Managed Care Jobs in Worcester
Search jobs in
1 - 12 of 12
Search Results - Managed Care Jobs in Worcester
KabaFusion-Worcester
development teams, fostering a high-performance culture while collaborating with Sales, Managed Care, Operations, Clinical Services, Pharmacy, and Executive Leadership to drive sustainable growth and enhance patient outcomes.
ESSENTIAL DUTIES...
Read more
Worcester
and understandable manner to potential clients/family members/ Call Center or to managed care companies.
• Screens and assesses for exclusionary criteria, such as active psychosis/ active suicidal or homicidally.
• Calls Charge Nurse immediately to assess serious...
Read more
icims.com -
Family Health Center-Worcester
with Virtual Gateway strongly preferred. Familiarity with managed care plans preferred. Position requires strong customer service and prioritization skills.
Educational Requirements:
High school/GED diploma required. Post-high school training required. BS/BA...
Read more
Integrated Resources, Inc ( IRI )-United, 421 mi from Worcester
Job Description
Pharmacist – Managed Care / Medicare
Location: Remote
Duration: 12-Month Contract
Pay Rate: $53–$55/hour on W2 (Negotiable)
Position Overview
We are seeking a licensed Pharmacist with experience in Medicare Part B pharmacy...
Read more
Family Health Center-Worcester
performance for UDS, ACO, and managed care plans. Develop and implement quarterly provider peer reviews. Develop and implement non-provider clinical support staff quality and risk management audits. Maintain indicator and peer review/audit databases.
Produce...
Read more
MagnaCare-United, 421 mi from Worcester
of utilization review or medical director experience at a health plan, TPA, managed care organization, or delegated medical group
• Hands-on experience applying MCG or comparable evidence-based criteria and writing adverse determination rationale
Preferred...
Read more
Family Health Center-Worcester
Master’s degree in social work, psychology, or counseling required.
Two to four years direct patient care and managed care experience preferred; public sector experience may be applicable.
Experience working with children and adolescents required...
Read more
Worcester
for transfer of care when needed.
• Knowledge of managed care and insurance- as it relates to mental health benefits- is a plus.
• Outreach Associates must have the skills and competency to communicate with people at all levels of the organization; including...
Read more
icims.com -
Veterans Inc.-Worcester
healthcare operations.
• Knowledge of MassHealth eligibility, managed care organizations, and enrollment processes preferred.
• Certified Application Counselor (CAC) certification preferred; candidates without current certification must complete required...
Read more
Edward M. Kennedy Community Health Center, Inc.-Worcester
about helping people live healthier lives and enjoy working in a supportive, team-based environment.
Essential Functions:
• Process and facilitate specialty referrals for patients of the Health Center.
• Communicate with managed care plans and third...
Read more
VNA Care-Worcester
Weekend and Holiday rotation
Current LPN License required.
Experience:
• Minimum 2 years related experience including medical/surgical and community health and/or experience with a managed care organization. Current LPN license required.
• Previous...
Read more
Palco-Worcester
managed care organizations (MCOs), partners, and internal stakeholders. Serve as a trusted advisor by developing a deep understanding of client business processes, program requirements, and operational needs to support successful implementations and long...
Read more
Managed Care jobs in Worcester – Similar offers:
Managed Care jobs – More cities:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Managed Care, Worcester
It's free, and you can cancel email updates at any time