Managed Care Specialist
Vytwo
Vytwo is seeking a Health Rules Configuration Analyst for a remote position. The ideal candidate will have significant experience with Health Rules Payor configurations, specifically in benefit and referral category configurational contexts. Expertise in HR Payer table structures and SQL querying abilities are essential. The role emphasizes a strong background in health benefits configuration to optimize operational efficiencies. #J-18808-Ljbffr
Vacancy posted 13 hours ago
Similar jobs that could be interesting for youBased on the Managed Care Specialist in United States vacancy
$24 - $27 per hour
...medical group providing 24/7 whole-person care. Our clinical team treats physical,... ...team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services... ...room visits, and enhancing self-management. The role requires excellent communication...SuggestedFull timeWork experience placement- ...FountainRx Specialty Pharmacy is seeking a remote Patient Care Coordinator to support patients with retail, compounded, and specialty medications. You will manage inquiries, coordinate with providers and payors, and ensure accurate documentation across the care continuum...SuggestedRemote work
- ...Mercy is seeking a detail-oriented scheduling and patient access professional to manage registration, referrals, procedures and surgeries. You will coordinate patient financial services, perform insurance verification, pre-certification, and referrals, and ensure all...Suggested
- ...including 68 blended independent and assisted living, and 16 memory care apartments in a secured neighborhood on the first floor. The... ...has 50 stalls, maintenance rooms, and a residents’ storage area. Managed by Ebenezer, this newer care facility is located in River Falls,...SuggestedTemporary workRelocation package
$69.33k - $86.43k
...Care Management Specialist Pay Range: $69,328.99 - $86,426.61 annually $6,000 Recruitment Bonus for Clinical Master level new hires!! ($2,000 paid at start, $2,000 paid after 3 months, and $2,000 paid after successful probation period.) General Statement Of Duties...SuggestedWork at officeLocal areaTrial period$14 per hour
...Hour Employee Type Part-Time Required Degree NONE Manage Others No Description SUMMARY: Resident Specialists will be the first staff at point of entry for our Detroit... ...clients and guests ·Provide safe and ethical care of residents according to policies and procedures ·...Hourly payPart timeWork at officeImmediate startShift workAfternoon shift- A national healthcare company is seeking a Senior Appeals Representative to manage and resolve appeals and grievances. This remote role requires strong analytical skills and the ability to communicate effectively with members and providers. Candidates must have a High...Work at officeRemote work
$17.75 - $24.73 per hour
...Managed Care Specialist Department of Medicine The Managed Care Specialist will: Serve as a contact for all managed care related issues in the Pediatric Subspecialty unit. Keep the Managed Care information up-to-date for all physicians and providers for all subspecialty...Full timeWork experience placementImmediate startShift work$59k - $62k
...Care Specialist Pelago is the leading specialty substance use care provider, built on the belief that effective treatment means matching... ...and has already helped more than 750,000 members better manage their substance use. If you're passionate about AI and making...Full timeTemporary workRemote workHome officeFlexible hours- ...healthcare organization is seeking a Medical Office Specialist to facilitate patient interactions and manage administrative tasks. This role requires a high school... ...in English and Spanish, and a passion for patient care. Enjoy a family-friendly schedule with no evenings or...Work at officeWeekend workAfternoon shift
- ...Managed Care Specialist Blue & Co., LLC is a dynamic, innovative professional services firm that provides accounting and consulting services to growth-oriented, entrepreneurial clients across multiple industries. Healthcare is our largest industry focus, supported by...Contract work
$80k - $110k
...Managed Care SpecialistThe Managed Care Specialist works with the Revenue Cycle Team to manage and negotiate hospital contracts. Responsible for all managed care contracts for the hospital and affiliated organizations. Assists in negotiating contracts to ensure the optimum...- ...Mile Bluff Medical Center in Wisconsin is seeking a Contracting and Revenue Integrity Specialist to support the CFO in payer contracting, reimbursement analysis, and revenue optimization across hospital, clinics, nursing homes, and retail pharmacies. The role maintains...Contract work
$21.56 per hour
...Job Description Primary Accountability The Managed Care Specialist is responsible for contributing towards the efforts of the Managed Care department through support of managed care contracting requirements, the provider credentialing process, and maintaining IPA...Hourly payRemote workShift work- ...Float Health is seeking an Intake Specialist to manage new patient referrals and coordinate start-of-care visits. You will liaise between pharmacies, nurses, and patients, using our tech platforms to ensure timely staffing and safe, quality care. This fully remote role...Remote work
