Managed Care Jobs in Pennsylvania
1 - 15 of 43
Search Results - Managed Care Jobs in Pennsylvania
Oxford Solutions, Inc-Pittsburgh
in behavioral health and/or Medicaid managed care pricing and valuation as well as an ASA or FSA.
Your role is to support the behavioral health pricing process including engaging in advocacy with the state and its actuaries and completing all needed pricing...
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Premier Health-Southwest
teamwork and customer relations behavior; assure quality and appropriateness of Medical Care; cooperate with management to ensure that Managed Care and other insurance contracts are followed and enforced; participate in the utilization review...
America's Best-Philadelphia
in accordance with National Vision protocol.
Processes and understands managed care plans while obtaining document information from the insurance company as needed.
Provides customers basic and accurate information.
Schedules and confirms appointments, follow...
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myMDcareers-Philadelphia
are welcome. Lots of geriatrics. Managed Care/Medicare Advantage experience is preferred but nor required. Normal M-F hours. Very competitive compensation package plus bonus and benefits. Call Michael at 561-451-2211or michael@mymdcareers.com for details...
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2 similar jobs: Columbia, New York
America's Best-Tarentum
in accordance with National Vision protocol.
Processes and understands managed care plans while obtaining document information from the insurance company as needed.
Provides customers basic and accurate information.
Schedules and confirms appointments, follow...
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LifeStance Health-Philadelphia
location in Glen Mills to assist in meeting the behavioral health needs of Philadelphia area residents.
Delaware County Professional Services has a long standing and strong working relationship with managed care organizations, employee assistance programs...
Confidential-Philadelphia
Health Care
• Information Technology
Specialties
• Medicaid Managed Care
• Behavioral Health Care Services
• Medicare Advantage SNP
• Pharmacy Benefits Management
• Specialty Pharmacy
• and Long Term Services and Supports
About the Role
The Company...
mindmatch.ai -
Leidos-Trevose
system or civilian managed care medical/administrative environment
• Experience in a medical or clinical environment
• Experience with MHS Genesis or civilian healthcare computer system and in processing medical claims
• Experience in a customer...
A+ Home Health Care LLC-Dresher
health care industry. Knowledge of Managed Care Organizations and Maximus enrollment process is a must.
We offer competitive compensation packages, including base salary and performance-based bonuses. Additionally, we provide comprehensive benefits packages...
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Schwan's-Cherry Tree
Experience in Loss Control, Consulting, or Industrial Health and Safety
Experience in Managed Care, Return-To- Work, and/or Claims Management
Ability to effectively supervise employees
Must have excellent written and verbal communication skills
Ability...
Lorven Technologies Inc.-Philadelphia
to demonstrate and train in business systems solutions clearly and concisely.
• Clearly define desk-level procedures as required.
• Coordinate with internal and external project management staff as required.
• Knowledge of health insurance/health care/managed...
mindmatch.ai -
Mindlance-Philadelphia
of industry trends and regulatory changes
Keep abreast of operational directives and customer reference materials
2 years pharmacy experience preferred
Previous experience in managed care environment preferred
EEO:
“Mindlance is an Equal Opportunity...
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Health Partners Plans-Philadelphia
national recognition for our innovations in managed care.
While this job currently provides a flexible remote option, due to in-office meetings, training as required, or other business needs, our employees are to be residents of PA or the nearby states...
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AbbVie-Pennsylvania Furnace
and franchise/business point of view when leading teams and championing in-field meeting by developing a mastery of product and disease state information, as well as pertinent Market dynamics, including Managed Care landscape.
Coach, mentor, educate and develop...
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1 similar job: Camden
Heartland Hospice-Blue Bell
thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, and human resource) management principles.
We Offer:
• Comprehensive Benefits Package: Health Insurance, 401k Plan, Tuition Reimbursement, PTO
• Opportunity...
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