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Sayedane Masodi, PMP

5.0

297

9.0

99%

North York, Canada

$150 USD per hour

⭐ SAYEDANE MASOODI — FOUNDER & CEO : MASOODI CONSULTING I lead Masoodi Consulting, a boutique advisory practice focused on strategy, analytical insight, and transformation design for organizations operating in complex and dynamic environments. We bring structured problem-solving and rigorous analysis to clarify strategic direction, refine operating models, and support leadership in making high-impact decisions. ⭐ 250+ GLOBAL CLIENTS 250+ clients served across North America, the Middle East & North Africa (MENA), Europe, Asia-Pacific, and Australia — including Mohammed Bin Rashid Housing Establishment (Dubai), Nabors Industries (Houston), Sculptō (Riyadh), CVMA (Colorado), Solidal (Queensland), GCHSP (Malaysia), and many more. ⭐ CORE COMPETENCIES 🔹 Corporate Strategy and Long-Range Planning 🔹 Operating Model and Organizational Design 🔹 Digital Transformation and Enterprise Process Architecture 🔹 Market Sizing, Sector Intelligence, and Competitive Analysis 🔹 Economic, Financial, and Feasibility Assessment 🔹 Valuation, Forecasting, and Scenario Modeling 🔹 Procurement and Tender Strategy at Public and Private Sector Scale 🔹 Governance, Compliance, and ISO-Aligned Frameworks 🔹 Investor and Executive-Grade Communication Materials 🔹 PMO Support, Implementation Planning, and Performance Monitoring 🔹 Risk Assessment, Dependency Mapping, and Decision Architecture 🔹 High-Integrity Analytical Writing and Structured Problem-Solving ⭐ INDUSTRIES SERVED 🔹 Consumer & Enterprise Markets – Retail, FMCG, E-Commerce, Real Estate, Hospitality, B2B Services 🔹 Financial Institutions – Banking, Fintech, Insurance, Asset Management, Capital Markets 🔹 Technology & Digital Platforms – Software, SaaS, AI, Data Platforms, Digital Ventures 🔹 Energy & Infrastructure – Utilities, Logistics, Manufacturing, Transportation, Industrial Services 🔹 Public Sector – Government, Policy Bodies, Development Programs, Regulatory Agencies 🔹 Professional & Corporate Services – Consulting, Education, Healthcare

Managed Care Graphic Design Copywriting Legal Internet Marketing

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Ahmad Z.

5.0

289

7.7

99%

Bahawalpur, Pakistan

$50 USD per hour

ALLHAMDULILAH With 8 years of experience in high-level academic writing and ghostwriting, I specialize in transforming complex data into publishable research manuscripts, systematic reviews, and analytical reports. My work is rooted in rigorous, state-of-the-art research using credible peer-reviewed sources. I provide Ghostwriting services in the following: * Research Manuscripts * Reports * Research analysis * Articles and research essays * Systematic reviews Why should you HIRE me? 1) I am a professional researcher with 8 years of experience. 2) Your privacy is assured. 3) Error-free, publication-ready manuscripts that meet strict Scopus or APA/MLA/Chicago standards.

Managed Care Website Design Copywriting Translation Banner Design

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Ahmed M.

5.0

5.7

100%

Assiut, Egypt

$25 USD per hour

Greetings :) I'm a Consultant medical doctor with a high experience in the medical field. Im Board Certified and holds Master Degree and Fellowship of Gastroenterology and Hepatology, I have been working for 15 years as an internist, gastroenterologist, endoscopist and medical writer and researcher. You can HIRE ME WITH TOTAL CONFIDENCE for: ★ Online Medical consultation ★ Medical records reviewing ★ Academic Medical writing and reviewing ★ Medical research ★ Medical and scientific presentations (PowerPoint) ★ Medical translation (From English to Arabic and vice versa) ★ Medical transcription ★ Medical MCQ formulation ★ Please use the 'HIRE ME' button and ASK ME ANY QUESTION ★

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Sunanda D.

