- Huron Consulting Group (Chicago, IL)
- …Technology Strategy leader is responsible for setting the strategic direction for technology within Healthcare Managed Services (HMS), with a strong focus on ... and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling… more
- TEKsystems (Chula Vista, CA)
- …implementing conversational AI in healthcare or provider portals. + Experience in managed care or payer-side systems . + Experience with MLOps for deploying ... I Consultant - Conversational AI ( Healthcare ) Contract Role | Conversational AI | ...lookups, etc.). + Integrate the model with enterprise data systems (eg, Snowflake, Matillion) and core operational platforms. +… more
- Huron Consulting Group (Chicago, IL)
- …in the power of collaboration, Huron offers a rewarding path forward. As the Healthcare Consulting Senior Director - Managed Care & Payment Strategy, you will: ... and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling… more
- Huron Consulting Group (Chicago, IL)
- …our team as the expert you are now and create your future. The Huron Managed Services Coding Operations Director oversees a portfolio of clients and is ... Management, Culture, Staff Engagement, Training and Solution Development. The Huron Managed Services Coding Operations Director leads the operations management… more
- Henry Ford Health System (Troy, MI)
- …Master's Degree preferred. + Five to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a professional capacity ... Reimbursement methodologies, coding, and terminology. Additional Information + Organization: Corporate Services + Department: Managed Care Contracting + Henry… more
- Huron Consulting Group (Chicago, IL)
- …as a senior leader responsible for the delivery and operational performance of Huron Managed Services (HMS) across all service lines for HMS's mid-tier ... **Qualifications** : + 10+ years of senior-level leadership in revenue cycle operations, healthcare BPO, or managed services ; experience in consulting a… more
- TEKsystems (Hartford, CT)
- …into internal systems , as needed + Collaborate closely with the Managed Care team on data analytics reviews and reporting + Investigate reimbursement ... Analyze facility and payer data for existing and new service lines to identify reimbursement opportunities + Route, log,...Work Experience Requirements + Minimum of 2-4 years of healthcare experience in Managed Care and/or Revenue… more
- Bristol Myers Squibb (Princeton, NJ)
- …+ Provide oversight for various aspects of external vendor contract negotiations, service level performance, system enhancements, system controls, and ... Lead the team in the implementation and testing of Managed Care rebate systems (REACT$ and vendor...A minimum of 10 years of experience in the pharmaceutical/ healthcare industry related to Managed Care +… more
- HCA Healthcare (Nashville, TN)
- …and problem solving required. + 5+ years of experience managing a team supporting managed healthcare systems /processes required. + 7+ years professional ... system correctly processes claims based on standard coding systems , including CPT, ICD-10, and HCPCS + Represents the...managed healthcare administration experience in IPA with 5+ years management… more
- Molina Healthcare (FL)
- …**Preferred Education** Bachelor's Degree. **Preferred Experience** + 5 years' experience in managed healthcare administration and/or Provider Services . + 5 ... development and management, or project management experience in a managed healthcare setting. **Required Experience** + 2...2 - 3 years customer service , provider service , or claims experience in a managed … more
- HCA Healthcare (Nashville, TN)
- …and consultative practices. + Maintains/obtains professional competence and knowledge of healthcare economics, managed care/reimbursement issues in the industry. ... Pharmacy Strategic Partnerships? At HealthTrust, you come first. HCA Healthcare has committed up to $300 million in programs...include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay.… more
- Molina Healthcare (Jackson, MI)
- …field **PREFERRED EXPERIENCE** : * 5 years experience in managed healthcare administration. * Specific experience in provider services , operations, and/or ... * 4-6 years provider contract network relations and management experience in a managed healthcare setting. * Working experience servicing complex providers with… more
- Molina Healthcare (Dallas, TX)
- …of education and experience **PREFERRED EXPERIENCE** : * 3+ years experience in managed healthcare administration and/or Provider Services . To all current ... network development and management, or project management experience in a managed healthcare setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :… more
- Molina Healthcare (MA)
- …ancillary providers with Medicaid and/or Medicare products * 5+ years previous managed healthcare experience. * Previous experience with community agencies and ... providers. * Experience demonstrating working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicare or… more
- Sharp HealthCare (San Diego, CA)
- …Collaborate with physicians to address operational issues.Promotes positive outcomes in a managed healthcare setting in support of program initiatives.Lead team ... members to facilitate and coordinate quality healthcare services and delivery of...System Configuration and TestingPlan and develop of operating systems to manage specific SCMG operational and business objectives… more
- Compass Group, North America (Tupelo, MS)
- …**Key Responsibilities** + Lead and inspire healthcare dining teams: Manage System -Level Dining Directors and Directors of Dining Services to deliver ... company exclusively dedicated to serving more than 600 hospitals and healthcare systems . Morrison's hospital kitchens, restaurants, and cafes feature socially… more
- General Dynamics Information Technology (Fairfax, VA)
- …**Job Family:** Cyber and IT Risk Management **Skills:** Healthcare Policies,Medicaid,Medicaid Managed Care,Medicaid Programs,Medicare Advantage **Experience:** ... will allow you to utilize in-depth knowledge of Medicare, Medicaid and Managed Care policies, systems , payment structures, risk adjustments processes, including… more
- Hartford HealthCare (Hartford, CT)
- …matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes ... we now have our own identity with a unique payroll, benefits, performance management system , service recognition programs and other common practices across the … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …regarding Medicare and Medicaid eligibility, programs, and beneficiaries. * Knowledge of managed healthcare delivery systems to include critical components ... in Provider Relations and Pharmacy to ensure all health services solutions are integrated and aligned to deliver on...Experience * 10+ years of management level experience in healthcare / managed care with proven ability to successfully… more
- Mount Sinai Health System (New York, NY)
- …Apply contract coding techniques to accurately map and model contracts within the healthcare system . + Develop and maintain models that reflect reimbursement ... Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within...System is one of the largest academic medical systems in the New York metro area, with more… more