- Tact Staff (Lansing, MI)
- …care case management, discharge planning, utilization management, performance improvement and managed care reimbursement. -Social work experience in an acute ... MANAGEMENT, FIRST TIME TRAVELERS ACCEPTED WEEKENDS: 3 weekends per contract FLOATING: yes, as needed CALL REQUIREMENTS: none RTO:...this need. The dept patient population is inpatient acute care and is a Level 1 Trauma Center REQUIRED:… more
- Marion County (Salem, OR)
- …are in compliance with their conditional release orders and able to be safety managed in the community. Conduct home visits and have regular in person case monitor ... with community partners, including the PSRB, I/DD Services, PTCN, licensed care providers, and other entities that provide services to individuals served… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Managed Care Contract Manager** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Job ID** : 77365 ... care purchasing strategies and initiatives, along with participating in managed care contract development and negotiations. They will monitor compliance… more
- 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
- Baystate Health (Springfield, MA)
- **Summary:** Under the direction of the Director of Managed Care , the Managed Care Contract Manager is responsible for the key components of the ... higher quality or less costly care . Primary responsibilities of the Managed Care Contract Manager include performing contract analysis, developing… more
- Sutter Health (Sacramento, CA)
- …provider payment terms and trends for healthcare providers. + Ability to perform managed care contract analysis, draft language, document review, and ... is to support or lead payer negotiations, implementation of the managed care payer agreements and contract compliance, including performance analysis… more
- Universal Health Services (King Of Prussia, PA)
- …knowledge of health care finance practices and methods. + Demonstrated managed care contract negotiation skills. + Demonstrated inter-personal and ... UHS is currently recruiting for our Regional Director of Managed Care for the acute division in...ensure contract performance objectives and establishment of managed care /revenue cycle committees at all facilities… more
- Hackensack Meridian Health (Edison, NJ)
- …Specialist Managed Care ** at Hackensack Meridian Health includes: + Managed Care Contract Negotiation: Develop and negotiate owned and affiliated ... for assigned payer/partner companies within payer time frames. Demonstrate advanced managed care contract negotiation skills within a hospital, medical… 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 ... KS 66204** **This position is in Kansas City** **The role you'll contribute:** The Managed Care Coordinator is a responsible member of a multi-disciplinary team.… more
- Prime Healthcare (Denville, NJ)
- …Responsibilities Regional Manager, Managed Care is responsible for managed care contract management and payer relations. The Regional ... field or relevant bachelor's degree2. Minimum of 3 years of contract negotiation/ managed care experience at a healthcare provider or … more
- Universal Health Services (Denison, TX)
- …knowledge of health care finance practices and methods. + Demonstrated managed care contract negotiation skills. + Demonstrated inter-personal and ... with local and corporate Decision Support staff and the Regional Director, Managed Care . + Lead specified contract negotiations at the direction of… more
- Stanford Health Care (Palo Alto, CA)
- …entities in support of the department's strategic goals and objectives. Provides managed care contract implementation and operations support, together ... job.** **A Brief Overview** Under the general direction of the Director, Managed Care , the Senior Specialty Contract Manager, is responsible for negotiation… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …(PDL) to validate product placement complies with all terms and conditions of the managed care contract . Using critical thinking skills and data analytics, ... Sr. Contract Compliance Analyst III Date: May 16, 2024...identify and resolve compliance and eligibility issues with contracted managed care customers. This position works with… more
- Geisinger (Danville, PA)
- …and payment analysis. This role will provide ongoing support and maintenance of commercial and managed care contract terms within Epic. Job Duties + Design, ... Job Summary The Epic Payor Contract Analyst is responsible for building and maintaining...of key update dates for fee schedules for the Managed Care contracts. + Communicate with payers… more
- Trinity Health (Livonia, MI)
- …communication regarding service level performance and issue resolution. Operationalizes and implements managed care contracts and contract updates at ... Type:** Full time **Shift:** Day Shift **Description:** * Negotiates FFS & APM managed care contracts with PCOC level payers. Provides senior-level leadership… more
- Insight Global (San Diego, CA)
- …Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements - 3+ years of managed care network contract negotiation experience - ... Description A large healthcare client of Insight Global is looking for a REMOTE Network Contract Manager in San Diego, CA or Santa Clara, CA. The position is remote,… more
- Hackensack Meridian Health (Edison, NJ)
- …Services, Physician Services, Home Care , Hospice, Infusion, and DME). Perform managed care contract modeling analytics; Revenue Integrity analytics; ... concern impacting revenue by closely monitoring financial performance and compliance with managed care contract terms to ensure revenue is maximized. +… more
- AdventHealth (Maitland, FL)
- …managed care contracting initiatives as directed by AHS leadership; managed care contract review, interpretation and analysis, negotiation, reporting, ... AHS strategic, tactical, and operational goals. Shows an understanding of managed care contract language related through interpretation of both operational… 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
- RWJBarnabas Health (Oceanport, NJ)
- …Essential Functions + Analytical lead on modeling contract rates throughout the managed care contract negotiation process. + Assists in varying aspects ... Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department: Managed Care Location: SBC Corporation, Oceanport, Oceanport,… more
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