4.7

6.2

98%

HOWRAH, India

$12 USD per hour

Greetings, from Sunanda A writer by Profession A writer by Passion Welcome to my Writing World. Yes, I'm passionate about writing! Over 7 years of experience in creative writing, I have a deep passion for research and ensuring that all of my content will be 100% unique. Allow me to work on your project and will make it up to your standard. I’ll share samples of our work once we’ll initiate the chat. I have strategically helped over 100+ clients with business plans, business reports, journal articles, case studies, white papers, and research papers. My writing background includes various writing styles, topics, and timely research skills to produce good quality content. What I Can Offer: - Business Plans (internal, growth, operations, feasibility, or strategic business plans); - Pitch Decks; - Market Research; - Financial Models (financial statements, discounted cash flow, merger model, initial public offering model, leveraged buyout model) Also, I am an expert in: - Content Writing, SEO Copy-writing, Management ❋ Re-Writing Article Writing, Blog Writing, Academic Writing ❋ Technical Writing, Website Copy-writing, ❋ Press Release Writing, Marketing Writing, Newsletter Writing ❋ CV & Cover letter Writing, Legal Writing, Company Profile ❋ Literature Writing, History & eBook Writing, Medical Writing ❋ HRM Writing, Finance, and many other subjects. I'm fully aware of all referencing styles and always do my best. ❋ Essays ❋ Thesis ❋ Articles ❋ Assignments ❋ Assessments HIRE ME Because Professional Respecting deadlines Prompt Flawless results High standards 24/7 for you with having top-notch writing skills. I look forward to making all your ideas and dreams come true. If you need a creative, precise, and responsible business content writer – you are at the right place. Very eager to achieve a 5/5 result for both sides, Just a message away for a FREE consultation …."Hire me"! “LET’S DO INCREDIBLE THINGS TOGETHER!” Best Regards Sunanda

Managed Care PHP Python Website Design Graphic Design

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Modern Technology

4.6

5.0

88%

indore, India

$35 USD per hour

We are a trusted IT company with 7+ years of experience helping startups, businesses, and enterprises build high-quality digital solutions. Our team specializes in creating scalable, user-friendly, and result-driven products tailored to your business goals. Our Services: * Website Design & Development * Mobile App Development (Android & iOS) * Web Applications & Custom Software * Game Development (Unity & Construct) * UI/UX Design * Digital Marketing & SEO * Google Ads & Meta Ads * CRM & ERP Solutions * Branding & Graphic Design Why Choose Us? ✔️ 7+ Years of Experience ✔️ Professional & Dedicated Team ✔️ On-Time Delivery ✔️ High-Quality Code ✔️ Transparent Communication ✔️ Long-Term Support Let's discuss your project and turn your ideas into a successful digital product.

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Ahmad A.

4.8

4.4

100%

Freiburg, Germany

$25 USD per hour

It is my pleasure to share with you my experience in Research, Marketing and Business Development. I am a pharmacist and I have master degree in medical laboratory sciences and PhD in pharmaceutical sciences. Building a scientific channels with your customers is the most stable model for maintenance your business. Dr. Ahmad Alali

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Mohamed M.

5.0

2.1

100%

Vienna, Tunisia

$10 USD per hour

I'm a tunisian Doctor Of Medicine, with more than 10 years of experience. I am a French native speaker, with full professional proficiency in English and German. Arabic is my mother tongue. I have a great experience in "Medical writing", "writing", "Translation" and "Medical Translation", and "Medical Research"... Je suis un médecin généraliste avec plus que 10 ans d'expérience en médecine. Aussi j'ai travaillé avec une société d'assurance française. Je parle l'arabe, le français, l'anglais et l'allemand. J'ai une grande expérience en "Rédaction Médicale", en "Traduction" et "Traduction Médicale", et en "Recherche Médicale".

Managed Care Translation Audio Services Medical Medical Writing

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Karen Rose C.

5.0

3.4

100%

Montreal, Canada

$15 USD per hour

I believe a relationship with you would be mutually beneficial, as I am seeking a challenging work environment where I can exercise my skills to the fullest extent, at the same time, be exposed to other fields of work . I have been working as a nurse for many years now and I have worked as a Customer Service and Sales Representative for over a year, but I am not limited to these things. I love to read and write, and I am good at it. I can design logos, make appealing resumes, write poetries, essays and songs, and a lot more. I love public speaking. I am an experienced host or emcee for variety of events. I am a fast learner and fast doer. Took the IELTS exam few years back and got a band score of 9. I am versatile and I have a lot to offer. PM me and I’d be glad to drop to you my Resume. It would say everything you need to know.

Managed Care Photography Logo Design Proofreading Testing / QA

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Kaiko S.

