Talent.com
Managed Care Specialist
Managed Care SpecialistVirtualVocations • Appleton, Wisconsin, United States
No se aceptan más aplicaciones
Managed Care Specialist

Managed Care Specialist

VirtualVocations • Appleton, Wisconsin, United States
Hace más de 30 días
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

A company is looking for a Managed Care Specialist - Contracting (Remote).

Key Responsibilities

Review Provider Information Forms related to managed care business operations

Maintain provider contract grids and communicate changes to third-party MSO

Conduct routine audits of provider updates and assist with new or amended contracts

Required Qualifications

High school diploma / GED required; Bachelor's degree in a related field preferred

One year of relevant work experience in healthcare, finance, or accounting required

Two years of Managed Care experience in Financial Operations required

Three years of Managed Care experience in Operations within a Medical Group or IPA required

Experience in interpreting financial data is required

Crear una alerta de empleo para esta búsqueda

Managed Care Specialist • Appleton, Wisconsin, United States

Ofertas relacionadas
Care Coordinator Specialist

Care Coordinator Specialist

VirtualVocations • Appleton, Wisconsin, United States
A tiempo completo
A company is looking for a Care Coordinator Auth Scheduling Specialist.Key Responsibilities Completes referrals for patients and coordinates with referring and receiving practices and / or departme...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Retirement Plan Specialist

Retirement Plan Specialist

Associated Bank - Corp • Neenah, WI, United States
A tiempo completo
At Associated Bank we strive to create an inclusive culture where different perspectives are valued and recognized as strengths critical to our success. If you thrive in an environment where your gr...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Care Partner

Care Partner

Experience Senior Living • Oshkosh, WI, US
A tiempo completo
The Experience Senior Living Team is comprised of dynamic professionals that are fueled by their passion to empower people as they grow older to live life to the fullest. They are creators, architec...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Care Coordinator

Care Coordinator

Glades Talent • Appleton, WI, US
A tiempo completo
Rediscover purpose with a team that does healthcare differently.We focus on innovative solutions and patient-first care.If you're driven, creative, and ready to make an impact, join us.You'...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Healthcare Contracting Specialist

Healthcare Contracting Specialist

VirtualVocations • Appleton, Wisconsin, United States
A tiempo completo
A company is looking for a Specialist, Contracting.Key Responsibilities Draft, review, and negotiate provider or vendor contracts Coordinate credentialing and onboarding processes Maintain cont...Mostrar más
Última actualización: hace 3 días • Oferta promocionada
South Carolina Licensed Managed Care Coordinator

South Carolina Licensed Managed Care Coordinator

VirtualVocations • Appleton, Wisconsin, United States
A tiempo completo
A company is looking for a Managed Care Coordinator I to evaluate medical or behavioral eligibility regarding benefits and clinical criteria. Key Responsibilities Perform medical or behavioral rev...Mostrar más
Última actualización: hace 23 días • Oferta promocionada
Customer Care Specialist

Customer Care Specialist

VirtualVocations • Appleton, Wisconsin, United States
A tiempo completo
A company is looking for a Customer Care Specialist to provide assistance to members and providers regarding programs, policies, and procedures. Key Responsibilities Answer incoming calls related ...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Care Coordinator

Care Coordinator

ADVENT • Appleton, WI, US
A tiempo completo
Rediscover Purpose with ADVENT.At ADVENT, we do healthcare differently.We focus on innovative solutions and patient-first care. If you're driven, creative, and ready to make an impact, join us.A...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Travel Nurse RN - Stepdown

Travel Nurse RN - Stepdown

Titan Medical Group • Malone, WI, US
A tiempo completo
WHEN YOU WORK FOR US, WE WORK FOR YOU\n.With Titan Medical, you gain access to thousands of travel nursing and allied health jobs across the country. You also get unmatched service.From the moment y...Mostrar más
Última actualización: hace 22 horas • Oferta promocionada • Nueva oferta
Merchant Care Specialist

Merchant Care Specialist

VirtualVocations • Appleton, Wisconsin, United States
A tiempo completo
A company is looking for a Merchant Care Specialist to enhance the merchant experience through resolution-oriented support. Key Responsibilities Provide support to merchants via chat, email, and p...Mostrar más
Última actualización: hace 3 días • Oferta promocionada
Managed Care Follow Up Specialist

Managed Care Follow Up Specialist

VirtualVocations • Appleton, Wisconsin, United States
A tiempo completo
A company is looking for a Managed Care Follow Up Specialist.Key Responsibilities Monitor and track the status of submitted reconsiderations, appeals, and disputes Review outstanding hospital re...Mostrar más
Última actualización: hace 4 días • Oferta promocionada
Manager of Care Management

Manager of Care Management

VirtualVocations • Appleton, Wisconsin, United States
A tiempo completo
A company is looking for a Manager, Care Management.Key Responsibilities Manage and develop a team of Team Leads and Care Coordinators, ensuring high-quality patient-centric care Oversee operati...Mostrar más
Última actualización: hace 3 días • Oferta promocionada
Care Management Coordinator

Care Management Coordinator

VirtualVocations • Appleton, Wisconsin, United States
A tiempo completo
A company is looking for a Care Management Support Coordinator.Key Responsibilities Perform outreach to members via phone to assist with care plan next steps and resource connections Serve as th...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Pennsylvania Licensed Triage Care Manager

Pennsylvania Licensed Triage Care Manager

VirtualVocations • Appleton, Wisconsin, United States
A tiempo completo
A company is looking for a Triage Care Manager.Key Responsibilities Assist Participants in coordinating care for Long Term Services & Supports and closing care gaps Conduct assessments to id...Mostrar más
Última actualización: hace 4 días • Oferta promocionada
Healthcare Collections Specialist

Healthcare Collections Specialist

VirtualVocations • Appleton, Wisconsin, United States
A tiempo completo
A company is looking for a 3rd Party Experienced Healthcare Collections professional for a remote position.Key Responsibilities Communicate with consumers to resolve unpaid accounts through calls...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Credentialing Specialist

Credentialing Specialist

VirtualVocations • Appleton, Wisconsin, United States
A tiempo completo
A company is looking for a Credentialing / Enrollment Specialist responsible for managing provider credentialing and payer enrollment. Key Responsibilities Process and manage initial and recredentia...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Lead Care Manager

Lead Care Manager

VirtualVocations • Appleton, Wisconsin, United States
A tiempo completo
A company is looking for a Case Manager.Key Responsibilities Assess member needs across various health and social domains and oversee the development of client care plans Connect clients to nece...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Oncology Clinical Care Specialist

Oncology Clinical Care Specialist

VirtualVocations • Appleton, Wisconsin, United States
A tiempo completo
A company is looking for a Cancer Clinical Care Specialist, Flex Limited-Term.Key Responsibilities Support the development of operational workflows and strategic goals for the cancer care program...Mostrar más
Última actualización: hace 2 días • Oferta promocionada