Talent.com
Managed Care Specialist
Managed Care SpecialistVirtualVocations • Cranston, Rhode Island, United States
No se aceptan más aplicaciones
Managed Care Specialist

Managed Care Specialist

VirtualVocations • Cranston, Rhode Island, United States
Hace 3 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 • Cranston, Rhode Island, United States

Ofertas relacionadas
Care Coordination Specialist

Care Coordination Specialist

VirtualVocations • Cranston, Rhode Island, United States
A tiempo completo
A company is looking for a Care Coordination Specialist to provide non-clinical administrative support in a remote environment. Key Responsibilities Provide administrative support to Case Managers...Mostrar más
Última actualización: hace 3 días • Oferta promocionada
Illinois Care Management Coordinator

Illinois Care Management Coordinator

VirtualVocations • Cranston, Rhode Island, United States
A tiempo completo
A company is looking for a Care Management Support Coordinator II to assist with care management activities remotely in Illinois. Key Responsibilities Conduct outreach to members to support care p...Mostrar más
Última actualización: hace 1 día • Oferta promocionada
Intake Specialist

Intake Specialist

VirtualVocations • Cranston, Rhode Island, United States
A tiempo completo
A company is looking for an Intake Specialist.Key Responsibilities Accurately enter referrals and communicate with referral sources to ensure documentation is completed Review medical records fo...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Patient Access Intake Specialist Sr-Rehab

Patient Access Intake Specialist Sr-Rehab

Southcoast Health • Fall River, MA, United States
A tiempo completo
Patient Access Intake Specialist Sr-Rehab.Join Southcoast Health, where your future is as promising as the care we provide. Our commitment to each other, our patients, and our community is more than...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Home Care Intake Specialist $28.58 / hour

Home Care Intake Specialist $28.58 / hour

BRISTOL AGING AND WELLNESS INC • Fall River, MA, US
A tiempo completo
This position is responsible for initial client assessments, service planning and coordination of care in compliance with AGE and agency guidelines within the 15 communities.Bristol Aging & Wel...Mostrar más
Última actualización: hace 14 días • Oferta promocionada
Healthcare Access Specialist

Healthcare Access Specialist

Newport County Community Mental Health Center • Middletown, RI, US
A tiempo completo
Newport Mental Health (NMH) is a progressive high-energy organization that uses state of the art person-centered recovery approach to help individuals recover from mental illness and substance use ...Mostrar más
Última actualización: hace 5 días • Oferta promocionada
Customer Care Specialist

Customer Care Specialist

PSG Global Solutions • Lincoln, RI, US
Indefinido
One of the largest staffing organizations in the United States, provides temporary, temporary-to-hire and permanent placement services each week to over 100,000 people through its network of more t...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Care Team Supervisor

Care Team Supervisor

Elara Caring • Bellingham, MA, US
A tiempo completo
The opportunity to play a huge role in the growth of an entire home care industry is available at Elara Caring.Each employee has the chance to make a real difference by carrying out our mission eve...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Manager of Care Navigation

Manager of Care Navigation

VirtualVocations • Cranston, Rhode Island, United States
A tiempo completo
A company is looking for a Manager, Care Navigation to lead and grow their Patient Care Specialist team.Key Responsibilities Lead, coach, and develop a high-performing Patient Care Specialist tea...Mostrar más
Última actualización: hace 1 día • Oferta promocionada
Senior Care Manager

Senior Care Manager

VirtualVocations • Cranston, Rhode Island, United States
Temporal
Care Manager for a short-term contract in Patient Support Services (Remote).Key Responsibilities Perform outbound calls to obtain eligibility information and document accurately Assist patients ...Mostrar más
Última actualización: hace 4 horas • Oferta promocionada • Nueva oferta
Healthcare Operations Support Specialist

Healthcare Operations Support Specialist

VirtualVocations • Cranston, Rhode Island, United States
A tiempo completo
A company is looking for a Healthcare Operations Support Specialist (SCA).Key Responsibilities Monitors internal and external reports and takes specific actions based on the information Responds...Mostrar más
Última actualización: hace 2 días • Oferta promocionada
RN Field Clinical Care Coordinator- Fall River / New Bedford, MA

RN Field Clinical Care Coordinator- Fall River / New Bedford, MA

UnitedHealth Group • Fall River, Massachusetts, United States
A tiempo completo
UnitedHealthcare is excited to serve more members in Massachusetts and is seeking dedicated professionals to be part of our team. If you are enthusiastic about making an impact in healthcare, learn ...Mostrar más
Última actualización: hace 5 días • Oferta promocionada
Intensive Care Coordinator | New Bedford

Intensive Care Coordinator | New Bedford

Gandara Mental Health Center, Inc. • New Bedford, MA, US
A tiempo completo
Explore the career pathways in Behavioral Health, Substance Use and Recovery, Community Based Clinical services, Adolescent and Family services, Adult Residential, Maintenance and Administration! W...Mostrar más
Última actualización: hace 27 días • Oferta promocionada
Home Health Aid

Home Health Aid

HCAOA • Providence, RI, US
A tiempo completo +1
Right at Home, In-Home Care & Assistance, is seeking to hire skilled caregivers and CNAs to join a dynamic care team providing clinical expertise in-home. We have immediate part-time and full-time p...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
South Carolina Licensed Managed Care Coordinator

South Carolina Licensed Managed Care Coordinator

VirtualVocations • Cranston, Rhode Island, United States
A tiempo completo
A company is looking for a Managed Care Coordinator I.Key Responsibilities Perform medical or behavioral review / authorization processes to ensure coverage for appropriate services Utilize resour...Mostrar más
Última actualización: hace 14 días • Oferta promocionada
Care Coordinator

Care Coordinator

Family Service Association - Fall River • Brockton, MA, US
A tiempo completo
We are offering a $1,000 sign on bonus!.We are looking to hire a full time (40 hours / week) Care Coordinator in our Long-Term Services and Supports (LTSS) Community Partner (CP) program.Th...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Direct Care

Direct Care

Sevita • Norton, Massachusetts, us
A tiempo completo +1
NeuroRestorative, a member of the Sevita family, provides rehabilitation services for people of all ages with brain, spinal cord and medically complex injuries, illnesses and other challenges.In a ...Mostrar más
Última actualización: hace 5 horas • Oferta promocionada • Nueva oferta
Credentialing Specialist

Credentialing Specialist

VirtualVocations • Cranston, Rhode Island, United States
A tiempo completo
A company is looking for a Credentialing Specialist to support provider credentialing and payer enrollment functions for healthcare clients. Key Responsibilities Manage end-to-end credentialing an...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Housing Specialist IHH CCBHC (Full Time)

Housing Specialist IHH CCBHC (Full Time)

Community Care Alliance • Woonsocket, RI, US
A tiempo completo
Housing Specialist IHH CCBHC (Full Time).Community Care Alliance is proud to offer an array of services supporting individuals who are homeless / unstably housed and coping with mental health and sub...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
RN Field Clinical Care Coordinator- Fall River / New Bedford, MA

RN Field Clinical Care Coordinator- Fall River / New Bedford, MA

UnitedHealthcare • Fall River, MA, US
A tiempo completo
UnitedHealthcare is excited to serve more members in Massachusetts and is seeking dedicated professionals to be part of our team. If you are enthusiastic about making an impact in healthcare, learn ...Mostrar más
Última actualización: hace 1 día • Oferta promocionada