MCO jobs

presenting for treatment insured by an MCO. Collect co-pays, deposits, and deductibles and documents collection status in the system and chart. Issue waivers for signatures when... more

CONTROL OPR needed FT. One yr working as a MCO at a TV station preferred. Must be able to work under minimum supervision. High school diploma required. College level studies... more

The Quality Assurance Analyst in Atlanta, Georgia reviews and analyzes business, technical and design documents to create test plans, test cases and document defect findings. more

Position Summary Admissions Liaison- Responsible for initiating and maintaining ongoing professional contacts with area hospitals and physicians for the purpose of patient... more

directly with Network MC in Mexico. * MCO broadcast experience in television or radio preferred * Ability to work different shifts including weekends * Must work well with others... more

A Utilization Management Coordinator is responsible for conducting all level of reviews with Managed Care Organizations (MCOs) to ensure certification and coverage for all... more

Coordinate internal functions and record keeping related to managed care organizations (MCOs). Ensure proper utilization of outpatient mental health services under the guideline... more

5 years managed care experience with an MSO, MCO or group practice specifically managing contracts B. Proficient with Access and PowerPoint A. Demonstrated ability to interpret... more

Title: MCO Collections/Resolution Supervisor Location: US-TX-San Antonio Other Locations: Position Summary: The Managed Care Organization Supervisor position is responsible for:... more

BiotechnologyManaged Care Organizations (MCO)This company is looking to add an additional physician to their staff. The ideal candidate would have training as a MD or DO who... more

physicians and Managed Care Organizations (MCO's); tracks resolution of issues of which ... staff participation with all appropriate MCO's facilitate on-boarding process by... more

for this position is to provide support to MCO & Medicaid audits.? The position would include the following: Review documentation submitted by providers Analyze claims identified... more

referred 10+ years within a PBM or Health Plan in a clinical role with progressive leadership experience MUST HAVE EXPERIENCE working in the MCO environment Previous leadership... more

XTRAC platform. Position Description The MCO Manager will coordinate initiatives ... The MCO Manager requires strong business relationship skills to work with MCO Business Ana... more

Business Overview Fidelity Institutional (FI), a part of Fidelity Personal, Workplace and Institutional Services (PWIS), is a suite of Fidelity Investments businesses and support... more

Astyra Corporation is seeking a qualified and experienced Data Analyst for an up-coming project supporting the Commonwealth of Virginia. The selected candidate will assist with... more

of the Manufacturing Change Order (MCO) process and control systems Ability to read and understand prints Create, write and maintain process documentation. Observe production... more

improvement and/or risk management in an MCO setting - Minimum of five years ... experience Preferred: - Previous NCQA MCO accreditation experience - Experience... more

Adecco Engineering and Technical, a division of the world leader in the recruitment of engineering and information technology professionals, has an immediate opening for a... more

Candidate will provide outstanding customer service and will respond to customer needs. Must have experience monitoring help desk or call center team including covering phones,... more

Project desirable. Knowledge of Amisys, MCO, or other managed care system required. Knowledge of third party coding and reimbursement applications desirable. Ability to work... more

financial components of one or more large MCO customers and have budgetary discretion in managing a matrixed team of up to 100 people across multiple functions including IT,... more

This government agency is seeking a Medical Coder for a full-time, long-term opportunity. You will serve as the policy resource for ICD-9-CM diagnosis coding for the agency,... more

Claims Service Adjuster in the Rockland MCO located in Suffern, NY. In this vital role, you will be responsible for investigating accidents to determine liability, corresponding... more

manner that strives to improve data quality for decision support analysis. Maintains Access database or other designated warehouse. Prepares client reports as requested by the... more