Top Managed Care Executive jobs in Ohio

Top Managed Care Executive plans and directs all aspects of an organization's managed care function. Responsible for directing and implementing managed care systems for healthcare facilities. Being a Top Managed Care Executive requires a bachelor's degree. Typically reports to a top management. The Top Managed Care Executive manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. To be a Top Managed Care Executive typically requires 8+ years of managerial experience. Comprehensive knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Bookeeper /Managed Care Coordinator
  • LIBERTY HEALTH CARE CENTER
  • Youngstown, OH FULL_TIME
  • Liberty Health Care Center is accepting applications for a hybrid role:

    Bookeeper/Managed Care Coordinator to work with our team of dedicated health care professionals!

    SUMMARY OF DUTIES:

    • Works with the admissions team, patient/family, and insurance companies to promote timely admissions utilizing appropriate precertification process in order to maximize patient benefits
    • Pre-certification of admissions/ readmissions
    • Daily updates with insurance companies
    • Insurance appeals, payment appeals and communication with UR team
    • Schedule all resident transportation including insurance information and prior authorizations as needed
    • Cancel transportation as needed and communicate changes to family members
    • Review and verify ambulette/ambulance billing.
    • Primarily responsible to provide bookkeeping and secretarial support within the nursing facility.
    • Includes, but not limited to establishing and maintaining payment resources, guardian documents, and resident trust funds.

    REQUIREMENTS:

    • Minimum 1-2 years healthcare, experience preferred and experience with progressive responsibility in the healthcare environment
    • Critical thinking skills, decisive judgment, and the ability to work with minimal supervision meeting firm deadlines
    • Assertive and persuasive and creative communication and negotiation skills, action oriented
    • Excellent skills in communication both verbal and written documentation
    • Interpersonal relations
    • Organizational Skills
    • Ability to develop and maintain rapport with the insurance provider, patient, families, and the interdisciplinary team.
    • one-year experience in long-term care billing with a working knowledge of Medicare, Medicaid, PPS, Managed Care Organizations, and private insurance.

    EDUCATION:

    • Associates degree preferred in AR, accounting, billing, clerical, or related field.

    Windsor House offers a competitive benefit package:

    • NEW College Loan Payoff Program for RNs & LPNs!*
    • $1.00 an Hour Attendance Bonus on every hour worked paid quarterly!
    • Performance Based Annual Bonus Plan.
    • Tuition Reimbursement for LPN or RN programs available.
    • Multiple health coverage offerings to choose from.
    • Vision.
    • Company-paid and Supplemental Life Insurance.
    • 401K.

    Locally, family owned and operated. Come Join our Team and be part of the Tradition of Caring that Windsor House, Inc. has been providing for over 60 years!

    Consider joining our team of dedicated medical professionals committed to providing the best quality of care to those most vulnerable members of our communities.

    Job Type: Full-time

    Location: 1355 Churchill-Hubbard Road 44505

    Phone: 330-759-7858

    Job Type: Full-time

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Health insurance
    • Paid time off

    Schedule:

    • Monday to Friday

    Ability to Relocate:

    • Youngstown, OH 44505: Relocate before starting work (Required)

    Work Location: In person

  • Just Posted

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Associate Counsel - Managed Care
  • Cleveland Clinic
  • Beachwood, OH FULL_TIME
  • Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At C...
  • 21 Days Ago

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Managed Care Nurse Staff
  • Western & Southern Financial Group
  • CINCINNATI, OH FULL_TIME
  • Overview Summary of Responsibilities: Provides concurrent and retrospective utilization reviews, large case management, disability case management and other programs to improve the quality of medical ...
  • 3 Days Ago

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Managed Care Biller
  • CommuniCare Family of Companies
  • Cincinnati, OH FULL_TIME
  • Managed Care BillerDue to Company growth, CommuniCare Health Services is currently recruiting a Managed Care Biller for our Corporate Managed Care Billing Department.PURPOSE/BELIEF STATEMENTThe positi...
  • 7 Days Ago

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Managed Care Biller
  • CommuniCare Family of Companies
  • Cincinnati, OH FULL_TIME
  • Managed Care BillerDue to Company growth, CommuniCare Health Services is currently recruiting a Managed Care Biller for our Corporate Managed Care Billing Department.PURPOSE/BELIEF STATEMENTThe positi...
  • 7 Days Ago

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Managed Care Biller
  • CommuniCare Family of Companies
  • Blue, OH FULL_TIME
  • Managed Care BillerDue to Company growth, CommuniCare Health Services is currently recruiting a Managed Care Biller for our Corporate Managed Care Billing Department.PURPOSE/BELIEF STATEMENTThe positi...
  • 1 Month Ago

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LPN/RN Wellness Nurse Per Diem
  • Maplewood Mayflower Place ALF LLC
  • West Yarmouth, MA
  • LPN/RN Per Diem Wellness Nurse Reports To: Resident Services Director Summary: The Resident Services Nurse (Licensed Pra...
  • 4/25/2024 12:00:00 AM

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Chick fil A Assistant Manager
  • Hudson Group
  • Charleston, SC
  • Grow With Us! Hudson is North America's leading travel retailer. For over 30 years, Hudson has met the needs and wants o...
  • 4/25/2024 12:00:00 AM

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Pharmacist, Pediatrics, Residency Trained, TMC
  • Memorial Hermann Health System
  • Houston, TX
  • At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional exper...
  • 4/25/2024 12:00:00 AM

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PICU Pharmacist, Residency Trained
  • Memorial Hermann Health System
  • Houston, TX
  • At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional exper...
  • 4/25/2024 12:00:00 AM

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Account Manager (Entry Level)
  • Barton Careers
  • Windsor, CT
  • Overview Work hard and grow fast with Barton Associates! For this entry-level position, we’re seeking competitive, caree...
  • 4/25/2024 12:00:00 AM

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Account Manager (Entry Level)
  • Barton Careers
  • Phoenix, AZ
  • Overview Work hard and grow fast with Barton Associates! For this entry-level position, we’re seeking competitive, caree...
  • 4/25/2024 12:00:00 AM

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Marketing Manager
  • Vets Pets
  • Wilson, NC
  • We are seeking a highly motivated and detail-oriented Veterinary Marketing Manager to join our dynamic team. This role d...
  • 4/25/2024 12:00:00 AM

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Process Engineer
  • Sinto America, Inc.
  • Statesville, NC
  • The Process Engineer is responsible for supporting the design and development of NPI for National Peening and Technical ...
  • 4/25/2024 12:00:00 AM

Ohio /oʊˈhaɪoʊ/ (listen) is a Midwestern state in the Great Lakes region of the United States. Of the fifty states, it is the 34th largest by area, the seventh most populous, and the tenth most densely populated. The state's capital and largest city is Columbus. The state takes its name from the Ohio River, whose name in turn originated from the Seneca word ohiːyo', meaning "good river", "great river" or "large creek". Partitioned from the Northwest Territory, Ohio was the 17th state admitted to the Union on March 1, 1803, and the first under the Northwest Ordinance. Ohio is historically know...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Managed Care Executive jobs
$206,429 to $366,235

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