- Abbott (Livermore, CA)
- …Our 114,000 colleagues serve people in more than 160 countries. **Job Title ** ** Managed Care Specialist , HF** **Working at Abbott** At Abbott, you ... their health and get on with their lives. The ** Managed Care Sales Specialist ** is...and communication skills. + Maintains ongoing account management post contract execution of contracts with assigned payer accounts. +… more
- Molina Healthcare (Las Vegas, NV)
- **Molina Healthcare of Nevada** is hiring for a ** Managed Care , Gov Contracts Sr. Specialist ** . This role can be worked remotely from anywhere in the state ... of Nevada.. The Sr. Specialist role will involve coordination of all Government Contracts...The Following Experience:** + Reading, interpreting, and responding to Managed Care regulatory bodies and contracts. +… more
- MetroLink (Los Angeles, CA)
- Contract Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4472709) Apply Contract Specialist Salary $59,645.00 - $92,450.00 ... Benefits + Questions SUMMARY PURPOSE OF POSITION The Contracts Specialist performs quality control checks, confirms that contract...change dentists at any time, go to a dental specialist of your choice, receive dental care … more
- Scripps Health (San Diego, CA)
- …to relocate.The ideal candidate will be someone who is experienced with Provider Relations, Managed Care Background, has worked for a Medical Group or Health ... for over 10 years. The Senior Provider Relations / Contract Specialist is the liaison between the...groups to provide input and support in relation to managed care . Thoroughly researches issues and interacts… more
- WMCHealth (Valhalla, NY)
- …President of Managed Care and will be responsible to lead the Managed Care Specialist and Ancillary Contractor in single case agreements (SCA's), ... time payers. + Responsible for review of managed care contracts, including redlining of contract language and rate sheets for the Network. + Works closely… more
- CommonSpirit Health (Englewood, CO)
- …Relationship leadership, to support the negotiation of terms and conditions for Managed Care payer contracts for facility, professional, and ancillary entities. ... to ensure the terms and conditions of the payer contract adhere to the CommonSpirit Health Standards and Guidelines,...experience in a healthcare related field + Payer or Managed Care experience strongly preferred **Pay Range**… more
- Penn Medicine (Philadelphia, PA)
- …your life's work? Summary: + Develop and retain an in-depth understanding of the managed care marketplace and the current operational challenges facing UPHS due ... all health system entities continual access to information relating to the current managed care agreements and creating and refining systems to ensure that… more
- Idaho Division of Human Resources (Boise, ID)
- …topics such as hospitals, home health agencies, health clinics, Durable Medical Equipment, primary care , fee schedules, managed care , value care , ... Financial Specialist Sr. - Medicaid Reimbursement Analyst Posting Begin...to healthcare billing and coding, Medicaid reimbursement activities, value care and managed care . +… more
- Architect of the Capitol (Washington, DC)
- …Security Officer (OCSO), Assistant Director Logistics. The Logistics Management Specialist is responsible for management, coordination, and control of inventory ... of inventory management and warehouse operations for the OCSO. The Specialist manages, regulates, coordinates and exercises control over supplies, equipment and… more
- Kelly Services (Spring House, PA)
- **Contracts Operations Specialist - Spring House, PA** Kelly Project Services group, a managed solution provider and business unit of Kelly Services, Inc., is ... currently seeking a **Contracts Operations Specialist ** for a long-term engagement at one of our...(includes comprehensive benefits and PTO package) **Duration:** long term contract **Job Description:** Employee will be responsible for partnering… more
- UTMB Health (Galveston, TX)
- …denial management to ensure optimal reimbursement. Position serves as the liaison between managed care plans and UTMB, including Revenue Cycle Operations and the ... Provider Enrollment Specialist , Provost Administration **Galveston, Texas, United States** Clerical...+ Follow up with necessary contacts, including providers and managed care organizations, to resolve enrollment application… more
- Serco (Washington, DC)
- …eligibility reviews of selected state Medicaid and CHIP fee-for-services (FFS) and managed care claims; supporting state and national reporting; and development ... **Position Description** Serco is seekinga motivated Assistant Policy Specialist for Medical Claims Review to join our...of this effort, Serco would execute the PERM review contract which includes collection of state eligibility policies and… more
- Prime Healthcare (North Las Vegas, NV)
- …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. + Communicates clearly and efficiently by phone with ... + Responsible to obtain State collection guidelines if applicable. + Reviews managed care contracts. Qualifications Education and Work Experience + Minimum… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …collections of outstanding account balances for commercial, government, and managed care payors as assigned. The Reimbursement Specialist I is required to ... their leadership. It is a requirement for the Reimbursement Specialist I to read, interpret and apply complex payor... I to read, interpret and apply complex payor contract language to expected reimbursement calculations and pursue all… more
- Prime Healthcare (Kansas City, MO)
- …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications Education and Work Experience +… more
- Prime Healthcare (Lynwood, CA)
- …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. #LI-BF3 Qualifications EDUCATION, EXPERIENCE, TRAINING… more
- Universal Health Services (Bonham, TX)
- …to ensure accurate and timely appeals to third party payers in compliance with Managed Care contracts and government fee schedules. The Appeals Specialist ... care we deliver every day. TMC Bonham is managed by Texoma Medical Center, subsidiary of UHS. The...by Texoma Medical Center, subsidiary of UHS. The Appeals Specialist is responsible for appealing all insurance denials and… more
- CareFirst (Baltimore, MD)
- …specificity to ensure Risk Adjustment Revenue is accurate and reflective of true managed care needs. Utilizes extensive HEDIS and coding knowledge, combined with ... a technical resource / coding subject matter expert for contract pricing related issues. Conducts business and operational analyses...adjustment coding, ambulatory coding and/or CRC coding experience in managed care ; state or federal health … more
- Prime Healthcare (Garden City, MI)
- …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications Education and Work Experience 1.… more
- Prime Healthcare (Denville, NJ)
- …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications EDUCATION, EXPERIENCE, TRAINING 1.… more