Applicants must meet the following qualifications: Up to 50% local travel to Central PA for provider visits required. 2 years of provider relations and/or provider network experience. 4 years of healthcare/managed care experience. 1 years experience with Medicare and Medicaid regulations.
Current, unrestricted clinical license in one of the central states. Requires knowledge of and/or experience working with HEDIS data. Ability to present information to physicians over the phone in a concise, professional manner as a subject matter expert and influencer.
A data analytics marketing company is filling a position for a Telecommuting Business Development Manager in Central New Jersey. Must be able to: Know the number of franchises and independent dealerships in your territory. Regularly analyze the overall health of clients.
Collaborate with central and market resources related to reporting to develop resources for managing productivity and performance. Contributes to the ongoing improvement and development of technology platform, helping to drive efficacy and functionality for users. Qualifications Include:
Reporting data as required to the State Central Registry and the National Cancer Data Base. Position Requirements Include: Active CTR credential. 1+ year of abstracting experience in an ACOS/COC accredited facility.
Candidates will be responsible for the following: Conducting pre-certification, continued stay review, care coordination and discharge planning. Ensuring member access to medically necessary quality healthcare in a cost effective setting according to member contract.