- e CancerCare (Nashville, TN)
- …data to provide in reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance, along with ... setting. Strong communication skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating experience with managed care… more
- Baystate Health (Springfield, MA)
- …forecasting Under the direction of the Director of Managed Care , the Managed Care Contract Manager is responsible for the key components of the ... higher quality or less costly care . Primary responsibilities of the Managed Care Contract Manager include performing contract analysis, developing… more
- BayCare Health System (Clearwater, FL)
- …on a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Managed Care Contract Configuration Specialist:** + Maintains in ... Exempt: Yes **Shift Hours:** 8am-5pm Equal Opportunity Employer Veterans/Disabled **Position** Managed Care Contract Configuration Specialist **Location**… more
- Baylor Scott & White Health (Dallas, TX)
- …reporting of expenses and operating/net income by entity and line of business. ** MANAGED CARE ANALYTICS & CONTRACT SPECIFIC RESPONSIBILITIES** + Manage ... needed. + Makes decisions and recommendations on critical initiatives related to managed care analytics and contract management, and is able to communicate… more
- McLaren Health Care (Auburn Hills, MI)
- …escalated contractual, payor policy and operational issues through collaboration with managed care organizations and internal stakeholders. 7. Facilitates Joint ... care or related field; or an Associate degree and two (2) years' experience in managed care ; or a high school diploma or equivalent and four (4) years'… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... leads financial and data analysis to evaluate rate proposals, contract terms, and health plan reimbursement. This position will...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- Saint Francis Health System (Tulsa, OK)
- …managing multiple priorities with competing deadlines. Essential Functions and Responsibilities: Oversees managed care contract negotiations with payors for ... Friday | 8:00am - 5:00pm Job Summary: The Manager, Managed Care oversees the modeling, rate development...internal business partners, this role manages the rate and contract negotiations, and the full contracting process including but… more
- St. Luke's Health System (Boise, ID)
- …& Contracting is a key leadership role accountable for St. Luke's Health System's managed care contract portfolio, to include activities related to new ... and guidance to internal stakeholders and the leadership team with regard to managed care contract capabilities, in alignment and advancement of the overall… more
- Option Care Health (Carmel, IN)
- …Education and Experience Requirements** High school diploma and 10yrs of experience in managed care account management or contract analysis and negotiation ... care services. Experience in working with managed care clients and familiarity with contract terms and conditions in the ancillary arena. Experience with… more
- AdventHealth (Maitland, FL)
- …managed care contracting initiatives as directed by AdventHealth leadership; managed care contract review, interpretation and analysis, negotiation, ... etc.) to preserve the integrity of those contracts. Shows full comprehension of managed care contract language for the betterment of the AdventHealth … more
- Prime Healthcare (Weslaco, TX)
- …Association; is the primary staff person to maintain the physical/original and electronic managed care contract files; tracks and monitors contracts ... Coordinator is responsible for assisting in the management, security, and data integrity of the managed care agreements in place for Mid Valley Physicians… more
- Sharp HealthCare (San Diego, CA)
- …of payor issues. **Required Qualifications** + Bachelor's Degree + 5 Years experience with managed care contract negotiation and/or interpretation. + 3 Years ... Department competencyResearching and interpreting legal language for application to contract reimbursement and billing and educates staff as necessary.Responsible… more
- RWJBarnabas Health (Somerset, NJ)
- …is a highly analytical health care finance professional with experience in managed care contract negotiations, innovative and value based contracting ... rate amendments for RWJBH system entities + Reviews and recommends managed care contract language and negotiates such language recommendations with… more
- AdventHealth (Maitland, FL)
- …Hire Required + The Senior Compliance Analyst role requires extensive knowledge in Managed Care contract interpretation and payment methodologies, billing, ... customer service and maintain relationships with clients who include AH Managed Care Directors, Contract Denial Specialists, other AdventHealth departments,… more
- LA Care Health Plan (Los Angeles, CA)
- …The Account Manager III is responsible for the initial on-board training of new managed care contract provider partners, and for ensuring their provider ... LAC; and providing in-service orientation meetings with providers. Responsible for monitoring managed care contracts for renewals and expirations. Acts the… more
- AdventHealth (Maitland, FL)
- …and clinical departments * to keep them informed of any concerns related to managed care reimbursement and operational contract issues. * Ensures hospital ... position is responsible for managing the AdventHealth Multi-State Division Contract Management team. This team is responsible for ...other products, policies and procedures that would impact the Managed Care team relative to processes and… more
- State of Massachusetts (Boston, MA)
- …new policies and program details into contract language to be effectuated through new managed care contract language; and, (6) engaging in ad hoc or ... MassHealth members. This role will also support broader MassHealth managed care policy development as a member... contract updates and policy requirement documents, including managed care bulletins o Coordinating between MassHealth… more
- HCA Healthcare (Nashville, TN)
- …guidance of Director of Payer Contracting and Alignment, coordinate and administer managed care contract negotiation process for designated Division/Market ... + 1+ year(s) of experience in managed care , preferably with prior experience in contract ...+ Negotiation skills + Knowledge of Managed Care Environment + Familiarity with Physician/Payer contract … more
- Nuvance Health (Norwalk, CT)
- …of appeal as appropriate, in an effort to maximize reimbursement. Reviews and edits Managed Care Contract Language relating to Utilization Management Issues. ... services and/or programs. Interfaces and coordinates services with Admission, Finance, Managed Care , Medical Records, Home Care , Rehabilitative and Risk… more
- National Youth Advocate Program (Columbus, OH)
- …advantage; + Ensuring full knowledge and ongoing compliance with all components of the Managed Care contract ; + Securing all necessary subcontracts to ... **Director of Care Management** **Salary:** Competitive salary and benefit package...are not limited to:** + Leading the response to contract procurement which reflects program innovation, the ability to… more
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