- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key leadership role within the Controller's Office, responsible for ... and reporting processes to increase efficiency, accuracy, and scalability. + Non-Patient Care Services Receivable + Oversee invoicing, contract compliance, and… more
- Kavaliro (Sacramento, CA)
- …and finalize report submissions. Support internal stakeholders (eg, Managed Care , Budgeting, and Financial Planning) with reimbursement and cost data ... Our client is seeking an experienced Reimbursement Analyst III for a long-term contract opportunity. This position supports reimbursement and cost reporting… more
- Henkel (Rocky Hill, CT)
- …to 20 weeks for parents giving birth), fertility support, adoption & surrogacy reimbursement , discounted child and elderly care , and scholarships + **Career ... >1 million USD. + Ensure annual facility operating budget is responsibly managed . + Oversight and responsibility for onsite facilities and equipment maintenance… more
- Crane Aerospace & Electronics (Burbank, CA)
- …implement and manage alternate material replenishment methods (consignment, kanban, vendor managed ) that increase turns year over year while supporting 100% customer ... up, down and across organizational lines + Strong negotiation and contract management skills; Strong customer service orientation; Proven ability to resolve… more
- Xcel Energy (Denver, CO)
- …benefits: Annual Incentive Program, Medical/Pharmacy Plan, Dental, Vision, Life Insurance, Dependent Care Reimbursement Account, Health Care Reimbursement ... with safety rules. + Represent Xcel Energy's interests in contract negotiations and relationships with suppliers, contractors, industry/professional organizations… more
- Henry Ford Health System (Troy, MI)
- …skills. + Strong organizational and interpersonal skills. + Strong Understanding of Managed Care Reimbursement methodologies, coding, and terminology. ... EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement , or related… more
- Omaha Children's Hospital (Omaha, NE)
- …+ Minimum 2 years' experience in analysis of financial, reimbursement , or managed care contract modeling. Required **Skills and Abilities** + Knowledge ... and people with disabilities. **A Brief Overview** The Sr. Managed Care Contract and Revenue...annual fee schedule analysis to identify opportunities to maximize reimbursement . + Promote a culture of collaborative, customer-focused service… more
- AdventHealth (Altamonte Springs, FL)
- …leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues. Ensures key stakeholders are ... within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the implementation… more
- AdventHealth (Maitland, FL)
- …adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... by providing direction to external vendor or through internal reimbursement calculations. * Responsible for summarizing key contract...contract data elements which are populated into the Managed Care database including addition of new… more
- Saint Francis Health System (Tulsa, OK)
- …performs on going analysis, which maintains the integrity of financial expectations of managed care contracts within the Epic system. Resolves programming issues ... - 5:00pm Job Summary: Responsible for analysis of contracts and performing contract negotiations to include monitoring and reviewing existing contracts to ensure… more
- AdventHealth (Maitland, FL)
- …partners, vendors and leadership after identifying and quantifying the issue. Supports the Managed Care Contract Administration, AH Central Denials team, and ... Care and role related functions such as new government regulations and reimbursement methodologies. Supports AH Managed Care and AH Regional PFS… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …* Minimum of 3 years Pharmaceutical experience; Experience with Managed Care Rebate Processing, Rebates Disputes, Contract Terms * Strong analytical and ... Sr Mgr, Managed Care Rebates Date: Nov 19,...* Assists staff with contract interpretation, entering contract terms (products, plans, reimbursement percentages, etc.)… more
- Cardinal Health (Helena, MT)
- …when there are specific managed care operations questions including contract questions and analysis related to reimbursement . + Support sales including ... lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the relationship… more
- Guidehouse (Chicago, IL)
- …healthcare data into measurable healthcare financial performance. This role is dedicated to managed care contracting - you will learn to read payer contracts ... (commercial and government), model reimbursement terms in our existing tools, and enhance those...pass yield, cash acceleration, net revenue). + Work with Managed Care /Finance, Revenue Integrity/CDM, PFS, and IT/Data… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street ... analytics with a focus on hospital and ancillary. Reviews and monitors contract /payer performance including payer parity. Compares expected reimbursement data to… more
- Molina Healthcare (Racine, WI)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + ... materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.… more
- Guidehouse (San Antonio, TX)
- …components. * Provides oversight and executive level management to overcall contract operations often involving multiple projects/tasks and groups of personnel at ... leading teams **Experience with oversight and executive level management for overall contract operations** **What Would Be Nice to Have** **:** + Experience with… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...Health System. This individual will ensure the accuracy of contract terms, reimbursement structures, and facilitate the… more
- HCA Healthcare (Brentwood, TN)
- … Pricing Advisor is responsible for the What-if modeling of the more advanced managed care contracts and performance of advanced ad hoc analyses partnering with ... an organization that invests in you as a Sr Contract Pricing Advisor? At HCA Healthcare, you come first....recommendations to drive decision making + Model more advanced managed care contracts through the Alliance for… more
- UTMB Health (Galveston, TX)
- …UTMB Health Requisition # 2504255 **JOB SUMMARY** The primary responsibility of the Managed Care , Senior Contract Administrator position is leading, ... developing, and negotiating managed care agreements to ensure favorable reimbursement , alignment...HMOs, PPOs, ACOs, and Medicaid/Medicare Advantage plans. * Analyze reimbursement methodologies and contract performance to ensure… more