- 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
- Sharp HealthCare (San Diego, CA)
- …high accuracy in transactions, write-offs, refunds, issue resolution, etc.) + Knowledge of Managed Care Contract Reimbursement , Government ... base of current regulations of affiliated payors through coordination with Contract Reimbursement Specialist.Centralizing and reviewing all denial material… more
- UNC Health Care (Morrisville, NC)
- …the unique communities we serve. **Job Summary:** The System Executive Director - Managed Care position is responsible for planning, directing and coordinating ... all Managed Care operations. This position establishes and...broad understanding of principles including financial planning and analysis, reimbursement , contract negotiations and problem solving. *Maintains… more
- Banner Health (AZ)
- …depth understanding of Commercial, AHCCCS and CMS reimbursement methodologies. Assignments in Managed Care require strong contract writing skills as well ... by offering remote and hybrid work settings. As a Managed Care Contract Consultant with...Care . 4. Understand physician, facility and ancillary service contract reimbursement methodologies for Medicare, Medicaid, Exchange… more
- Abbott (Livermore, CA)
- …failure, allowing people to restore their health and get on with their lives. The ** Managed Care Sales Specialist** is responsible for key account Managed ... Managed Care sales targets include national payors, national networks, managed care organizations (HMO, PPO, POS, EPO), providers at financial risk… more
- McLaren Health Care (Auburn Hills, MI)
- We are looking for a Managed Care Coordinator to join us in leading our organization forward. McLaren Health Care is one of Michigan's fastest growing health ... Summary:** Responsible for implementing, operationalizing and administration of third-party payor/ Managed Care agreements within all market segments for… more
- WMCHealth (Valhalla, NY)
- …the Network. This includes existing payers and first time payers. + Oversees review of managed care contract language, including redlining of contract ... N/A Other: Special Requirements: + Thorough knowledge of various reimbursement methodologies, such as MSDRG, APR DRG, CPT-4, HCPCS,...Care Organizations. + Strong experience in review of managed care contract language, including… more
- Hackensack Meridian Health (Edison, NJ)
- …Specialist Managed Care ** at Hackensack Meridian Health includes: + Managed Care Contract Negotiation: Develop and negotiate owned and affiliated ... recredentialing for assigned payer/partner companies within payer time frames. Demonstrate advanced managed care contract negotiation skills within a… more
- AdventHealth (Maitland, FL)
- …value you'll bring to the team:** . Provide documentation to internal departments on managed care contract requirements and changes including but not limited ... is in Kansas City** **The role you'll contribute:** The Managed Care Coordinator is a responsible member...and support staff in order to obtain the optimum reimbursement , decrease operational overhead, and maximize patient benefits. **The… more
- Hartford HealthCare (Wethersfield, CT)
- …the Sr. Payer Analyst develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops payment related tools such ... **Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Wethersfield-1290 Silas Deane… more
- Northwell Health (New Hyde Park, NY)
- …+ Works with management to interpret contract language as it relates to managed care reimbursement rates and contractual provisions. + Assists senior ... **Req Number** 124332 Job Description Develops managed care contract proposals for health system entities. Addresses operational issues and ensures … 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
- BayCare Health System (Clearwater, FL)
- …during the contract negotiation process. + Serves as Primary Contact for contract / managed care payer claims and operational issues resolution for ... of trust, dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Managed Care Financial Analyst Sr. performs financial analyses of… more
- Omnicell, Inc. (Grapevine, TX)
- …Client Solutions, Information Technology, Accounting, and Finance Teams to ensure all managed pharmacies are performing at the highest level. Essential functions + ... networks as possible to ensure prescription retention. + Negotiates to keep reimbursement rates reasonable. + Works closely with the Corporate Controller regarding … more
- Kaleida Health (Buffalo, NY)
- …equity, and any applicable collective bargaining agreement.* **Grade:** 14 **Position:** Manager Managed Care Contracting **Union Code:** 00 - Non Union ... **71534BR** **Auto req ID:** 71534BR **Department:** 24009 - KH Reimbursement **Job Description:** Primarily responsible to manage third party contracting. Include… more
- AdventHealth (Tampa, FL)
- …robotics in spine surgery . Building a brand new, six story surgical and patient care tower which will ensure state of the art medical and surgical car for ... a recipient of their Target: Stroke Honor Roll for our expertise in stroke care . We have also received certification by The Joint Commission in collaboration with… more
- Live Nation (CA)
- …Managed Pricing Analyst Division: Revenue & Demand Management Line Manager: Manager, Managed Pricing Services Contract Terms: Regular/Full - Time THE TEAM ... color, religious creed (including religious dress and grooming practices), family and medical care leave or the denial of family and medical care leave,… more
- Sharp HealthCare (San Diego, CA)
- …of payor issues. **Required Qualifications** + Bachelor's Degree + 5 Years experience with managed care contract negotiation and/or interpretation. + 3 Years ... + Department competencyResearching and interpreting legal language for application to contract reimbursement and billing and educates staff as… more
- Commonwealth Care Alliance (Farmington Hills, MI)
- …- 3-5 years of experience - Specific background in provider contracting in a health care or managed care setting required. - Exceptional provider partnership ... internal and external groups. - Particular expertise in Medicare and Medicaid health care reimbursement methodologies. - Knowledge of ICD-10 and CPT codes… more
- CommonSpirit Health (Englewood, CO)
- …terms in collaboration with revenue cycle partners. + Ability to identify and rectify contract compliance issues with managed care payers by leveraging ... models, reports and tactics to ensure compliance with contracted reimbursement structures. + Leverage contract expertise to...issues to internal department leads, revenue cycle vendors, and managed care payers for meaningful resolution and… more