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…Works collaboratively with third party payors to insure that quality patient care is maintained and managed effectively and efficiently Performs performance
…of direct patient clinical care Minimum of 1-3 years experience in a managed care environment or health plan preferred Ability to work in a variety
HSC Health Care System
…medical and psychosocial needs. Required Experience Three to five years of related experience in managed care and /or care management Three to five years
… care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral
…management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical
…duties as assigned. QUALIFICATIONS 2+ years of experience and knowledge within the Medicaid/ managed care setting. 2+ years of experience and knowledge working
ARIZONA COMMUNITY PHYSICIANS
…progress notes, histories and physicals. Demonstrates knowledge and understanding of managed care plans, formularies and basic referral requirements.
…Responsibilities: Functions as a liaison for management staff, administration, physicians, managed care companies, community organizations, and other customers.
…process including pre-registration and insurance verification.Stays informed of changes in managed care and communicates procedural and financial impact to