. About the Opportunity The Managed Care Consultant supports the Skilled Nursing Facility leaders in managed care contracting... Consultant will provide guidance regarding development of managed care relationships and rate negotiation, ensuring timeliness...
, and technology‑funded initiative management. This position ensures that leaders have accurate insights, well-managed resources.... Resource Management Manage internal headcount processes, including open requisition tracking, weekly reporting, and aging...
and interpersonal skills. Demonstrated leadership capabilities. Strong quality/process improvement expertise. Managed care and third...Purpose: UPMC Corporate Revenue Cycle is hiring a Clinical Manager to join our Care Management Team! This role works...
in internal complex case reviews utilizing information from Client Information System (CIS), Managed Care Organizations (MCOs... in planning activities related to Waiver Capacity Management. o Understands and utilizes Trauma Informed Care principles...
and Medicare managed care is highly preferred for this position, Responsibilities: Develop and maintain collaborative... Health Plan and the participating providers of the UPMC Health Plan Network. The Physician Educator is the primary resource...
knowledge of LAN/WAN hardware and administration. Working knowledge of managed care operations desirable. Experience... effective solutions, break/fix and problem resolution. Work as remote hands and onsite resource for other IT departments...
Managed Care, Pharmacy Consulting, or PBM Sales 5 years of experience in Management or leadership role Preferred None... of contact and ultimate clinical resource for all complex clinical inquiries. Provide expert guidance and support to internal...
experience, and a strong understanding of managed care regulations are preferred. Experience with personal computer-based... for accuracy. Central Resource for all ADT registration and problem resolution during evenings, weekends and holidays. Confirm...
required. Medical terminology, third-party health care coverage experience and a strong understanding of managed care regulations... principles of Your Care. Our Commitment and abide by all UPMC departmental policies, procedures and goals in the process...
profitable growth of a health plan. Working in a highly matrixed managed care environment, familiarization with state... appropriate resource allocation to achieve financial objectives. Market Development & Margin Improvement: Develop and execute...
delivered with a service excellent attitude. Ability and willingness to work in a managed care environment. Excellent ability... in delivery of patient care for assessment and disposition/referral planning. Efficiently take a sizable volume of calls...