- PharmaCord (Orlando, FL)
- When you join the team as an Executive Case Manager , you'll have the opportunity to make a difference in the lives of our patients each day as they look to you as ... prescriptions or cases are handled in a timely manner. An Executive Case Manager has the ability to translate knowledge into patient friendly language and education.… more
- AdventHealth (Maitland, FL)
- …government and non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical system and application ... Ensures thorough research and validation of non-contracted and government payer information * including regulatory and interim rate updates...and interim updates which may impact payers and products managed by other Managed Care … more
- AdventHealth (Maitland, FL)
- …School Grad or Equiv Required + 4 of experience in managed care , patient financial services or healthcare payer relations background Required . Certification ... and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and...Care Directors and Ancillaries. * Accountable for ensuring Payer updates (policy, system edits, operational changes, etc.) are… 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
- AdventHealth (Maitland, FL)
- …Required + 5 payer /provider contract negotiations and responsibility of overseeing a managed care department or team + Experience with leading a managed ... leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the implementation… more
- AdventHealth (Maitland, FL)
- …the analysis and evaluation of financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on ... skills. The Medical Economics Manager will manage and mentor managed care staff for both the Florida and Multi-State Divisions of AdventHealth, as… more
- AdventHealth (Maitland, FL)
- …requirements. + Supports the overall mission of AdventHealth and the role of the Managed Care department in that mission. + Supports the contracting team, ... for each position may vary based on geographical location. **Category:** Managed Care **Organization:** AdventHealth Corporate **Schedule:** Full-time **Shift:**… more
- AdventHealth (Maitland, FL)
- …coverage, payment, compliance, and basic billing rules for Government and Managed Care payers. Uses discretion when discussing personnel/patient related ... proper billing takes place on all assigned patient accounts. Depending on payer contract may be required to participate in conference calls, accounts receivable… more
