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

Managed Care Specialist

VirtualVocations • Lexington, Kentucky, 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 • Lexington, Kentucky, United States

Ofertas relacionadas
Merchant Care Specialist

Merchant Care Specialist

VirtualVocations • Lexington, Kentucky, 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 4 días • Oferta promocionada
Credentialing Specialist

Credentialing Specialist

VirtualVocations • Lexington, Kentucky, 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
South Carolina Licensed Managed Care Coordinator

South Carolina Licensed Managed Care Coordinator

VirtualVocations • Lexington, Kentucky, 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
Lead Care Manager

Lead Care Manager

VirtualVocations • Lexington, Kentucky, 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
Manager of Care Management

Manager of Care Management

VirtualVocations • Lexington, Kentucky, 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
Oncology Clinical Care Specialist

Oncology Clinical Care Specialist

VirtualVocations • Lexington, Kentucky, 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
Certified Nursing Assistant (CNA)

Certified Nursing Assistant (CNA)

The Willows at Harrodsburg • Harrodsburg, KY, US
A tiempo completo
At Trilogy, you’ll experience a caring, supportive community that values each team member.We prioritize meaningful relationships, genuine teamwork, and continuous growth.With the stability of...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Care Coordinator Specialist

Care Coordinator Specialist

VirtualVocations • Lexington, Kentucky, 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
Physical Therapist

Physical Therapist

Delta Companies • Richmond, KY, US
A tiempo completo
Setting : Outpatient, Orthopedics .Compensation : $1,524 - $1,787 estimated weekly pay .Start : ASAP | open to 1-2 months out . Duration : 13 weeks | potential to extend .Benefits : Blue Cross Blu...Mostrar más
Última actualización: hace 1 día • Oferta promocionada
Managed Care Follow Up Specialist

Managed Care Follow Up Specialist

VirtualVocations • Lexington, Kentucky, 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 5 días • Oferta promocionada
Customer Care Specialist

Customer Care Specialist

VirtualVocations • Lexington, Kentucky, 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
Per Diem / PRN Nurse RN - Telemetry - $52 per hour

Per Diem / PRN Nurse RN - Telemetry - $52 per hour

HealthTrust Workforce Solutions Local • Frankfort, KY, US
A tiempo completo
HealthTrust Workforce Solutions Local is seeking a per diem / prn nurse RN Telemetry for a per diem / prn nursing job in Frankfort, Kentucky. Job Description & Requirements.Entrust Your Career to He...Mostrar más
Última actualización: hace 4 días • Oferta promocionada
Charge Nurse (RN) Emergency Room

Charge Nurse (RN) Emergency Room

Spring View Hospital • Mitchellsburg, KY, US
A tiempo completo
Charge Nurse (RN) Emergency Room.Job Type : Full-time 7p-7a - Mon Tues Thurs or Wed Thurs Fri weekly.People are our passion and purpose. Come work where you are appreciated for who you are not just w...Mostrar más
Última actualización: hace 8 días • Oferta promocionada
Pennsylvania Licensed Triage Care Manager

Pennsylvania Licensed Triage Care Manager

VirtualVocations • Lexington, Kentucky, 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 5 días • Oferta promocionada
Registered Nurse

Registered Nurse

Encompass Health • Perryville, KY, US
A tiempo completo +1
Cardinal Hill Rehabilitation Hospital - $10,000 Sign-On Bonus.Encompass Health : Where Nursing Meets Heart, Home, and Healing. Are you seeking a nursing career deeply rooted in purpose, close to your...Mostrar más
Última actualización: hace 19 días • Oferta promocionada
Healthcare Contracting Specialist

Healthcare Contracting Specialist

VirtualVocations • Lexington, Kentucky, 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
Care Management Coordinator

Care Management Coordinator

VirtualVocations • Lexington, Kentucky, 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
Travel Nurse RN - Stepdown

Travel Nurse RN - Stepdown

Titan Medical Group • Waddy, KY, 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 1 día • Oferta promocionada