Nevada Healthcare Program Manager
Location: Reno Nevada
Description: BCforward is at the momment seeking for Nevada Healthcare Program Manager right now, this career will be placed in Nevada. More details about this career opportunity please give attention to these descriptions. BC forward is seeking a highly motivated and determined Nevada Healthcare Program Manager!
Job Description:
Position: Nevada Healthcare Program Manager
Client: HP
Rate: Negotiable
Contract Length: Direct Hire
Job Description:
The Health Care Management Manager will be responsible for managing utilization management activities and determination process for benefits and coverage limits to ensure that payment is approved for only those services that are medically necessary, appropriate, or cost effective as specified in by the State Medicaid Manual and State and Federal rules and regulations. The Health Care Management Manager will play a key role in controlling costs while maintaining or improving access to and quality of care for Nevada Medicaid and Check Up recipients.
Requirements:
At least five (5) years as an Account Manager or Health Care Management Manager for large scale medical claims processing systems of which at least three (3) years must have been with a Medicaid system or five (5) years in a management level posi! tion with a health plan or hospital system with responsibility! for completing utilization management, cost control and quality management.
A bachelor's degree in nursing, or related health care administration degree, or a licensed physician, advanced practitioner of nursing or physician's assistant.
Desired Working Knowledge:
Working knowledge of HIPAA regulations and requirements.
Working knowledge of electronic health records or electronic medical records.
Demonstrated project planning and scheduling skills for large system projects.
Ability to analyze and resolve difficult medical coverage policy issues.
Other Desired Experience:
Effective documentation, verbal and written communication skills.
Ability to communicate succinctly and accurately in both written and verbal English.
Ability to work independently and in a team environment.
Ability to work effectively and efficiently under stringent timelines.
Ability to direct and supervise multiple tasks and st! aff assignments.
Ability to work with all levels of management internally and with clients
Interested and qualified candidates may submit their resumes to Adam Spiegl at: 10657-MH2393@emailagent.maxhire.net
About BC forward
BCforward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers' needs into a full service personnel solutions organization. BCforward's headquarters are in Indianapolis, Indiana and also operates delivery centers in 17 locations in North America as well as Hyderabad, India and Puerto Rico. We are currently the largest consulting firm and largest MBE certified firm headquartered in Indiana. With 14+ years of uninterrupted growth, the addition of two brands (Stafforward and PMforward) and a team of more than 1400 resources our teams deliver services for multiple industries from both public and private sectors. BCforward's team of dedicated staffing professionals has placed th! ousands of talented people over the past decade, with retention rates t! hat are consistently higher than the industry average.
www.bc forward .com
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to BCforward.
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This career starts available on: Tue, 23 Apr 2013 06:28:46 GMT