- Providence (Irvine, CA)
- …will be responsible for helping to lead our Acute, physician group, and ancillary entity relations with respect to managed care , and in the development, ... **Description** **THE ROLE** The Regional Contracting Director is the managed care leader for Providence Health & Services. The leader is responsible to develop… more
- Prime Healthcare (Denville, NJ)
- …Responsibilities The successful candidate will have substantial experience working with managed care plans on reimbursement issues. This may include ... disputed claims through mediation, arbitration, and litigation. This may also include payor relations efforts through joint operations committees or experience… more
- HCA Healthcare (Overland Park, KS)
- …this role:** + Serves as a subject matter expert in quality and value-based care programs such as MIPS, ACOs, and payor pay-for-performance contracts. Assists in ... Quality and Payor Initiatives) to achieve the organization's coordination of care goals, quality goals, and financial performance goals + Conducts in-person and… more
- Banner Health (AZ)
- …disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations , you'll find ... they operate. Works with various departments and staff to provide accurate managed care information. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent… more
- Banner Health (CO)
- …disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations , you'll find ... many options for contributing to our award-winning patient care . POSITION SUMMARY This position coordinates and facilitates patient...following patient accounts through the billing process to the payor , working with the payor through claims… more
- Bristol Myers Squibb (Philadelphia, PA)
- …Formulary Decision Makers and Influencers, etc.) within payer organizations and to managed care professionals to ensure access to effective treatment for ... with all policies and procedures + Build strategic, long-term relations with customers to be viewed as partners by...implementation of the clinical strategy for National and Regional Managed Care accounts, covering all books of… more
- Penn Medicine (Philadelphia, PA)
- …across inpatient and ambulatory financial services and professional experience to collaborate with Managed Care on rate negotiations and managing estimates for ... . This role partners significantly with VPs in AP Corporate Finance, VP of Managed Care , entity CFOs and other senior financial leaders across the enterprise.… more
- VIP Care (Tampa, FL)
- …and management experience in a healthcare environment + Primary care and value-based health care (ie, managed care ) experience is a plus + Experience in ... Our purpose is Better Health. Specializing in primary care for patients 65+ is our passion. What's...delivery environment as well as traditional Medicare and commercial payor environments. The Regional Practice Manager will partner with… more
- Henry Ford Health System (Troy, MI)
- …units. PRINCIPAL DUTIES AND RESPONSIBILITIES: 1. Under supervision of Director or Managed Care Contracting, works directly with Payors to negotiate contractual ... years in the healthcare industry in a professional capacity. + Knowledge of managed care organizations and integrated health systems. + Previous contracting,… more
- Banner Health (AZ)
- …disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations , you'll find ... many options for contributing to our award-winning patient care . POSITION SUMMARY This position coordinates and facilitates patient billing and collection activities… more
- Banner Health (AZ)
- …disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations , you'll find ... many options for contributing to our award-winning patient care . POSITION SUMMARY This position coordinates and facilitates patient billing and collection activities… more
- Banner Health (AZ)
- …disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations , you'll find ... many options for contributing to our award-winning patient care . POSITION SUMMARY This position coordinates and facilitates patient billing and collection activities… more
- Covenant Health Inc. (Knoxville, TN)
- …and intermediaries, knowledge of third party reimbursement with working knowledge of Network/ Managed Care issues, and a thorough understanding of collection and ... pay period, Day shift Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top Physicians and providers… more
- Sharp HealthCare (San Diego, CA)
- …End Time** Certified Revenue Cycle Representative (CRCR) - HFMA; Certified Specialist Managed Care (CSMC) - Healthcare Financial Management Association; HS ... PFS divisions of Community Care (CCD), Institutional Care (ICD), Managed Care (MC),...submitted in an accurate and timely fashion according to payor guidelines. Review explanation of benefits to ensure accurate… more
- Banner Health (AZ)
- …disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations , you'll find ... in Mesa, AZ for 8-10 weeks** Help lead health care into the future. As one of the largest...Patient Financial Services Representatives dedicated to work with specific payor group(s). Our team provides a supportive environment and… more
- Banner Health (Phoenix, AZ)
- …disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations , you'll find ... system, or health plan. Experience with hospital organized medical staff, managed care organizations, and continuous quality improvement activities preferred.… more
- AristaCare (Cranford, NJ)
- …in regards to accounts + Collections of all payors; Hospice, Medicare, Medicaid, MLTSS, Managed Care / Managed Medicare, Private + Check claim status for all ... the changes + Submit Billing Assistance form to Provider Relations for Medicaid claims + Submit cases to attorney...on a daily basis with doctor's office/vendors on residents' payor + Plan, organize, and implement, the facility's Business… more
- Banner Health (Scottsdale, AZ)
- …system, or health plan. Experience with hospital organized medical staff, managed care organizations, and continuous quality improvement activities preferred. ... Scottsdale, Arizona **Department Name:** Admin-Psych **Work Shift:** Day **Job Category:** Clinical Care At Banner Health, we set leaders up to succeed. We ensure… more
- Fresenius Medical Center (Anderson, SC)
- …or exceed budgets and key performance indicators. + Works closely with Managed Care resources to increase the payor mix and to retain commercial patients. + ... a defined area through effective leadership and management of quality patient care , customer relations , marketing and responsible fiscal management. Coordinates… more
- Atlantic Health System (Morristown, NJ)
- …Managers of PFS to maintain a thorough and up to date knowledge of payor reimbursement practices and procedures including Medicare & Medicaid regulations, as well as ... Managed Medicaid requirements * Troubleshoots any issues and escalates...hospital billing setting 3. Proven leader with excellent human relations skills 4. Embraces change by being able to… more