managed care analyst franklin

... effective health care system requires a revolution in oral ... Dental Care of Kentucky, Community Dental Care of Texas, ... access to care, the affordability of care and ... delivery of oral health care to its extensive experience ... dental care. DentaQuest's affiliated care delivery ... 700 employees providing care to over a quarter of a ... patients with better care, timely education,greater ... pediatric dental care in a general dentistry ... to DentaQuest Care Group's continued ... Follows and supports the CARE model for patient ... optimal standard of care for all pediatric patients ... follow up and continued care of pediatric patients ... referred for specialty care. Attends required continuing ...

... Join our fulfillment center team that gets orders ready for people relying on Amazon deliveries. Choose from a variety of part-time shifts and start getting health care benefits, a 401(k) savings plan, pre-paid tuition assistance, paid time off, and more. Health and safety are always a top priority for us. We continue to consult ... pay: Our pay rates are competitive and your paycheck is reliable when you work for Amazon. Compelling Benefits: Our range of benefits can include health care starting on day one, employee discounts, 401(k) savings plans, paid time off and more! Find out which benefits you'll get after you choose your role with us. ...

... required. Amazon remains open as an essential service to serve our communities delivering critical supplies directly to the doorsteps of people who need them. Become part of the dedicated team that gets orders ready for people relying on Amazons service. From flexible part-time roles to full-time set schedules with health care benefits, Amazon has a variety of jobs. Find the right Amazon opportunity for you today. Candidates must be 18 years or older with ability to read and speak English for safety. Reasons youll love working here: Health and safety are a top priority with all of our roles and sites. We continue to consult with medical and health ...

... you need special accommodation for the application process, please contact Human Resources. Know Your Rights: Responsibilities: The Analyst, Account Resolution is responsible for the timely follow-up of Managed Care/Commercial accounts. Communicates clearly and efficiently by phone with health plans. Maintains productivity standards and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications: Education and Work Experience 1. Minimum of two years hospital managed care/commercial collector experience preferred 2. Bachelors degree or equivalent work experience preferred 3. Knowledge of ...

... Oversee the day-to-day function of the Contract Management department (managed care department) and ensure the quality and timeliness of team performance. Required ... preferred. Advanced degree desirable. - 3-5 years of prior experience in a managed care contract management role required. - Proficiency in utilizing and interpreting ... dialysis services providers in the United States. We provide high quality patient care to patients suffering from the most advanced stage of chronic kidney disease, ... lives each year. Apply to become part of a team who is focused on quality patient care! What we offer: ARA offers competitive pay and great benefits which include: ...

Job Title: Revenue Analyst II Location: Costa Mesa, CA (Direct hire/Temp to hire) Duration: 3 Months ... on managed care reporting and reimbursement. Job Summary: -The Revenue Analyst II is a ... a healthcare environment with emphasis in managed care and government reimbursement. -This role ... analyst on projects. -As part of the Finance Revenue team, this position will support Managed Care ... and tracking profitability within our managed care contracts. -This position will also prepare ... experience as an analyst in a healthcare environment with emphasis on managed care reporting and ... Terminology. -Strong understanding of Managed Care and Government reimbursement methodologies. ...

... Know Your Rights: Responsibilities: Manage Plexis Claims Manager system and other Business Office / Managed Care applications in the areas of ongoing user support/training, dictionary maintenance, system enhancements, ... to the systems. Supports Business Office / Managed Care staff with report building and tasking, file transfers. Acts as a liaison between Business Office / Managed Care, IT (Information Technology), Third Party Vendors ... experience preferred. 2. Current Microsoft SQL Certification preferred. 3. 2 years work experience in a Managed Care setting required with emphasis on Analytics, EDI, X12, FTP, and data mining, preferred. 4. Interpersonal ...

... Temp 6 months Hours: Onsite, M-F 8am-5pm Compensation: $33.65 - $54.93/hour Description: The Care Manager is responsible for the ... triage, and assess members to determine the appropriate level of care based on medical necessity criteria. The incumbent will review and ... or related field Board Certified Behavioral Analyst (BCBA) or Board Certified Behavior Analyst Doctoral (BCBA-D) required 4+ years of ABA ... experience in prior authorization/utilization review in a managed care setting preferred Previous experience with Quality Assurance ... Principles and practice of healthcare, health care systems, and managed care Medi-Cal benefits and regulations Community based ...

... concerns about dissatisfactory experiences while seeking care. Identifies facts, surveys the health care system, corrects root causes, and communicates outcomes to ... them to leadership. May serve as backup to absent Grievance & Appeals Case Analyst(s). Attends meetings as needed including but not limited to Case Conferences, ... years of related work experience, preferably in Grievances & Appeals, health care customer service, case management or health plan operations. Special Skills, ... to solve problems, be a critical thinker and detail oriented. Familiar with managed care concepts, operations, policies and procedures, including but not limited to ...

