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Horizon Blue Cross Blue Shield of New Jersey

Hopewell, New Jersey

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Blue Cross and Blue Shield of Alabama

Hoover, Alabama

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MemorialCare Health System

Fountain Valley, California

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Manager Managed Care
DescriptionSummary:This position is responsible for managing daily activities as assigned by System Director or Director related to providing operational support on Managed Care contracts. The candidate will be responsible for working directly with Managed Care payers and PFS to resolve claim payment and administrative escalations occurring with Managed Care contracts. Responsible for the mentoring and training of team members as needed, providing subject matter expertise to improve efficiencies and results. The candidate will work collaboratively with the Director of Managed Care, Managed Care Team and other cross functional teams as necessary.Assists the “point person� to the hospital leadership teams and business offices for t


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