FEATURED JOBS
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…telephone, data input, and exam room and medical chart preparation. Works with managed care plans to obtain prior authorization to insure that services
…to those providers who have experience doing these types of reviews within another Managed Care Organization. This is a fully remote position, working from home,
…prepare a comprehensive plan of care as directed by NY State and Managed Care Organizations. + Collaborate with the individual's HARP team including: MCOs,
… care experience preferred. + 3+ years of applicable experience with managed care preferred. + Demonstrated experience working with Clinicians to deploy
…Excel and PowerPoint + Prior experience in or exposure to pharmacy; retail or managed care preferred + This is paid position ($20/hr), approximately 32
…the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers,
…services by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, and state and
…ability of limited resources to achieve growth. Candidates will possess Medicaid managed care operations expertise and have experience in designing solutions
…patients by telephone and in person, ensuring their health problem is appropriately managed promptly. + Provides care using SHCC Nursing guidelines, Standing
…Basic knowledge of Population Health Strategy + Bachelor's Degree + Medicare knowledge + Managed care experience + Bilingual in both English and Spanish + Value