- TAJ Technologies (San Diego, CA)
- …collections of outstanding account balances for commercial, government, and managed care payors as assigned. The Reimbursement Specialist I is required to ... their leadership. It is a requirement for the Reimbursement Specialist I to read, interpret and apply complex payor... I to read, interpret and apply complex payor contract language to expected reimbursement calculations and pursue all… more
- Molina Healthcare (Long Beach, CA)
- …effective and efficient business results. *Trains and monitors newly hired Contract Specialist (s). *Participates in other contracting related special projects ... does not entail heavy negotiations. Minimal ongoing engagement after contract . Synchronizes data among multiple claims systems when applicable,... field including, but not limited to, provider's office, managed care , or other health care… more
- Southwest Division (Phoenix, AZ)
- … leads the efforts in contract negotiations and analysis for Medicaid, managed care and other ancillary/payor source contracts as assigned of all facilities ... (or equivalent experience) Five or more years experience in managed care contracting in the insurance or...for contract levels Serve as liaison between managed care organization and facilities to problem-solve… more
- Tacoma Community College (Tacoma, WA)
- …student population Are committed to teaching in a community college setting Care deeply about student success Intentionally support and promote efforts related to ... the diversity of our community Position Summary The Family Support Specialist (FSS) maintains an outreach, recruitment, and enrollment process year-round. The… more
- Lifelancer (Virginia Beach, VA)
- …thought leaders or high influence customers in hospitals, large group practices or managed care organizations. A demonstrated track record of success and ... About the job Senior Oncology Account Specialist Melanoma Colorectal Richmond, VA Job Title: Senior...Virginia Beach, VA, USA Job Location Type: Remote Job Contract Type: Full-time Job Seniority Level: Associate Role Summary… 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 ... opportunity as a Technical Product Trainer and Instructor Led Training Development Specialist . You will collaborate with a dedicated team of 50+ engineers… more
- GRIFOLS, SA (Boston, MA)
- …with key physicians and customer stakeholders to influence uptake for a new standard-of- care and product adoption in the treatment of their patients. The HSSR ... accounts including call points in Anesthesiology, Cardiology, Hospital Pharmacy, Critical Care , Blood Bank and other departments and stakeholders necessary in the… more
- CDM Smith, Inc. (Detroit, MI)
- …financial management. Project managers are also provided with project control specialist , contract administrator, and quality management support throughout the ... lifecycle. Senior Project Manager key performance indicators include revenue managed , profit delivered, cash flow, sales contributions, on-time delivery, quality… more
- Stony Brook University (Commack, NY)
- Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook Medicine, as a Managed Care Provider Enrollment Specialist , you ... Management Plan, Inc., and Meeting House Lane Medical Practice, PC._ **Duties of a Managed Care Provider Enrollment Specialist may include the following but… 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... Experience** **Familiarity with insurance contracts, reimbursement terms, and managed care agreements.** **Data & Financial Analysis**… more
- Corewell Health (Grand Rapids, MI)
- …internal and external customers. The successful candidate will understand the nuances of managed care contracting, analytics, managed care payers, ... Operating Committee meetings. May be requested to present and represent Managed Care Contracting updates/initiatives at meeting with internal/external… more
- CommonSpirit Health (Rancho Cordova, CA)
- …and have California physician contract experience. **Job Summary:** The Contract Specialist Divisional Payers Payer Strategy & Relationships (PSR) works ... to support the negotiation of terms and conditions for Managed Care payer contracts for facility professional...to ensure the terms and conditions of the payer contract adhere to the CSH Standards and Guidelines represent… more
- UPMC (Pittsburgh, PA)
- UPMC Community Care Behavioral Health is hiring a full-time Contract Specialist II. This role will predominantly work remotely but may require occasional ... given to candidates local to the Pittsburgh area. The Contract Specialist II is responsible for facilitating...and in a timely manner. + General knowledge of managed care functions and management techniques preferred.… more
- Gentiva (Atlanta, GA)
- **Overview** We're looking for a ** Contract Specialist ** to join our team.You will report directly to the VP of Regulatory Counsel andbe responsible for ... preparing, reviewing, analyzing, and responding to requests for managed care , provider, and other related healthcare agreements. + Prepares and negotiates… more
- WMCHealth (Valhalla, NY)
- …Performs other related work as required. Responsibilities: + Responsible for maintaining managed care contracts in contract management system including ... reimbursement formulas/calculations in accordance with payment methodology (DRG, Medicare/Medicaid, Managed Care - Commercial, etc,). Validates payment rate… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …collections of outstanding account balances for commercial, government, and managed care payors as assigned. The Reimbursement Specialist I is required to ... their leadership. It is a requirement for the Reimbursement Specialist I to read, interpret and apply complex payor... I to read, interpret and apply complex payor contract language to expected reimbursement calculations and pursue all… more
- Stony Brook University (East Setauket, NY)
- …Care Hospital Revenue Cycle or Patient Accounting Department resolving hospital Managed Care payment variances and/or denials. **Job Responsibilities may ... Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the...staff regarding departmental and unit policy and procedure, including: Managed Care Contracts. + Monitors work queues… more
- Molina Healthcare (Traverse City, MI)
- …effective and efficient business results. * Trains and monitors newly hired Contract Specialist (s). * Participates in other contracting related special projects ... does not entail heavy negotiations. Minimal ongoing engagement after contract . Synchronizes data among multiple claims systems when applicable,... field including, but not limited to, provider's office, managed care , or other health care… more
- New York State Civil Service (Schenectady, NY)
- …People With Developmental Disabilities, Office for Title Human Resources Specialist 1/Trainee 1/2 Occupational Category Administrative or General Management Salary ... State NY Zip Code 12304 Duties Description Under the supervision of a Human Resources Specialist 2, the Human Resources Specialist 1 this position will perform a… more
- Spokane County (Spokane, WA)
- …the timelines established for service delivery and to meet the Washington State Health Care Authority (HCA), DOH, Managed Care Organization (MCO), and SCRBH ... Housing & Community Support Specialist 1 (OPEN & PROMOTIONAL) Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4913284) Apply Housing &… more
