- ProSmile (Woodbridge, NJ)
- Job Title: Capitation Specialist Department: Revenue Cycle Management Reports to: A/R Manager FLSA Status: Non-Exempt Location: Remote ProSmile, the premier ... data with utmost importance. + Acquiring and uploading all Capitation Rosters, as well as, monitoring and obtaining ...Capitation Rosters, as well as, monitoring and obtaining Capitation payments on a monthly basis for all necessary… more
- CenterWell (Trenton, NJ)
- …Identify and act on opportunities to better manage & coordinate with high-quality specialist , hospital, and community partners to serve patient needs and deepen our ... management, utilization management, network management, and payment frameworks (eg capitation , partial risk, direct contracting) + Population health minded physician… more
- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** The Sr Specialist , Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality and ... methodologies including but not limited to: fee-for service, value-based care, and capitation * Strong working knowledge of Quality metrics and risk adjustment… more