Managed Care Jobs in Springfield (MO)
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Search Results - Managed Care Jobs in Springfield (MO)
Prisma Health-Springfield (MO)
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...
Innovativ Pharma, Inc.-Springfield (MO)
Develop, analyze, prioritize and execute in order to execute territory plans to achieve business results through compliant means.
• Uses functional and technical knowledge of pharmacology products, healthcare, pharmaceutical market places, managed care...
Huron Consulting Group-Springfield (MO)
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...
Salient-Springfield (MO)
fundamentals: payer/provider landscape and plan types (Medicare, Medicaid, Managed Care, Commercial).
• Working knowledge of health plan operations: claims processing, membership and enrollment, provider, and benefits.
• Familiarity with medical claims data...
mindmatch.ai -
Merck Sharp & Dohme (MSD)-Springfield (MO)
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...
UpLevel Sourcing-Springfield (MO)
Advanced degree such as MBA or MHA preferred
• Minimum 3–5 years of senior leadership or CEO-level experience in a behavioral health, acute care, and/or managed care environment, or completion of a formal CEO training program
• Demonstrated leadership...
Abbott-Springfield (MO)
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...
Jordan Valley Health-Springfield (MO)
in a managed care environment and working with peers and other health providers to resolve utilization, quality management, performance improvement, pharmacy and therapeutics, peer review, credentialing, and physician leadership issues.
Minimum 3 years...
UnitedHealth Group-Springfield (MO)
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-Springfield (MO)
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-Springfield (MO)
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-Springfield (MO)
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-Springfield (MO)
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...
UnitedHealth Group-Springfield (MO)
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...
TEKsystems-Springfield (MO)
outbound calls
• Proficient in Microsoft Word, Excel, Outlook, and Google; ability to learn new technology
• Medicare/managed care experience preferred
• Ability to work independently in a remote environment
• Bilingual a plus: English plus Spanish/Mandarin...
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