4.0

3.7

100%

Paranaque, Philippines

$10 USD per hour

I am a dedicated professional with nearly 10 years of experience in the BPO industry and over 5 years as a Supervisor, specializing in customer service, process improvement, and virtual assistance. As a General Virtual Assistant, I help clients stay organized, productive, and focused on growth by providing: Administrative support Email & calendar management Data entry & reports Customer support services Social media management I am proficient in tools such as Google Workspace, Microsoft Office, Canva, and scheduling platforms. My leadership background has trained me to not only complete tasks but also identify opportunities to improve workflows, ensuring efficiency and accuracy. I am adaptable, detail-oriented, and client-focused, with a mission to provide reliable support that makes a positive impact on your business.

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How to hire a great freelance Managed Care Coordinator

A Managed Care Coordinator is a healthcare professional who oversees patient care plans across providers, payers, and services to ensure clinically appropriate, cost-effective treatment under managed care contracts. Hiring a freelance managed care coordinator gives healthcare organizations, insurers, and provider groups expert support in care coordination, utilization review, and member case management without the overhead of a full-time hire.

What a managed care coordinator does

A managed care coordinator acts as the link between patients, clinicians, insurance plans, and ancillary service providers. The role blends clinical judgment with administrative precision, ensuring that members receive the right level of care while staying within the parameters of HMO, PPO, Medicaid, or Medicare Advantage plans.

Freelance managed care coordinators are typically registered nurses, licensed social workers, or healthcare administrators with experience in case management, utilization management, and discharge planning. They translate complex benefit structures into clear care pathways, reduce avoidable hospitalizations, and help organizations meet NCQA, URAC, and HEDIS performance standards.

Core deliverables of a freelance managed care coordinator

A skilled managed care coordinator handles a defined set of clinical and administrative tasks tied to member outcomes and payer compliance. Common deliverables include:

Comprehensive member assessments and individualized care plans

Prior authorization processing and medical necessity reviews

Concurrent and retrospective utilization review against InterQual or MCG criteria

Discharge planning and transitions-of-care coordination

Chronic disease management support for conditions such as diabetes, CHF, and COPD

HEDIS gap closure and quality measure documentation

Coordination of durable medical equipment, home health, and behavioral health services

Referral management and network adequacy tracking

Documentation in electronic health records and care management platforms

Provider and member outreach, including telephonic and telehealth check-ins

Tools and platforms managed care coordinators use

Freelance managed care coordinators work fluently across the clinical and payer technology stack. Look for proficiency in:

Electronic health records such as Epic, Cerner, and Meditech

Care management systems including TruCare, Jiva, ZeOmega, and Essette

Utilization review criteria sets such as InterQual and MCG (Milliman Care Guidelines)

Population health platforms like HealthEC and Innovaccer

HIPAA-compliant communication tools and telehealth platforms

Microsoft Excel and reporting tools for tracking authorizations, denials, and HEDIS measures

Industries and use cases

Managed care coordination supports any organization operating under value-based or risk-based contracts. Typical clients include health insurance plans, Medicaid managed care organizations, Medicare Advantage plans, accountable care organizations (ACOs), integrated delivery networks, hospitals, physician practices, third-party administrators, and disease management vendors. Behavioral health agencies and long-term care providers also engage freelance care coordinators to manage complex cases and reduce readmissions.

Common use cases include short-term coverage during open enrollment surges, HEDIS season chart abstraction, prior authorization backlog reduction, transitions-of-care programs, and stand-up support for new value-based contracts.

How to evaluate a managed care coordinator

Strong candidates combine clinical credentials with payer-side experience and regulatory fluency. Review the following signals before shortlisting:

Active RN, LPN, LCSW, or equivalent license in the relevant state

Certified Case Manager (CCM), ACM, or CMCN credentials

Documented experience with InterQual or MCG and a specific line of business (commercial, Medicaid, Medicare, dual-eligible)

Familiarity with HIPAA, CMS regulations, NCQA accreditation, and HEDIS specifications

A portfolio or work history showing measurable outcomes such as reduced readmission rates, improved gap closure, or authorization turnaround times

Useful interview questions include:

Walk me through how you would build a care plan for a member newly diagnosed with congestive heart failure and recently discharged from the hospital.

Which utilization review criteria set are you most comfortable applying, and how do you handle a case that does not clearly meet criteria?

How do you document medical necessity for a prior authorization that is likely to be denied on first review?

Describe a time you coordinated care across a primary care physician, a specialist, and a behavioral health provider. What broke down, and how did you fix it?

What HEDIS measures have you worked on, and how did you approach closing care gaps?

