- Molina Healthcare (Long Beach, CA)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. *1-3 Years Managed Care experience PREFERRED EXPERIENCE : Knowledge of integrated delivery… more
- Argus Medical Management, LLC (Cypress, CA)
- …and manage all aspects of credentialing for healthcare providers within a managed care organization. Collect, review, and verify provider credentials, including ... Medical provides comprehensive billing and managements services which include contracting , credentialing, HR services, accounting, etc. to support Physicians in… more
- Molina Healthcare (Traverse City, MI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated delivery… more
- Corewell Health (Grand Rapids, MI)
- …complex internal and external customers. The successful candidate will understand the nuances of managed care contracting , analytics, managed care ... Committee meetings. May be requested to present and represent Managed Care Contracting updates/initiatives at meeting with internal/external constituencies.… more
- Molina Healthcare (Long Beach, CA)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care field. **PREFERRED EDUCATION** ... or an equivalent combination of education and experience **PREFERRED EXPERIENCE** : 1-3 Years Managed Care experience To all current Molina employees: If you are… more
- UPMC (Pittsburgh, PA)
- …situations accurately and in a timely manner. + General knowledge of managed care functions and management techniques preferred. **Licensure, Certifications, and ... Care Behavioral Health is hiring a full-time Contract Specialist II. This role will predominantly work remotely but...contracting with the provider for services. The Contract Specialist II reviews any alterations in the status of… more
- Arkansas Children's (Little Rock, AR)
- …performance metrics. Stay informed on political, legal, and regulatory trends/developments impacting managed care and payer contracting . 3. **Relationship ... **Payer Contract Experience** **Familiarity with insurance contracts, reimbursement terms, and managed care agreements.** **Data & Financial Analysis** **Comfort… more
- CommonSpirit Health (Rancho Cordova, CA)
- …position requires knowledge and experience in reimbursement of the financial aspects of contracting and managed care operations. + Additionally effective ... & Innovation team to support the negotiation of terms and conditions for Managed Care payer contracts for facility professional and ancillary entities. Primary… more
- Stony Brook University (East Setauket, NY)
- …and denied accounts. + Collaborates on denials prevention initiatives. + Liaises with Managed Care Contracting and Insurance Company Provider Representatives ... Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the...Hospital Revenue Cycle or Patient Accounting Department resolving hospital Managed Care payment variances and/or denials. **Job… more
- Staffing Solutions Organization (Albany, NY)
- …their rights. + Provide current and accurate guidance to complainants regarding Medicaid Managed Care services and benefits. + Maintain an organized work ... our clients and the people they serve. **Healthcare Data Specialist 1 - Albany, NY** **Division of Health Plan...Experience in investigating issues in enrollment and eligibility and Managed Care Plan regulatory compliance + Knowledge… more
- BayCare Health System (Tampa, FL)
- …will resolve errors and issues by coordinating with the plans, the CBO and the Managed Care contracting department. Why BayCare? Our network consists of 16 ... in Florida. Responsibilities + Responsible for initiating and maintaining credentialing, managed care provider enrollment and hospital privileges for BayCare… more
- Sharp HealthCare (San Diego, CA)
- …in Healthcare Management, Business, or other degree acceptable with combination of education and managed care experience. + 3 Years experience in a managed ... apply knowledge as part of day-to-day job responsibilities. + Knowledge of managed care principles, reimbursement methodologies, and healthcare delivery systems.… more
- AdventHealth (Altamonte Springs, FL)
- …contract requirements. + Supports the overall mission of AdventHealth and the role of the Managed Care department in that mission. + Supports the contracting ... for each position may vary based on geographical location. **Category:** Managed Care **Organization:** AdventHealth Corporate **Schedule:** Full-time **Shift:**… more
- Penn Medicine (Plainsboro, NJ)
- …significant knowledge of all types in-network and out-of-network health insurance, managed care companies, benefits and policies for commercial, Medicare ... you living your life's work? **Job:** Full Time Verification Specialist **Location:** PMPH Specialist Staff - Medical...+ Ability to develop a good working relationship with managed care organizations, and provide excellent customer… more
- Pfizer (New York, NY)
- …understanding of managed markets, third-party data, and Payer and Pharma contracting . + Experience building and operating financial models in MS excel and web ... **ROLE SUMMARY** The Financial Modeling Specialist will oversee the development of Pfizer perspective...utilize outputs to inform contract offers and payer specific contracting strategies + Utilize propriety and public pharmaceutical data… more
- Waystar (Atlanta, GA)
- …Develop and maintain strong relationships with payers, including health insurance companies, managed care organizations, and government agencies. + Create new, ... **ABOUT THIS POSITION** The Payer Relations Specialist is responsible for initiatives to identify and...performance. + Track and communicate the status of payer contracting and connections activities **OPTIONAL DETAILS --Looking for… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …This position is located in the Veterans Health Administration (VHA), Mid-Atlantic Health Care Network (VISN 6) within the Supply Chain Management Service at the ... the Commodity Management Division in a Veteran Affairs Health Care System (VA HCS) and supported catchment area, with...(DME) in the assigned area(s). Responsibilities The Inventory Management Specialist duties include, but may not be limited to… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …the Material Management Division of the Logistics Service in the VA Health Care System responsible for the inventory and lifecycle management of all non-expendable ... devices and major classes of materials, displaying familiarity with contracting laws and regulations with industry practices. Conducts data/information analysis… more
- Gentiva (Atlanta, GA)
- …andbe responsible for preparing, reviewing, analyzing, and responding to requests for managed care , provider, and other related healthcare agreements. + Prepares ... **Overview** We're looking for a **Contract Specialist ** to join our team.You will report directly...and negotiates agreements with contracting agencies/payors. + Consults frequently with operations in the… more
- Cedars-Sinai (CA)
- …a dynamic, inclusive environment that fuels innovation and the gold standard of patient care we strive for. **What will you be doing:** The Sales Outreach ... Specialist is responsible for successfully promoting the use of...and provides strong customer service resulting in increased specialty care referrals to Cedars-Sinai Medical Center (CSMC). The incumbent… more
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