- ...FYZICAL Therapy & Balance Centers in Henrico, VA is seeking a Client Care Specialist to manage front-desk duties and patient communications. This role involves scheduling, greeting patients, handling inquiries, and assisting with payments in a clinical office setting....Work at office
$16 - $19 per hour
...COMPANY OVERVIEW At Blue Ridge Escapes, we manage high-quality short-term rental properties... ...brand. POSITION SUMMARY The Turnover Specialist is responsible for preparing Blue Ridge Escapes... ..., sick days, and vacation days. Health Care Reimbursement Allowance. Car Allowance if...Hourly payFull timeTemporary workFlexible hours- ...accommodation or an alternative application process. Foster Care Licensing Specialist Clay County, FL FOSTER CARE LICENSING SPECIALIST - Full-... ...the assigned area, connects with potential foster parents, manages licensing, and owns the family file as long as assigned. The...Full timeWork experience placementLive inWork at officeLocal areaShift workNight shiftWeekend work
- ...supporting people with I/DD, person-centered practices, and integrated employment and community living • Experience with program management and/or grant management • Experience in contract management • Experience working in or with Medicaid or disability related...Contract workWork at office
- ...Enloe Health in Chico, California is seeking a Care Coordinator to manage patient care during episodes of treatment. This role requires coordinating with patients, families, and medical teams to ensure effective care and resource utilization. The ideal candidate will...
$20.98 per hour
...Patient Care Specialist (Primary Care) Department: FQHC-Specific Administration Employment Type: Full Time Location: Columbia... ...those with no or limited insurance-by coordinating referrals, managing assistance programs, and ensuring they get the right care at...Full timeWork experience placementWork at officeMonday to Friday- A leading healthcare provider is seeking a remote Patient Care Engagement Coordinator to manage leads and support overall patient engagement. The ideal candidate should have a customer-first mindset, administrative experience, and excellent communication skills. Responsibilities...Remote work
- ...Role : Managed Care Specialist Location : Nashville, TN Rate : $18.50/hr on W2 Only W2 Key Responsibilities • Determine individual and family eligibility for our Client's care programs. • Assist in coordinating and communicating schedules to internal/external...Work experience placement
- ...Managed Care Specialist Bilingual candidates only. Our client is looking to hire a Managed Care Specialist for a hybrid role. No duplicate submissions. Our client provides a hybrid work environment. Most positions have a combination of work from home and work in...Contract workFor contractorsWork experience placementWork at officeLocal areaRemote work
- ...To support Care Coordination services, the Remote Care Coordination Specialist will manage tasks related to electronic filing, order and referral management, and insurance verifications while working remotely in a part-time capacity. Key responsibilities: Process assigned...Part timeWork at officeRemote work
- ...Hello, Hope you are doing well, Job: Managed Care Specialist Location : 310 Great Circle Rd. Nashville, Tennessee 37243-0000 Duration : Long Term Client : State of TN(TN TennCare) TennCare will recruit a new classification for MANAGED CARE PROGRAM MGR...Contract workFor contractorsWork at office
- ...Care Management Specialist RNThe Care Management Specialist RN is passionate about advocating for patients' needs and helping them navigate the healthcare system and engages with assigned patient population in the primary care setting to promote optimal health and deliver...Local area
- ...To support a growing telehealth program, the full-time Care Coordination Specialist will manage patient engagement, triage, and case management while working remotely with patients in Pennsylvania, New Jersey, New York, and Delaware. Key responsibilities Serve as the...Full timeRemote work
- ...BH Link Care Coordination Specialist (Full Time) (Full Time) Location: East Providence, RI Care Coordination Specialist (Full Time; 36 hours... ...friendly employer! If you would like to set profiles, manage, and track your submissions you can register hereFull timeFlexible hoursShift work3 days per week
- ...Concentra in Florida is seeking a Patient Service Specialist to support the front desk, register patients, manage scheduling, and provide exceptional service. The role requires compassionate patient interaction and accurate data entry in the patient management system....
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Managed Care Specialist. Be the first to apply!
Related searches
- weekend on-call caregiver United States
- caregiver pca United States
- weekend caregiver United States
- caregiver United States
- private duty caregiver United States
- floor care specialist United States
- home health caregiver United States
- non medical in home caregiver United States
- part time weekend caregiver United States
- caregiver- paid training United States