... If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: Responsibilities: The Analyst, Billing is responsible for the timely follow-up of Managed Care/Commercial accounts. Communicates clearly and efficiently by phone with health plans. Maintains productivity standards and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. #LI-BF3 Qualifications: EDUCATION, EXPERIENCE, TRAINING 1. Minimum of one year hospital managed care/commercial biller experience preferred 2. Bachelors degree or equivalent work experience preferred 3. Knowledge of ...

... leader in the senior living/hospitality industry, is seeking a highly skilled team-oriented Financial Analyst II to join our team. This full-time position will be based out of our home office in Medford, Oregon. What ... spearhead financial modeling and analysis of both financial and nonfinancial data for our affiliated and managed communities. Your role will extend to providing support for diverse development activities, budgeting ... Short-Term (if applicable)/Long-Term Disability coverage FSA (Flexible Spending Account) and Dependent Care FSA Voluntary Pet Insurance Perks at Work discount platform, life assistance benefits and virtual healthcare ...

... a Senior Integration/Operations Analyst to support the Defense Health Agency (DHA) who is committed to medical excellence, health care improvement and ensuring military ... within their health network/geographic market. The Senior Integration/Operations Analyst is responsible for the following but not limited to: Provide expertise in, but ... Monitor key performance indicators ensuring onsite IT support is effectively managed, issues and risks are identified and addressed promptly, and spend plans are ... contract compliance with DHA contractual requirements to ensure resources are managed effectively and adherence to terms and conditions. Coordinate with MTF CIOs for ...

... clinical laboratories. The Companys business lines include Hemostasis, Acute Care, and Autoimmunity diagnostics, as well as Original Equipment Manufacturing. Our ... and enhance patient care. Our North American Commercial Operations, as well as our Headquarters and Technology Center for Hemostasis and Acute Care Diagnostics, are ... in automated/white box test code Perform other related duties as assigned Budget managed (if applicable) N/A Internal Networking/Key relationships Receives assignments ... Director Communicates with IT Development Director, IT Development Manager, IT Analyst/Programmers or IT Organization Analysts to coordinate quality testing of the ...

... and Americas Best 250 hospitals by Healthgrades, Saint Marys Regional Medical Center is a 380-bed acute care hospital offering a robust line of inpatient, outpatient and ancillary services including a top-rated Center ... Prime Healthcare, also operates a fully-integrated Medical Group, multiple urgent care clinics, freestanding imaging, lab, and primary care clinics. For more information, visit . We are an Equal Opportunity Employer and do ... the Payment Review Specialist position is responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. Utilizing many complex and varying ...

Q Analysts is looking for a Test Analyst for a project with one of its clients who is a leader in the Virtual Reality space. Our clients team applies a range of software, computer vision and robotics techniques to build ... Switzerland, and Portugal, and serves over 400 blue-chip customers worldwide. We provide industry-leading managed services that drive Quality for of hardware devices, software apps and experiences as well as Ground Truth ... enrolling in our 401k plan where Qualitest will match your contributions accelerating your savings plan. Life and disability insurance. Take care of your health with enrollment into one of our competitive healthcare benefits

... confidentiality. Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team. Develops constructive and cooperative working relationships with others and maintains them over time. Encourages and builds mutual trust, respect and cooperation among team members. Qualifications: EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: College degree or equivalent experience Minimum 4 years of experience in a business analyst, project management, or hospital-based role in a complex healthcare environment Experience with diverse and specialized groups Knowledge of office ...

... in the Benefits Administration space in managing how benefits are bought, sold, managed, and consumed, and continues to transform the industry with innovative solutions. ... to join the Customer Success organization as Customer Account Analyst. The Customer Account Analyst works closely with the Account Managers to ensure that client ... deemed necessary by Management About You: Requirements for the Customer Account Analyst: 1-2 years technical experience such as help desk support, time and attendance ... more than just a pat on the back, your success is recognized and rewarded. We take care of our employees in every way we can, with comprehensive benefits, employee ...

... scorecard reviews occur regularly, feedback is solicited and provided, and performance is reviewed and managed for direct reports Oversee clinical interventions and their implementation (includes support with FBAs/FAs, ... Desired Knowledge, Skills and Abilities Knowledge and proficiency with a range of clinical approaches to care Ability to use knowledge, experience, and independent judgment to ensure clients are continually improving ... ethical standards Requirements Must be licensed in Arizona and certified as a Board-Certified Behavior Analyst (BCBA) Must be physically able to perform direct and supervision sessions Must be able to administer variety ...