of healthcare providers, including managed care plans, suspected of engaging in fraudulent or abusive behavior, as well...'s responsibility: Fraud and Abuse Detection, Prevention, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic...
utilization of resources. Job Description Minimum Qualifications Education: Graduate of an accredited school of professional... improvement, disease or population management and managed care reimbursement Understanding of pre-acute and post-acute venues...
utilization of resources. Job Description Minimum Qualifications Education: Graduate of an accredited school of professional... improvement, disease or population management and managed care reimbursement Understanding of pre-acute and post-acute venues...
.com) to manage and track customer relationship management. Information to be collected and managed includes tracking opportunities... with close interaction with internal resources Manage and problem solve high priority/escalated items Price and Margin...
. deadlines, technical challenges, and availability of resources to complete work. - Responsible for webhosting support... for unsupported cases managed by the lab. - Manages a team of eDiscovery professionals situated in a client-site eDiscovery...
CA! Outreach CSRs are the face of Medi-Cal managed care in California. The role is to educate and enroll Medi-Cal beneficiaries... to a managed care health plan. **This is an onsite position at our San Francisco, CA location ** Why Maximus? - 📚...
and foremost a software developer who specializes in the domain of the processes and resources necessary to enable the development... and its resources include an automated software factory, its logistics and utilities, a digital showroom, and consumer...
and resources for you and your immediate family members Education assistance, certification reimbursement and access to over... County, Pennsylvania. We're part of a growing national network of communities managed by Erickson Senior Living, one of the...
. As an RN Case Manager, you will lead complex care coordination, connect patients with essential resources, and support safe... various disciplines and agencies/stakeholders, including managed care organization case managers involved in the treatment...
and facilitate interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse 2 work...) and is responsible for coordinating with the member, ICT participants, and external resources to ensure the member’s needs...