Managed Care Jobs in Pittsburgh
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Search Results - Managed Care Jobs in Pittsburgh
Prisma Health-Pittsburgh
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...
Universal Background Screening-Pittsburgh
Managed Care, Education, and Professional Services.
About the Role
The Account Executive is responsible for selling Universal Background Screening’s employment screening, drug testing, and occupational health solutions to organizations. The primary focus...
mindmatch.ai -
UnitedHealth Group-Pittsburgh
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...
Confidential Careers-Pittsburgh
interventions and make appropriate referrals.
• Make referrals to Behavioral Health Managed Care Organizations (BHMCO) when appropriate.
• Contact members, healthcare providers, and community agencies to coordinate access to preventive health services.
• Develop...
Abbott-Pittsburgh
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...
Confidential Careers-Pittsburgh
interventions and make appropriate referrals.
• Make referrals to Behavioral Health Managed Care Organizations (BHMCO) when appropriate.
• Contact members, healthcare providers, and community agencies to coordinate access to preventive health services.
• Develop...
Aucta Pharmaceuticals Inc.-Pittsburgh
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...
Merck Sharp & Dohme (MSD)-Pittsburgh
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-Pittsburgh
responsibilities.
• 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...
UnitedHealth Group-Pittsburgh
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...
Abbott Laboratories-Pittsburgh
to prospect for new business and close for new sales in expanded marketplace.
• Collaborate with various channels partners within HCP, Managed Care, Retail, and Point of Care organizations.
• Establish strong relationships with a broad base of internal...
jobs.abbott -
Pittsburgh
experience in provider credentialing within the managed care, hospital, or long term care environment.
3. Proficient with Microsoft Office applications and a willingness to learn advanced computer software.
4. Experience with CAQH/NCQA guidelines is preferred...
powerbackrehab.com -
Pittsburgh
and best practices in specialty pharmaceutical reimbursement operations, including benefit verification, prior authorization/managed care restrictions, and copay/affordability solutions.
Skills
• Understanding of SDLC process is a plus.
Competencies...
icims.com -
SCAN Health Plan-Pittsburgh
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...
Sedgwick-Pittsburgh
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...
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