Top Managed Care Executive jobs in Indiana

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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Managed Care Specialist
  • Brickyard Healthcare
  • Indianapolis, IN FULL_TIME
  • We rely on and trust our Managed Care Specialist (RN or LPN) to provide centralized or field based case management for managed care and commercial insurance payers and residents. The right candidate for this role is a dedicated and compassionate team-player.

    Why Work For Us?

      • Excellent pay with multiple incentives:
      • Excellent health benefits packages
      • Career advancement opportunities
      • Education reimbursement program of up to $7,500 per year
      • Flexible scheduling available
    Benefits & Conditions:

    • No waiting period for enrollment
    • Three health plan options
    • Delta Dental
    • VSP Vision
    • Free Basic Life Insurance
    • Disability, Critical Illness, Accident & Legal Coverage
    • 401(k) Retirement Plan
    • Employee Assistance Program

    Responsibilities:

    • Communicates, negotiates, and acts as liaison between Living Center/ Agency and the insurance plan to ensure proper level of payment is assigned for services provided
    • Communicates care plan to insurance case managers with emphasis on strong discharge planning
    • Communicates insurance benefits to all levels of associates and families
    • Understands provisions of contracts and associated exclusions
    • Provides cost analysis and negotiation of services and/or rates
    • Consults on appeals, retro authorizations and collections issues

    Qualifications:

    • Licensed as a Registered Nurse (RN) or Licensed Practical Nurse (LPN)
    • Minimum two (2) years clinical experience preferred
    • Minimum two (2) to three (3) years case management experience preferred
    • Must be capable of maintaining regular attendance
  • 6 Days Ago

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Managed Care Specialist
  • Anveta, Inc
  • Nashville, IN CONTRACTOR
  • Role: Managed Care Specialist Location: Tennessee Duration: 6 MonthsJob DescriptionKey Responsibilities Determine individual and family eligibility for our Client’s care programs. Assist in coordinati...
  • 11 Days Ago

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Indianapolis, IN FULL_TIME
  • We are currently seeking a skilled and motivated Pharmacist with expertise in Pharmacy Benefit Management (PBM) and Managed Care. In this pivotal role, you will be responsible for overseeing medicatio...
  • 21 Days Ago

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Fort Wayne, IN FULL_TIME
  • We are currently seeking a skilled and motivated Pharmacist with expertise in Pharmacy Benefit Management (PBM) and Managed Care. In this pivotal role, you will be responsible for overseeing medicatio...
  • 23 Days Ago

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1099 Sales Executive (Medical Device)
  • Top Tier Reps LLC
  • Indianapolis, IN FULL_TIME
  • Salary: Commission-based with a performance bonusMedical device sales representatives are responsible for selling medical equipment to hospitals, health systems, doctor's offices, and clinics, Respons...
  • 2 Days Ago

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Medical assistant
  • Centurion Managed Care
  • Michigan, IN FULL_TIME
  • Job Details Description Pay rate range $18-$25 per hour depending on years of experience! Centurion is proud to be the provider of comprehensive healthcare services to the Indiana Department of Correc...
  • 3 Days Ago

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Director OF Clinical Services (Center-Based)
  • Centria Autism
  • Phoenix, AZ
  • Centria Autism is the largest provider of Applied Behavior Analysis (ABA) for children with Autism Spectrum Disorder (AS...
  • 6/12/2024 12:00:00 AM

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Health Systems Engineer
  • Sanford Health
  • Sioux Falls, SD
  • Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the Unite...
  • 6/12/2024 12:00:00 AM

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Health Systems Engineer
  • Sanford Health
  • Fargo, ND
  • Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the Unite...
  • 6/12/2024 12:00:00 AM

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Chief Operating & Experience Officer, Health Plan
  • Sanford Health
  • Sioux Falls, SD
  • Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the Unite...
  • 6/12/2024 12:00:00 AM

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Accreditation Specialist (Clinical)
  • Sanford Health
  • Fargo, ND
  • Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the Unite...
  • 6/12/2024 12:00:00 AM

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Director, Denial Management & Prevention - Relocation Offered!
  • MEDSTAR HEALTH
  • Baltimore, MD
  • General Summary of Position The Director, Denial Management & Prevention is responsible for directing and administering ...
  • 6/12/2024 12:00:00 AM

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Assistant Manager of Nursing Medical Surgical - Relocation Offered!
  • MEDSTAR HEALTH
  • Clinton, MD
  • General Summary of Position The Assistant Director of Nursing is a member of MedStar Health entity-based Division of Nur...
  • 6/12/2024 12:00:00 AM

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Assistant Manager of Nursing Float Pool - Relocation Offered!
  • MEDSTAR HEALTH
  • Clinton, MD
  • General Summary of Position The Assistant Director of Nursing is a member of MedStar Health entity-based Division of Nur...
  • 6/12/2024 12:00:00 AM

Indiana /ˌɪndiˈænə/ (listen) is a U.S. state located in the Midwestern and Great Lakes regions of North America. Indiana is the 38th largest by area and the 17th most populous of the 50 United States. Its capital and largest city is Indianapolis. Indiana was admitted to the United States as the 19th U.S. state on December 11, 1816. Indiana borders Lake Michigan to the northwest, Michigan to the north, Ohio to the east, Kentucky to the south and southeast, and Illinois to the west. Before becoming a territory, various indigenous peoples and Native Americans inhabited Indiana for thousands of ye...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Managed Care Executive jobs
$205,670 to $364,891

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