- iCare Health Solutions Enterprise (Miami, FL)
- …in the NextGen Contract Utility, supporting both traditional fee-for-service (FFS) reimbursement and managed care models, including capitated, global ... , revenue cycle, or payer relations Expert knowledge of both fee-for-service and managed care reimbursement models, with direct experience managing capitated… 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 ... for growth, competition and financial strength. By securing optimal reimbursement and protecting the interests of the system in...information systems (data warehouse). Ensure the maintenance of the managed care contract rate information,… more
- St. Barnabas (Bronx, NY)
- … Care contracting) Hospital denials and appeals management experience Experience with managed care contracts, reimbursement and administrative terms and ... and revises Departmental policy and procedures related to billing, reimbursement activities, and improvement strategies Conducts monthly analysis of… more
- Arkansas Children's (Little Rock, AR)
- …the following experience: Payer Contract Experience Familiarity with insurance contracts, reimbursement terms, and managed care agreements. Data & ... monitoring and adherence to payer policies, and resolution of reimbursement issues to optimize revenue and contract ...study. Required Work Experience: Related Field - 3 years managed care , payer relations, payer contract… 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. Staffed with over 500 employees and… more
- Reckitt (Detroit, MI)
- …experience Experience dealing with and providing solutions to various sales issues: contract management, samples management, managed care , WIC transitions, ... hospital segments, where we work with them to make sure the people in their care benefit from having access to our trusted nutritional products. Our team are trusted… more
- TriWest Healthcare (Phoenix, AZ)
- …plan experience *Advanced management degree (MPA, MBA, MHA, MPH) *2+ years' Managed Care experience Key Responsibilities *Provides program guidance and clinical ... WA, WI & WY only). Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD...*Clinical Quality and Continuous Quality Improvement *Utilization Management, health care cost containment, and Managed Care… more
- Raytheon Technologies (Marlborough, MA)
- …only US citizens are authorized to access information under this program/ contract . Security Clearance: None/Not Required As a Senior Engineer, Engineering ... retirement contribution, including a Lifetime Income Strategy option Tuition reimbursement program Student Loan Repayment Program Life insurance and disability… more
- Stantec (Washington, DC)
- Job Description When you care deeply about the work you do, it's rewarding to see it through from concept to completion. We partner with clients to provide both ... transit systems, water treatment facilities, mines, and wind farms, we've successfully managed thousands of projects. Joining our team, turning visionary ideas into… more
- Raytheon Technologies (Marlborough, MA)
- …as only US citizens are authorized to access information under this program/ contract . Security Clearance: None/Not Required Raytheon Company, Managed by Collins ... retirement contribution, including a Lifetime Income Strategy option Tuition reimbursement program Student Loan Repayment Program Life insurance and disability… more
- Pear Suites (Los Angeles, CA)
- …a scalable sales strategy to grow Pear Suite's customer base across Medicaid Managed Care Organizations (MCOs), Medicare plans, Duals plans, and more. This ... role is ideal for someone who understands the complexities of value-based care , managed care contracting, and SDoH interventions-and is ready to drive impact… more
- Bristol-Myers Squibb Company (Summit, NJ)
- …summer hours flexibility. Parental, caregiver, bereavement, and military leave. Family care services such as adoption and surrogacy reimbursement , ... Management teams to ensure that risk is assessed and managed according to the needs of the business and...support for traveling mothers, and child, elder and pet care resources. Other perks like tuition reimbursement … more
- The University of Kansas Health System (Lenexa, KS)
- …across all enterprise Implements and monitors compliance with UKHA and governmental and managed care reimbursement policies and regulations. Maintains a ... working knowledge of applicable laws, regulations and payer contract agreements as they relate to assigned responsibilities and educates staff appropriately.… more
- Crossroads Treatment Centers (Greenville, SC)
- …proficiency in third-party billing requirements to include federal, state, and commercial/ managed care payers. Interpret claim scrubber edits/rejections and ... coding and/or billing concerns. Ability to interpret payer contracts and identify contract variances affecting reimbursement . Utilize knowledge of the cash… more
- Lifelancer (New York, NY)
- …thought leaders or high influence customers in hospitals, large group practices or managed care organizations. A demonstrated track record of success and ... Central IL Job Location: New York, NY, USA Job Location Type: Remote Job Contract Type: Full-time Job Seniority Level: Associate Role Summary Everything we do, every… more
- MedPro Healthcare Staffing (Greensboro, NC)
- …as a liaison between the patient's family and healthcare organization Strives to promote self- managed care and the use of healthcare resources in the most ... healthcare clients. Requirements Eighteen months of recent experience in an Acute Care Case Manager setting Active RN License BLS Certifications Degree from… more
- ChristianaCare (Wilmington, DE)
- …and billing performance trends in collaboration with the Revenue Integrity and Managed Care teams. Qualifications: Bachelor's degree in Finance, Accounting, ... Microsoft Excel proficiency, excellent communication, attention to detail, healthcare reimbursement , value-based care models, and operational benchmarking.… more
- Raytheon Technologies (Burnsville, MN)
- …as only US citizens are authorized to access information under this program/ contract . Security Clearance: None/Not Required This position is for a Production Quality ... retirement contribution, including a Lifetime Income Strategy option. *Tuition reimbursement program. *Student Loan Repayment Program. *Life insurance and disability… more
- Raytheon Technologies (Melbourne, FL)
- …as only US citizens are authorized to access information under this program/ contract . Security Clearance: None/Not Required What You Will Do: Key material requests ... retirement contribution, including a Lifetime Income Strategy option Tuition reimbursement program Student Loan Repayment Program Life insurance and disability… more
- Renton Technical College (Renton, WA)
- …Provider Organization -PPO plan) Administered by Washington Dental Service (WDS) DeltaCare ( Managed Care Plan) Administered by Washington Dental Service (WDS) ... Maintain records, prepare status reports, execute budget transfers, and reimbursement requests. Develop budget estimates and make recommendations in...Willamette Dental ( Managed Care Plan) Administered by Willamette Dental… more
