- Hackensack Meridian Health (Edison, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The **Senior Contracting Specialist Managed Care ** will develop and negotiate ... associated documents.** **Responsibilities** A day in the life of a **Senior Contracting Specialist Managed Care ** at Hackensack Meridian Health… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Responsible for seeking contract opportunities, reviewing contract language and terms, conducting data analysis on financial terms, negotiating contracts, and ... managing executed contracts for all RCHSD entities. Coordinates communication and problem resolutions regarding payment issues with all contracted payors. Manages the contract review process for RCSSD 3rd party contracts, contracts with payors, IPA's, PPO's,… more
- Abbott (Pleasanton, CA)
- …failure, allowing people to restore their health and get on with their lives. The ** Managed Care Sales Specialist ** is responsible for key account Managed ... or a related field. + 6+ years of relevant working experience in provider/payor contracting in a managed care sales setting. + 5+ years face to face or over… more
- Northern Light Health (Brewer, ME)
- Northern Light Health Department: Managed Care Contracting Position is located: Cianchette Professional Blding Work Type: Full Time Hours Per Week: 40.00 ... This position supports the policy, and practices of the Managed Care Contracting Department, collaborates...business information is preferred. Licenses and Certifications + Certified Specialist Managed Care (CSMC) within… more
- Carle (Urbana, IL)
- …Qualifications: EDUCATIONAL REQUIREMENTS Bachelors Business or Additional four (4) years experience in managed care contracting may be a substitute for ... Contract Specialist 2 + Department: HA - Prov Contract&Fin...Four (4) Related Field. Four (4) years experience in managed care contracting or healthcare… more
- CareOregon (Portland, OR)
- …should include involvement in several of the following areas: Provider relations, managed care operations (eg, claims, appeals, grievances, customer service), ... Job Title Provider Relations Specialist Lead Department 116-Provider Relations Exemption Status Exempt...and relations + Strong knowledge and understanding of Medicare, managed care , and the Oregon Health Plan… more
- Molina Healthcare (Los Angeles, CA)
- …field or an equivalent combination of education and experience **PREFERRED EXPERIENCE** : Managed Care experience To all current Molina employees: If you are ... California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more
- BayCare Health System (Tampa, FL)
- …will resolve errors and issues by coordinating with the plans, the CBO and the Managed Care contracting department. **Why BayCare?** Our network consists of ... Required - 1 year Credentialing or 1 year Managed Care Equal Opportunity Employer Veterans/Disabled **Position** Credentialing Specialist **Location**… more
- Sutter Health (Los Altos, CA)
- …care contract and billing terminology, provisions and reimbursement methodologies including managed care risk contracting , workers' compensation, and ... specialty providers to meet the geographic demand of the managed care contracts and other risk contracts...Care lives. Provides analytical support for budgeting and contracting in addition to offering support and ongoing education… more
- HomeSafe Alliance (Columbus, OH)
- **Title:** Contract Specialist HomeSafe is seeking a Contract Specialist to join our GHC Contracts Team and to provide all forms of contract-related ... all phases of contract execution, administration, and closeout. The Contract Specialist position will perform a range of contract administrative functions leading… more
- CareOregon (Medford, OR)
- …work in one or more of the following areas: Provider relations, managed care operations (eg claims, appeals, grievances, customer service), medical/behavioral ... comply with all federal laws. Job Title Provider Relations Specialist I Department 116 - Provider Relations Exemption Status...Knowledge, Skills and Abilities Required Knowledge + Knowledge of managed care and the Oregon Health Plan… more
- CareOregon (Portland, OR)
- …should include involvement in several of the following areas: Provider relations, managed care operations (eg, claims, appeals, grievances, customer service), ... Job Title Provider Relations Specialist II Exemption Status Exempt Department Provider Relations...Skills and Abilities Required Knowledge + Strong understanding of managed care and the Oregon Health Plan… more
- Molina Healthcare (NY)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... to business and system requirements of customers as it pertains to contracting , network management and credentialing. **JOB DUTIES** : Negotiates assigned contracts… more
- MetroLink (Los Angeles, CA)
- …to visit a dentist of your choice, change dentists at any time, go to a dental specialist of your choice, receive dental care anywhere in the world, and save on ... Contract Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4472709) Apply Contract Specialist Salary $59,645.00 - $92,450.00… more
- Sedgwick (Columbus, OH)
- …To negotiate fee-for-service ancillary contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; ... equipment and other ancillary services; contracts for multiple lines of business in the managed care markets. + Analyzes market data and financial models. +… more
- Amergis (Chicago, IL)
- …credentialing or healthcare operations (ie claims processing, billing, provider relations, or contracting ) experience within a Managed Care Organization + ... / hour Amergis is seeking a Provider Data Operations Specialist facilitates all provider data upload files for the...1 year of recent work experience in a managed care organization network administration or operations… more
- Mom's Meals (Ankeny, IA)
- …in trainings and provider meetings required by agencies, health plans, and Managed Care Organizations and disseminate relevant information + Compile compliance ... Position SummaryThe Compliance Specialist II is responsible for supporting the Director...rules and regulations related to Medicare/Medicare Advantage plans, Medicaid, Managed Care Organizations + Proficient in Microsoft… more
- Deloitte (Columbus, OH)
- Salesforce Specialist Master Customer & Marketing is creating a new model for a new age-we're an agency and a consultancy. Understanding the digital space and ... how profits are made, how relationships are created and managed ; we reshape how work gets done and rewire...ends on June 28, 2024. Work you'll do A Specialist Master at Deloitte has deep expertise in a… more
- Veterans Affairs, Veterans Health Administration (Clarksburg, WV)
- …as a subject matter expert to all services and service lines. Inventories managed include a wide variety of expendable items and durable medical equipment (DME) ... supplies that materially affect the VA HCS' ability to provide medical care to Veterans. Researches opportunities for and conducts analysis of potential cost… more
- Providence (OR)
- …**-OR-** Bachelor's **-OR-** Master's Degree in Pharmacy and 5+ years of managed care experience with experience documenting responsibility for evidence and ... team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your...**Providence Health Plan is calling a Senior Clinical Pharmacist Specialist who will:** + Serve as an expert in… more