- iCare Health Solutions Enterprise (Miami, FL)
- …Contract Utility, supporting both traditional fee-for-service (FFS) reimbursement and managed care models, including capitated, global payment, and ... to ensure seamless implementation of negotiated agreements Act as the liaison between Managed Care , Revenue Cycle, IT, and Clinical Operations for contract… more
- Baptist Health Care (Pensacola, FL)
- …with all revenue cycle departments to leverage information to be used in managed care contract negotiations, implement denials management process ... related information systems (data warehouse). Ensure the maintenance of the managed care contract rate information, modeling, updated reports and analysis… more
- UF Health (Gainesville, FL)
- …the execution of key functions that are essential to the success of UF Health Managed Care . This role provides contract management support, drives project ... Overview Under the direction of the Director of Managed Care Contracting and Operations, the Managed Care Coordinator supports… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- … Contract Forecasting to ensure support of cross-functional teams regarding key managed care accounts and ASP analysis. This includes: profitability analysis ... ability to develop that knowledge; preferredDetailed knowledge of all channels of managed care environment in the US (commercial, Medicare, Medicaid, etc.);… more
- Sherman Oaks Hospital (Sherman Oaks, CA)
- …of contract interpretation 4. Familiar with hospital billing requirements 5. Understanding of managed care payor contract and contract language 6. ... Overview Sherman Oaks Hospital is a 153-bed, not-for-profit, acute- care community hospital located in Sherman Oaks, California....the hospital is recognized for advanced technology and compassionate care and provides 24/7 emergency care in… more
- Arkansas Children's (Little Rock, AR)
- …in a related field of study. Required Work Experience: Related Field - 3 years managed care , payer relations, payer contract , or physician or hospital ... 8:00 am - 5:00 pm - Hybrid The Payer Contract Specialist is responsible for managing payer contracts to... Experience Familiarity with insurance contracts, reimbursement terms, and managed care agreements. Data & Financial Analysis… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …treatment capabilities and capacity for Product Lines/Specialties assigned. Proactively collaborates with Managed Care Support Contract (MCSC), Product Line ... currently seeking to hire a Registered Nurse (Non-Practicing) to support its contract with the Integrated Referral Management and Appointing Center (IRMAC), the… more
- CenCal Health (Santa Barbara, CA)
- …Audits to ensure compliance with Federal and State regulatory requirements, the DHCS Medi-Cal Managed Care Contract , Medicare Advantage and Medicare Part D ... requirements and standards, including those issued by the California Department of Health Care Services (DHCS), the California Department of Managed Health … more
- Knowesis (Falls Church, VA)
- …and consultation to the Government Point of Contact. Assist in administrating the Managed Care Support Contract (MCSC) Acquisition Program, Dental, TRICARE ... TX Work Environment: Hybrid Clearance Required: None Status: Contingent Upon Contract Award Knowesis is seeking multiple Senior Acquisition Policy Analysts to… more
- St. Luke's University Health Network (Allentown, PA)
- …and ensuring active governance across the vendor pool Deliver a structured managed contract process from determining needs, assisting in vendor selection, ... which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses...are not limited to organizing and directing vendor evaluations, contract engagement, and value analysis for IT, RFI/RFPs as… more
- Miami Jewish Health (Miami, FL)
- …relations, or network management preferred. *Strong knowledge of healthcare provider types, managed care principles, and contract terminology. *Excellent ... team. Job Title: Contracting Coordinator Job Summary The Contracting Health Care Coordinator is responsible for supporting the development, and maintenance of… more
- MCI Careers (Wichita, KS)
- …applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, ... Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal &… more
- PACS (Farmington, UT)
- …is elevating healthcare by revolutionizing our approach to leadership and quality care . Guided by our core values of love, excellence, trust, accountability, mutual ... , we strive to foster a culture of compassionate care within our teams and the communities we serve....General Purpose We are seeking a detail-oriented and experienced Contract Manager with a legal background to assist in… more
- Arizona Department of Administration (Phoenix, AZ)
- …stakeholders. Participate in special projects related to Medicaid managed care , including rules teams, fraud prevention, contract development, MCO ... join our dynamic and dedicated team. Medicare Operations Compliance Officer Division of Managed Care (DMC) Job Location: Address: 150 North 18th Avenue Phoenix,… more
- Pyramid Consulting, Inc. (Dallas, TX)
- …Key Skills; LPN, LVN, or LCSW preferred . 2+ years of experience in a managed care environment or working with people who have disabilities and/or with ... Management Support Coordinator II. This is a 06+months contract opportunity with long-term potential and is located in...Nice to haves: 2+ years of experience in a managed care environment or working with people… more
- ProMed Staffing Resources (New York, NY)
- …diagnostic & treatment clinic preferred. - Customer Service experience is required. - Managed long-term care insurance experience beneficial. - Minimum of one ... CARE DELIVERY MANAGER (Korean Bilingual preferred) Responsible for...Schedule: Monday-Friday 8:30 am-5:00 pm (1 hour lunch) (FT) Contract Length: Temp to Perm depending on if employee… more
- COPE Health Solutions (San Francisco, CA)
- …or Education, Training and Experience Valid and current LCSW or LMSW licensure 3-5 years' care management and/or managed care experience in one of the ... settings: acute inpatient, rehabilitation, sub-acute, skilled facility, homecare, ambulatory care management, or managed health plan. Bilingual Spanish/English… more
- Compass Group (Sycamore, AL)
- …include inventory, ordering, and receiving Knowledge of P&L accountability and contract - managed service experience is desirable Proficient in menu development, ... in leading our food service operations in an acute care setting located in Sylacauga, AL. This is a...with exposition cooking needed Knowledge of P&L accountability and contract - managed service experience is desirable ServSafe certified… more
- Elevance Health (Waynesville, NC)
- …Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. We are unable to accommodate LCSW-A, ... Anticipated End Date: 2025-09-07 Position Title: Manager I Care Management (Haywood Co.) Healthy Blue Care...accordance with federal/state law, scope of practice regulations or contract , the requirements are: Requires an active and current… more
- UNC HEALTH (Smithfield, NC)
- …and office assistant as needed. 8. Performs Registrations for patients to include contract registration for Managed Care patients and complete registration ... Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position. Qualified applicants will be… more
