (preferred)  •  Experience with Medicare populations and older adults (preferred)  •  Experience...
CSpring-Cleveland
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...
UnitedHealth Group-Cleveland
projects in a matrix organization Key requirements  •  2+ years of professional Microsoft Office experience  •  1+ years of experience with Medicare Advantage products and bid submission process  •  1+ years of experience in a managed care organization  •  1...
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