- Hackensack Meridian Health (Edison, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The **Senior Contracting Specialist Managed Care ** will develop and negotiate ... associated documents.** **Responsibilities** A day in the life of a **Senior Contracting Specialist Managed Care ** at Hackensack Meridian Health… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Responsible for seeking contract opportunities, reviewing contract language and terms, conducting data analysis on financial terms, negotiating contracts, and ... managing executed contracts for all RCHSD entities. Coordinates communication and problem resolutions regarding payment issues with all contracted payors. Manages the contract review process for RCSSD 3rd party contracts, contracts with payors, IPA's, PPO's,… more
- Abbott (Livermore, CA)
- …failure, allowing people to restore their health and get on with their lives. The ** Managed Care Sales Specialist ** is responsible for key account Managed ... or a related field. + 6+ years of relevant working experience in provider/payor contracting in a managed care sales setting. + 5+ years face to face or over… 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
- Centene Corporation (Sacramento, CA)
- …2+ years of provider relations or contracting experience in health care , managed care , Medicare or Medicaid service environment. ... inquires and track inquiries and response times. + Draft contracts and manage contracting process to verify that contract deadlines are met + Monitor provider… more
- Northern Light Health (Brewer, ME)
- Northern Light Health Department: Managed Care Contracting Position is located: Cianchette Professional Blding Work Type: Full Time Hours Per Week: 40.00 ... This position supports the policy, and practices of the Managed Care Contracting Department, collaborates...business information is preferred. Licenses and Certifications + Certified Specialist Managed Care (CSMC) within… more
- Intermountain Health (Columbus, OH)
- …rules, payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. Log findings and provides ... shifts M-F generally starting at 6am. As a Reimbursement Specialist you need to know how to: Evaluate payment...feedback to Hospital Billing AR Management, Cash Management, and Managed Care leadership. Perform root cause analysis… more
- HomeSafe Alliance (Columbus, OH)
- **Title:** Contract Specialist HomeSafe is seeking a Contract Specialist to join our GHC Contracts Team and to provide all forms of contract-related ... all phases of contract execution, administration, and closeout. The Contract Specialist position will perform a range of contract administrative functions leading… more
- BayCare Health System (Tampa, FL)
- …will resolve errors and issues by coordinating with the plans, the CBO and the Managed Care contracting department. **Why BayCare?** Our network consists of ... Required - 1 year Credentialing or 1 year Managed Care Equal Opportunity Employer Veterans/Disabled **Position** Credentialing Specialist **Location**… more
- Aspen Dental (East Syracuse, NY)
- …maintains effective working relationships with insurance company and managed care company personnel responsible for contracting with healthcare providers + ... offices across 46 states in four distinct categories: Dental care , urgent care , medical aesthetics and veterinary....as_ **_Contract Specialist_** _. _ **Job Summary:** The Contract Specialist plays a vital role within our Payor Strategy… 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. ... Primary focus of contracting and negotiation support is to ensure the terms...experience in a healthcare related field + Payer or Managed Care experience strongly preferred **Pay Range**… more
- MetroLink (Los Angeles, CA)
- …to visit a dentist of your choice, change dentists at any time, go to a dental specialist of your choice, receive dental care anywhere in the world, and save on ... Contract Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4472709) Apply Contract Specialist Salary $59,645.00 - $92,450.00… more
- Molina Healthcare (NY)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... to business and system requirements of customers as it pertains to contracting , network management and credentialing. **JOB DUTIES** : Negotiates assigned contracts… more
- Pfizer (New York, NY)
- …understanding of managed markets, third-party data, and Payer and Pharma contracting + Experience building and operating financial models in MS excel and web ... **ROLE SUMMARY** The Financial Modeling Specialist will oversee the development of Pfizer perspective...utilize outputs to inform contract offers and payer specific contracting strategies + Utilize propriety and public pharmaceutical data… more
- Sedgwick (Columbus, OH)
- …To negotiate fee-for-service ancillary contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; ... equipment and other ancillary services; contracts for multiple lines of business in the managed care markets. + Analyzes market data and financial models. +… more
- Molina Healthcare (Salt Lake City, UT)
- …experience in health care field including, but not limited to, provider's office, managed care , or other health care field. **Required Experience** 3 - ... in the health care field including, but not limited to, provider's office, managed care organization, or other health care field. **Preferred Education**… more
- Deloitte (Columbus, OH)
- Salesforce Specialist Master Customer & Marketing is creating a new model for a new age-we're an agency and a consultancy. Understanding the digital space and ... how profits are made, how relationships are created and managed ; we reshape how work gets done and rewire...ends on June 28, 2024. Work you'll do A Specialist Master at Deloitte has deep expertise in a… more
- Veterans Affairs, Veterans Health Administration (Clarksburg, WV)
- …as a subject matter expert to all services and service lines. Inventories managed include a wide variety of expendable items and durable medical equipment (DME) ... supplies that materially affect the VA HCS' ability to provide medical care to Veterans. Researches opportunities for and conducts analysis of potential cost… more
- Providence (OR)
- …**-OR-** Bachelor's **-OR-** Master's Degree in Pharmacy and 5+ years of managed care experience with with experience documenting responsibility for evidence ... team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your...**Providence Health Plan is calling a Senior Clinical Pharmacy Specialist who will:** + Serve as an expert in… more
- North Carolina State University (Raleigh, NC)
- …of billing and reimbursement from private dental insurance companies as well as Managed Care companies. This position requires specialized knowledge of the ... UTS/UNC Partnership Location: Chapel Hill, NC Essential Job Duties: This Insurance Specialist position performs both dental and medical insurance services for the… more