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Manager Managed Care - Managed Care
Irving, Texas, United States
OnsiteFull Time
Experience managing managed care contracts, payer relations, denial and underpayment resolution, credentialing, training/mentoring staff, and conducting payment and operational data analysis. Bachelor's degree preferred.
1w
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Managed Care Coordinator
Kansas City, Missouri, United States
OnsiteFull Time
3+ YOEProvide care coordination for clients with physical, behavioral, and community care needs; strong communication, IT experience; BCLS preferred; 3+ years clinical or care management experience preferred.
3d
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Managed Care Specialist
Cooperstown, New York, United States
$43k-$50k/yr OnsiteFull Time
1+ YOEHigh school diploma or equivalent; 1 year managed care/insurance/healthcare operations experience with an associate degree or 3 years' experience without; knowledge of Medicaid/Medicare/managed care, HIPAA, and billing practices.
1mo
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Managed Care Director
Dyer, Indiana, United States
OnsiteFull Time
10+ YOE10+ years in direct-to-employer contracting, managed care, value-based care, healthcare administration, payer relations, or oncology multispecialty operations; direct contracting with employers and payers.
Microsoft Office Suite, Salesforce
1mo
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Managed Care Resource
Orlando, Florida, United States
FieldFull Time
2+ YOEExpertise in managed care contracting and negotiation, knowledge of CPT-4/HCPCS/ICD coding, skilled nursing managed care experience, strong analytical and communication skills, proficiency with Contract Logix and Microsoft Office, willingness to travel up to 80% and reside in Orlando.
Contract Logix, Microsoft Word, Microsoft Outlook, Microsoft Excel
2mo
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Managed Care Coordinator
New York, New York, United States
$39k-$48k/yr OnsiteFull Time
1+ YOEHigh school diploma required; one year managed care experience; healthcare setting preferred.
2mo
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Managed Care Coordinator
New York, New York, United States
$39k-$48k/yr OnsiteFull Time
1+ YOEHigh school diploma; college degree preferred; 1 year managed care experience; healthcare setting preferred; familiarity with utilization/case management.
21h
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Director, Managed Care
Morristown, New Jersey, United States
$88-$164/hr OnsiteFull Time
6+ YOE6+ MgmtRequires bachelor’s in healthcare/business (master’s preferred), 6+ years managerial managed care/payer contracting experience, contract negotiation expertise, network management, and reimbursement/medical economics knowledge.
Epic
1mo
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Managed Care Analyst
Pensacola, Florida, United States
HybridFull Time
3+ YOEBachelor's in business/finance/health care admin or 4 years' related experience; 3+ years managed care contract modeling or healthcare financial analysis; Epic experience and advanced Excel; strong reimbursement and data analysis skills.
Epic, Microsoft Excel
2w
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Managed Care Analyst
Texas, United States
$78k-$117k/yr RemoteFull Time
5+ YOE5+ years managing managed care contracts, hands-on Epic contract modeling, bachelor's degree in related field required, EPIC certifications required within 180 days, strong analytics and Excel/BI tool proficiency.
Epic, Hyperdrive, Text, PJX/SUP, REL, Data Courier, Epic Reporting, SAP BI, Microsoft Excel, Business Objects (Webi/SAP Universes), StrataJazz, Power BI
2w
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Supervisor, Managed Care
United States
$81k-$134k/yr FieldFull Time
5+ YOE5+ years credentialing experience in managed care/provider settings, personnel leadership, payer enrollment/credentialing expertise, strong Medicare/Medicaid knowledge, Excel and Word proficiency, excellent communication.
Microsoft Excel, Microsoft Word
1mo
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Managed Care Specialist
Visalia, California, United States
$22-$30/hr OnsiteFull Time
2+ YOE2+ years healthcare administration or relevant experience; proficiency with Microsoft Word, Excel, and PowerPoint; ability to support managed care contracting, provider credentialing, reporting, and health plan interactions.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
1mo
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Managed Care Biller
Blue Ash, Ohio, United States
OnsiteFull Time
CommuniCare Health Services: Operates skilled nursing and behavioral health care facilities.
Knowledge of medical billing and collections, claim appeals/resolution, experience with managed care payors, strong attention to detail, written and verbal communication, basic computer skills, and strong organization.
1mo
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Director, Managed Care
Nashville, Tennessee, United States
OnsiteFull Time
10+ YOE10+ years in managed care/payer contracting, strong negotiation and financial modeling skills, experience with provider payer negotiations, client advisory and business development experience; bachelor\u0002s required, advanced degree preferred.
Microsoft Office Suite, Microsoft Excel, Microsoft PowerPoint
2d
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Managed Care Coordinator
Wisconsin or Iowa or Minnesota
$20/hr HybridFull Time
2+ YOECoordinate provider enrollment, credentialing, and contracting with Medicare, Medicaid, and commercial payers; maintain documentation and reports; associate degree and 2 years related experience required; 1 year managed care preferred.
1mo
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Senior, Managed Care Negotiator | Managed Care & Corporate Development
Jacksonville, Florida, United States
HybridFull Time
5+ YOEFive+ years in managed care contracting/payor negotiations; strong analytic, modeling, and stakeholder collaboration skills; bachelor’s degree required, master’s preferred.
5d
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Managed Care Coordinator
Orange, California, United States
$64k-$106k/yr OnsiteFull Time
2+ YOE2+ years managed care or provider relations experience, HS diploma/GED required; Bachelor\u0002s preferred. Proficient in Word, Excel, PowerPoint; knowledge of HMO/POS/PPO and Medi-Cal structures.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Access
4w
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Medicaid Managed Care Liaison
Brooklyn, New York, United States
$52k-$55k/yr HybridFull Time
Bachelor's degree or higher in a related field, valid NYS driver’s license, knowledge of NYS child welfare, foster care healthcare requirements, Medicaid Managed Care policies, and experience with MS Outlook and care management systems.
Microsoft Outlook, ASARA, AMD
2mo
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Director, Managed Care
Fremont, California, United States
OnsiteFull Time
7+ YOE5+ MgmtExperience in managed care contracting with leadership, financial analysis, and contract negotiations in healthcare revenue cycle.
Financial Modeling, Excel, PowerPoint, Windows
1mo
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Managed Care Biller - Rockport
Glendale, California, United States
$37-$40/hr OnsiteFull Time
5+ YOEFive years of managed care billing experience in a skilled nursing facility environment; full-time.
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