- Novo Nordisk Inc. (OH)
- … in order to influence formulary status, as applicable May analyze impact of managed care in the territory and its effect on prescribing decisions, and ... who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as obesity,… more
- APN Consulting, Inc (TX)
- …EDUCATION:High School Diploma or equivalencyREQUIRED EXPERIENCE:* Min2 years operational managed care experience (call center, appeals or claims ... Title: Healthcare - Appeals Specialist IREMOTE6 monthsJob Description:* Will the position be...for meeting production standards set by the department.* Apply contract language, benefits, and review of covered services* Responsible… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …as needed the marketing materials.Work with hospital contracting department to obtain needed managed care contracts ; building relationships as needed to ... and expand presence in key referring segments, eg physicians, discharge planners, managed care providers, facility staff, community service providers, etc.… more
- Accounting Now (Tampa, FL)
- …is right for you! The ideal candidate will be well versed in the Medicare managed care appeals and grievance process. Must have strong knowledge of Medicare ... Medicare Appeals Specialist Do you like challenging payers? Enjoy that...read, analyze, and interpret hospital medical bills, records, statutes, contracts , and other relevant documents.Knowledge of medical necessity, time… more
- Accounting Now (Pinellas Park, FL)
- …account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care , and commercial insurance payers. The medical billing ... accurately sent to insurance companiesPerform follow up with Medicare, Medicaid, Medicaid Managed Care , and Commercial insurance companies on unpaid insurance… more
- A-Line Staffing Solutions (Alameda, CA)
- …rules. Describe the types of services offered to the Member within the managed care system. Provide clarification about issues regarding patient and physician ... on our eligibility dates This position is a W2 contract assignment with potential to hire on permanently based...of direct customer service experience, Call center experience and managed care experience a plus. Looking for… more
- Select Medical (Westlake Village, CA)
- …will be available as the clinic manager is a Sports Certified Specialist and highly trained in general orthopedics, sports pediatrics and concussion treatment. ... Plan with Company Match Paid Time Off , Sick Time, and Holidays Markets Managed Locally Flexible Spending Accounts Employee Discounts and perks on good and services… 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 ... + Identify, develop, implement and maintain managed care relationships. + Closing and executing payor contracts...and communication skills. + Maintains ongoing account management post contract execution of contracts with assigned payer… more
- Hackensack Meridian Health (Edison, NJ)
- …transform healthcare and serve as a leader of positive change. The **Senior Contracting Specialist Managed Care ** will develop and negotiate owned and ... A day in the life of a **Senior Contracting Specialist Managed Care ** at Hackensack... Care ** at Hackensack Meridian Health includes: + Managed Care Contract Negotiation: Develop… 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 ... Candidates Will Have The Following Experience:** + Reading, interpreting, and responding to Managed Care regulatory bodies and contracts . + Project… more
- University of Washington (Seattle, WA)
- …office has a truly unique position for a 1.0 FTE Grants And Contracts Manager/ Specialist (Grants Manager) supporting the Computational Ophthalmology / Lee Lab ... leading to payment of invoices. + Ensures grants and contracts are in compliance with UW and a variety...managers to ensure that all grant funding sources are managed to conform with sponsor, institutional and departmental policies.… more
- Sharp HealthCare (San Diego, CA)
- …Time** **Shift End Time** Certified Revenue Cycle Representative (CRCR) - HFMA; Certified Specialist Managed Care (CSMC) - Healthcare Financial Management ... environment. + Certified Revenue Cycle Representative (CRCR) - HFMA -PREFERRED + Certified Specialist Managed Care (CSMC) - Healthcare Financial Management… 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 - ... 5 years provider contract negotiation experience in the health care ... field including, but not limited to, provider's office, managed care organization, or other health … 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
- 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 contracting, network management and credentialing. **JOB DUTIES** : Negotiates assigned contracts for physician groups and ancillary providers that result in high… more
- New York State Civil Service (Albany, NY)
- …and reconciliation procedures for mission critical special projects, eg, implementation of Managed Care , including Home and Community Based Services (HCBS); - ... NY HELP Yes Agency Mental Health, Office of Title Contract Management Specialist 1/ Contract Management...higher degree AND one year of professional experience managing contracts and related budgets including one or more of… more
- MetroLink (Los Angeles, CA)
- …+ Benefits + Questions SUMMARY PURPOSE OF POSITION The Contracts Specialist performs quality control checks, confirms that contract and procurement processes ... Contract Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4472709) Apply ...document data entry and management criteria and guidelines for contracts , purchase orders, and other purchasing documents managed… more
- Molina Healthcare (Albuquerque, NM)
- …diploma or equivalent **Required Experience** + 3 years' experience in a managed care environment. + Experience demonstrating strong: communication and ... **Job Summary** Responsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace,… more
- CommonSpirit Health (Englewood, CO)
- …Strategy Relationship leadership, to support the negotiation of terms and conditions for Managed Care payer contracts for facility, professional, and ... 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
- Aspen Dental (East Syracuse, NY)
- …to join our dedicated team as_ **_Contract Specialist_** _. _ **Job Summary:** The Contract Specialist plays a vital role within our Payor Strategy Team. The ... + Develops and maintains effective working relationships with insurance company and managed care company personnel responsible for contracting with healthcare… more
