Managed Care Jobs in Edison (NJ)
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Search Results - Managed Care Jobs in Edison (NJ)
Edison (NJ)
Care Models and Services, Physician Services, Home Care, Hospice, Infusion, and DME). Perform managed care contract modeling analytics; Revenue Integrity analytics; assist with Charge Master Analytics; the Contract Management System analytics and build...
icims.com -
Compass Healthcare Consulting and Placement-New York, 25 mi from Edison (NJ)
Compass Healthcare Consulting & Placement is conducting a search for a growing Managed Care Plan in NYS for a VP of Network Management. Qualified candidates will have previous experience with Network Operations, Network Data, Contracting...
mindmatch.ai -
Edison (NJ)
safety rules and state and federal regulations. Gathers appropriate identification for patients and confirms all patient demographics to validate patient identity. Conducts intensive screening of all Medicare, Medicaid and managed care patients...
icims.com -
RCM Health Care Services-New York, 25 mi from Edison (NJ)
Minimum Qualifications*
• Bachelor’s Degree required, Master’s preferred.
• A minimum of 5 years of Care Management experience in a health care and/or Managed Care setting required.
• Minimum of 2 years managerial/leadership experience in a Managed Care...
Edison (NJ)
safety rules and state and federal regulations. Gathers appropriate identification for patients and confirms all patient demographics to validate patient identity. Conducts intensive screening of all Medicare, Medicaid and managed care patients...
icims.com -
Care One Enterprise-Livingston (NJ), 20 mi from Edison (NJ)
of company policies and procedures pertaining to the Medicare and Managed care reimbursement in the facility. This position reports to the Administrator of the facility and receives consultative assistance from the Regional Clinical Reimbursement Specialist...
Edison (NJ)
termination of benefits, communication of information to insurance company, billing certifications, concurrent managed care denial appeals and retrospective medical record utilization reviews.
2. Obtains and evaluates medical records for inpatient admissions...
icims.com -
Concentra-Somerset (NJ), 5 mi from Edison (NJ)
Experience
• Preferred two years' directly applicable experience including relevant clinical and supervisory experience for clinical scope
• Preferred two years’ experience in managed care and physician management.
• Experience developing and leading medical...
Edison (NJ)
year experience for non BSN HackensackUMC employees.
• Knowledge of managed care principles.
• Knowledge of Quality Improvement Program - New Jersey program and its Quality Metrics.
• Knowledge of health care delivery system, utilization and review...
icims.com -
CBOHN-New York, 25 mi from Edison (NJ)
such as coverage, reimbursement, managed care delivery systems, or demonstration projects under section 1115 of the Social Security Act. Candidates without such experience are nonetheless encouraged to apply if they have a strong interest in and willingness...
resume-library.com -
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