- e CancerCare (Nashville, TN)
- …data to provide in reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance, along with ... setting. Strong communication skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating experience with managed care… more
- Beth Israel Lahey Health (Charlestown, MA)
- …a job, you're making a difference in people's lives.** **Job Description:** The Senior Managed Care Contract Analyst reports directly to the Executive ... limited to:** 1) Designs & performs analyses and reporting in support of managed care contract negotiations including but not limited to Hospital rates,… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... leads financial and data analysis to evaluate rate proposals, contract terms, and health plan reimbursement. This position will...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- Saint Francis Health System (Tulsa, OK)
- …managing multiple priorities with competing deadlines. Essential Functions and Responsibilities: Oversees managed care contract negotiations with payors for ... Friday | 8:00am - 5:00pm Job Summary: The Manager, Managed Care oversees the modeling, rate development...internal business partners, this role manages the rate and contract negotiations, and the full contracting process including but… more
- AdventHealth (Maitland, FL)
- …managed care contracting initiatives as directed by AdventHealth leadership; managed care contract review, interpretation and analysis, negotiation, ... etc.) to preserve the integrity of those contracts. Shows full comprehension of managed care contract language for the betterment of the AdventHealth … more
- AdventHealth (Maitland, FL)
- …revenue. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... labor performance is not compromised. * Responsible for timely entry of contract data into the Managed Care database which includes addition of new payors,… 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; ... key contract data elements which are populated into the Managed Care database including addition of new payers, auto increases, renewals and termination.… more
- AdventHealth (Maitland, FL)
- …department leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the ... Enterprise leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues. . Ensures key stakeholders… more
- Mount Sinai Health System (New York, NY)
- …for the central billing office by staying up to date on NYS regulatory laws, managed care payer policies, contract language, contract negotiations, CMS ... MSHP IPA, to provide routine data and analytics in all aspects of professional managed care contracting issues. 2. Maintain payer escalation tracker to monitor… more
- LA Care Health Plan (Los Angeles, CA)
- …The Account Manager III is responsible for the initial on-board training of new managed care contract provider partners, and for ensuring their provider ... LAC; and providing in-service orientation meetings with providers. Responsible for monitoring managed care contracts for renewals and expirations. Acts the… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Responsible for seeking contract opportunities, reviewing contract language and terms, conducting data analysis on financial terms, negotiating ... problem resolutions regarding payment issues with all contracted payors. Manages the contract review process for RCSSD 3rd party contracts, contracts with payors,… more
- Nuvance Health (Norwalk, CT)
- …of appeal as appropriate, in an effort to maximize reimbursement. Reviews and edits Managed Care Contract Language relating to Utilization Management Issues. ... services and/or programs. Interfaces and coordinates services with Admission, Finance, Managed Care , Medical Records, Home Care , Rehabilitative and Risk… more
- Community Health Systems (Franklin, TN)
- …methodologies, and scheduled rate changes. + Ensures accurate interpretation and programming of managed care contract language to reflect rate structures and ... or a related field required + 4-6 years of experience in managed care contract administration, accounts receivable, or related field required +… 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
- CommonSpirit Health (Englewood, CO)
- …payer contract proposals and reimbursement structures. Support the analysis of managed care contract performance, including revenue impact and ... contracts and reimbursement scenarios. + Support data analysis related to managed care contract performance, including revenue, volume, and profitability… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …operational areas and contracted organizations. + Manages relationships with assigned managed care organizations including monitoring contract performance, ... financial analysis of hospital, physician and ancillary rates and other ad hoc financial analysis. + Serves as managed care liaison for assigned Emory Healthcare… more
- Alameda Health System (Oakland, CA)
- …Commission, Title 22 and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case Management ... Director, Inpatient System Care Management + Oakland, CA + Highland General Hospital + SYS Care Coordination + Full Time - Varies + Management + Req… more
- AdventHealth (Maitland, FL)
- …payment term changes that achieve net revenue targets developed by the Regional Managed Care Directors and Contract negotiators + Ad-hoc reporting, ... analyzing and evaluating financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on financial… more
- Sharp HealthCare (San Diego, CA)
- …and compliance through an integrated effort with the Business Services Department and Managed Care Finance through contract monitoring and information ... as a result of legislation, regulated or health plan directed. Incorporate managed care contracting priorities with organizational strategic direction and… more
- Diversicare Healthcare Services & Diversicare Ther (Birmingham, AL)
- …to the patients needs under the reimbursement guidelines provided by patient's benefits and current managed care contract . * We ensure the highest level of ... \#BSC123 **Responsibilities** **Responsibilities** * This position requires multi-tasking to ensure managed care authorizations are received at the highest level… more
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