- Henry Ford Health System (Troy, MI)
- …skills. + Strong organizational and interpersonal skills. + Strong Understanding of Managed Care Reimbursement methodologies, coding, and terminology. ... EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement , or related… more
- AdventHealth (Maitland, FL)
- …leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues. Ensures key stakeholders are ... within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the implementation… more
- HCA Healthcare (Dallas, TX)
- …Surgery Centers. This entails financial analysis and management, cash flow, and knowledge of managed care contract reimbursement as well as general ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more… more
- Cedars-Sinai (Los Angeles, CA)
- …revenue codes) preferred. *Minimum of 2 years of experience with Managed care contract interpretation and reimbursement analysis preferred. **Why work ... accounts to ensure payment and resolution. + Monitors, evaluates, and reviews Cedars-Sinai Managed Care contracts and reconcile to payments received. + Ensures… more
- Baystate Health (Springfield, MA)
- Summary Description: The Sr. Managed Care Contract Manager will act as the catalyst between the contract , contract parties and the data. Supporting ... language, evaluate validity in the data and support the Managed Care Contract Team at...and analyzes any data variances. 12) Conduct service line managed care reimbursement analysis as… more
- AdventHealth (Maitland, FL)
- …adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... by providing direction to external vendor or through internal reimbursement calculations. * Responsible for summarizing key contract...contract data elements which are populated into the Managed Care database including addition of new… more
- MaineGeneral Health (MA)
- …are actively seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects of ... reimbursement , managed care contracts, and payer enrollment. The...the Charge Description Master (CDM) rate setting + Lead contract negotiations and manage payer relationships + Utilize Soarian… more
- Option Care Health (Nashville, TN)
- …Education and Experience Requirements** High school diploma and 10yrs of experience in managed care account management or contract analysis and negotiation ... that require more complex negotiation and relationship management. Resolve reimbursement issues arising from contract compliance issues... services. Experience in working with managed care clients and familiarity with contract terms… more
- AdventHealth (Maitland, FL)
- …partners, vendors and leadership after identifying and quantifying the issue. Supports the Managed Care Contract Administration, AH Central Denials team, and ... Care and role related functions such as new government regulations and reimbursement methodologies. Supports AH Managed Care and AH Regional PFS… more
- Stony Brook University (Commack, NY)
- …the organization. + Monitor and dispute Managed Care payer reimbursement policies or practices that breach contract terms, track resolution outcomes. + ... Care contracts. + Maintain accurate, up-to-date Managed Care contract databases and...Strong knowledge of New York State, Federal, commercial payer reimbursement methodologies and Managed Care … more
- RWJBarnabas Health (West Orange, NJ)
- …involving managed care and payer contracting, value-based reimbursement models, and contract negotiation strategies. The successful candidate will ... Senior Counsel / Assistant Vice President, Legal Affairs, Managed Care ContractingReq #:0000206244 Category:Legal, Risk and Compliance Status:Full-Time Shift:Day… more
- Houston Methodist (Houston, TX)
- …the Houston Methodist (HM) contracts for reimbursement of services billed through managed care companies and serves as a technical expert for management and ... contracts for reimbursement of services billed through managed care . The managed ...acute care contracts, financial modeling techniques and managed care contracting, contract pricing,… more
- Bristol Myers Squibb (Tampa, FL)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as all aspects with evaluating implications of and reporting Managed Care data required for US and...hours flexibility. Parental, caregiver, bereavement, and military leave. Family care services such as adoption and surrogacy reimbursement… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director, Managed Care Payer Contracting Date: Sep 18, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job ... generation of pharmaceutical access in a high-growth environment.** The Associate Director, Managed Care Payer Contracting plays a pivotal role in supporting… more
- Select Medical (Mechanicsburg, PA)
- …knowledge, experience, and expertise in successful Managed Care Contracting negotiations, language, modelling analytics, reimbursement methodologies ... **Overview** The Senior Director is responsible for leading the Managed Care Contracting team and planning, analyzing, negotiating, and implementing new and… more
- Select Medical (Mechanicsburg, PA)
- **Overview** The Director of Managed Care Contracting is responsible for leading the strategic planning, financial analysis, negotiation, and execution of new ... and renewed managed care agreements across an assigned hospital...for hospitals.** + Responsible for rate and payment methodologies, contract language, as well as following all internal controls… more
- Cedars-Sinai (Beverly Hills, CA)
- …implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and ... metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for compliance and financial performance, identifying… more
- Prime Healthcare (Lynwood, CA)
- …seeking new members to join our corporate team! Responsibilities The Senior Managed Care Biller/Collector is responsible for both billing and collections, ... with the specific payer guidelines, policies, procedures, and compliance regulations for managed care . This includes maintaining the deficiency lists used to… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street ... analytics with a focus on hospital and ancillary. Reviews and monitors contract /payer performance including payer parity. Compares expected reimbursement data to… more
- Guidehouse (Chicago, IL)
- …will be notified by **Friday, Oct. 24** **What You Will Do** **:** Guidehouse's Managed Care practice sits within the broader Payer Provider Advisory group. The ... Managed Care practice assists hospitals, health systems,...to work with our internal teams on the assigned project/ contract , meet with upper management to reflect on your… more