- 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
- e CancerCare (Nashville, TN)
- …in reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance, along with rate modeling ... reimbursement terms in a multi-functional approach to Managed Care strategies. . Assume other projects...skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating… more
- AdventHealth (Maitland, FL)
- …leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues. . Ensures key stakeholders ... within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the implementation… more
- HCA Healthcare (Dallas, TX)
- …Surgery Centers. This entails financial analysis and management, cash flow, and knowledge of managed care contract reimbursement as well as general ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more… more
- MaineGeneral Health (Waterville, ME)
- …are actively seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects of ... reimbursement , managed care contracts, and payer enrollment. The...the Charge Description Master (CDM) rate setting + Lead contract negotiations and manage payer relationships + Utilize Sorian… more
- AdventHealth (Maitland, FL)
- …**Responsible for ensuring the providers are loaded timely and accurately with Managed Care contracted payers. Responsible for evaluating professional fee ... the Physician Enterprise (PE) and works closely with practice office operations staff, Managed Care (MC) contracting, MC Credentialing and Enrollment and billing… more
- CommonSpirit Health (Chicago, IL)
- …and support all stakeholders through ongoing educational and problem-solving support for managed care payer reimbursement models. This position requires ... daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract modeling strategy and… more
- Houston Methodist (Houston, TX)
- …oversees the development, negotiation, and maintenance of payer relations contracts for reimbursement billed through managed care including hospital, ... contract performance. + Ensures the dissemination of managed care financial information to internal finance... and provider network processes + Expert knowledge of contract modeling and reimbursement methodologies + Knowledge… more
- Henry Ford Health System (Troy, MI)
- …Experience in reimbursement and/or data analytics preferred. * Knowledge of managed care organizations and integrated health systems. * Comprehensive project ... GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is...Care Contracting team in evaluating, analyzing, and negotiating contract terms and reimbursement rates with health… more
- Bristol Myers Squibb (Tampa, FL)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as all aspects with evaluating implications of and reporting Managed Care data required for US and...hours flexibility. Parental, caregiver, bereavement, and military leave. Family care services such as adoption and surrogacy reimbursement… more
- AdventHealth (Maitland, FL)
- …experience in managed care , patient financial services, healthcare reimbursement , accounting and contract management. . 5 years of management experience ... role you'll contribute:** This position will be responsible for execution of the managed care payor dispute resolution processes for all AdventHealth providers… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director, Managed Care Payer Contracting (V&A) Date: Jun 4, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals ... generation of pharmaceutical access in a high-growth environment.** The Associate Director, Managed Care Payer Contracting plays a pivotal role in supporting… more
- Cardinal Health (Carson City, NV)
- …interactions that take place between payer and provider(s) to ensure optimal reimbursement including managed care contracting, enrollment, credentialing, and ... **_What Managed Care contributes to Cardinal Health_**...contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
- Cedars-Sinai (Beverly Hills, CA)
- …implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and ... metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for compliance and financial performance, identifying… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director, Managed Care Payer Contracting (V&A) Date: Jun 4, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: ... a difference, and new people to make a difference with. **The opportunity** The Director, Managed Care Payer Contracting is a key leadership role within Value &… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director, Managed Care Payer Data & Analytics (V&A) Date: Jun 4, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job ... defining the next generation of pharmaceutical access in a high-growth environment.** The Director, Managed Care Payer Data & Analytics is a key leadership role… more
- Cedars-Sinai (Los Angeles, CA)
- …service the network's membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star ratings, access, physician network ... + Well versed within the various components that comprise Managed Care and its key concepts including...etc. and provide a comprehensive written documentation of that reimbursement methodology within a contract . + Familiarity… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Senior Managed Care ... with the specific payer guidelines, policies, procedures, and compliance regulations for managed care . This includes maintaining the deficiency lists used to… more
- Prime Healthcare (Lynwood, CA)
- …Responsibilities The Senior Managed Care ... with the specific payer guidelines, policies, procedures, and compliance regulations for managed care . This includes maintaining the deficiency lists used to… more
- Atrius Health (Newton, MA)
- …welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Senior Managed Care Analyst* **Location:** *Newton MA - ... current and evolving provider payment methodologies . Reviews and monitors contract /payer performance . Compares expected reimbursement data to negotiated… more