Why hire managed care coordinators on Freelancer.com

Freelancer.com gives healthcare organizations access to a global pool of licensed nurses, case managers, social workers, and healthcare administrators with managed care experience. Whether you need short-term utilization review coverage, project-based HEDIS support, or ongoing telephonic case management, you can post a project on Freelancer.com and receive competitive bids from vetted candidates within hours. Profiles include verified reviews, completion rates, and portfolio evidence so you can assess clinical and administrative fit before awarding the work. Clients set their own budgets, and Milestone Payments protect funds until agreed deliverables are met.

Post a project on Freelancer.com today and connect with experienced managed care coordinators ready to support your care coordination, utilization review, and HEDIS programs.

What are the steps to hiring a freelance managed care coordinator?

Hiring a managed care coordinator on Freelancer.com is straightforward when you treat the brief as a clinical scope of work. The clarity of your project description directly affects whether you attract licensed, experienced bidders or generalists. Follow these three steps to find the right freelancer for your care coordination, utilization review, or HEDIS project.

Step 1: Post your project on Freelancer.com

Your brief sets the bar for bid quality. Managed care work is regulated and credential-sensitive, so a vague post will attract unqualified candidates. Head to the post project page , fill in the scope, timeline, and budget, and publish the project for freelancers to bid on.

State the line of business: commercial, Medicaid, Medicare Advantage, dual-eligible, or ACO

List required credentials such as RN, LCSW, CCM, or state licensure requirements

Name the EHR or care management platform you use (Epic, TruCare, Jiva, ZeOmega)

Specify the utilization review criteria set if applicable (InterQual or MCG)

Describe the deliverables: care plans, prior authorizations, HEDIS abstraction, discharge planning, or telephonic outreach

Include volume estimates, project duration, and any HIPAA or BAA requirements

Step 2: Review bids from freelancers

Bids are proposals, not just quotes. A strong managed care coordinator will use the bid to demonstrate understanding of your population, regulatory environment, and care management workflow. Read each proposal carefully and use Freelancer.com chat to clarify gaps before shortlisting.

Look for specific references to your line of business and patient population

Check that the proposed approach aligns with your criteria set and accreditation requirements

Note candidates who raise smart clinical or workflow questions about the brief

Confirm realistic turnaround times for authorizations, assessments, or chart reviews

Ask for redacted sample care plans, UR notes, or HEDIS abstraction examples

Verify licensure jurisdictions match the states your members reside in

Step 3: Evaluate freelancers and award the project

Combine proposal quality with profile evidence. For clinical roles, consistency across past engagements matters more than a single standout review. Weigh credentials, repeat-client patterns, and on-time delivery alongside the proposal itself.

Review portfolio depth across managed care, case management, and utilization review projects

Check star ratings and the volume of completed healthcare projects

Read written client reviews for comments on clinical judgment, documentation quality, and communication

Confirm verified payment method, completion rate, and on-time delivery rate

Validate active licenses and certifications such as CCM, ACM, or CMCN

Award the project and fund Milestone Payments tied to clear deliverables so funds release only when work is approved

What is the difference between a managed care coordinator and a case manager?

A case manager focuses on individual patient advocacy and care planning, while a managed care coordinator works within the framework of a health plan or payer to align that care with benefit structures, network providers, and utilization criteria. In practice, the roles overlap, and many freelancers are qualified to perform both functions depending on the contract.

Do managed care coordinators need to be licensed clinicians?

Most utilization review and clinical case management tasks require an active RN or licensed behavioral health credential, often with state-specific licensure. Administrative coordination, prior authorization intake, and HEDIS abstraction can sometimes be performed by certified non-clinical professionals such as medical assistants or trained coders.

Can I hire a freelance managed care coordinator for a short-term project?

Yes. Many organizations bring on freelancers for finite engagements such as HEDIS season chart review, authorization backlog cleanup, accreditation preparation, or coverage during staff leave. You can scope a fixed deliverable or an hourly engagement when you post your brief.

How do managed care coordinators handle HIPAA and PHI when working remotely?

Experienced freelancers work within your secure environment using your EHR, care management platform, and VPN, and they sign business associate agreements where required. Confirm that any candidate you shortlist understands HIPAA Privacy and Security Rule requirements and has a track record of remote work with protected health information.

Do I need a managed care coordinator or a utilization review nurse?

If your primary need is medical necessity determinations against InterQual or MCG, a utilization review nurse is the closer match. If you need broader care planning, member outreach, and cross-provider coordination in addition to UR work, a managed care coordinator is the better fit.