- Childrens Health System of Texas - TRINITY TOWERS (Dallas, TX)
- …Local Offering Non-Clinical Profession Professional Specialty Finance Job ID 16916795 Job Title Managed Care Contract Analyst Weekly Pay $1970.0 Shift ... different point of view Collaborate with other departments to prioritize and ensure Managed Care contract performance and all related analytic needs are met… more
- MaineGeneral Rehabilitation and Long Term Care - Gray Birch (Augusta, ME)
- Details Client Name MaineGeneral Rehabilitation and Long Term Care - Gray Birch Job Type Travel Offering Nursing Profession RN Specialty Skilled Nursing Job ID ... Night Shift (7 PM - 7 AM) Location: Long-Term Care (LTC), Skilled Nursing Facility (SNF), Acute Rehabilitation, Residential...are from 6:45 PM to 7:15 AM, with scheduling managed by the team manager Additional Information: - Dress… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... is primarily responsible for monitoring / auditing HCP (Health Care Provider) activities for all engagements pertaining to their...HCP Meetings, verify that all MCA & RFS are managed according to DSI Policy and fully executed prior… more
- LBH - Levindale Hebrew Geriatric Center and Hospital (Baltimore, MD)
- …20 semi-private rooms and accommodates up to 40 patients requiring advanced medical care . Patients may be managed for acute brain injuries, respiratory ... Description Job Title: Night Shift Nurse - High Intensity Care Unit (HICU) Location: Maryland (or Compact License accepted)...the flexibility to choose between a 36 or 48-hour contract , with a requirement to work every other weekend.… more
- Neighborhood Health Plan of Rhode Island (Smithfield, RI)
- …field in lieu of a degree Minimum of five (5) years' experience with a managed care organization or a health care related organization (HMO; ... Advanced skills in Microsoft Office (Word, Excel, PowerPoint, Outlook) Understanding of contract implementation and working knowledge of contract language Must… more
- HealthCare Support (Houston, TX)
- …prior to processing authorization requests. Accurately enters the required information into the managed care platform, adhering to UM policies and procedures. 5. ... clinical information to authorize medically necessary inpatient and outpatient care , utilizing nationally recognized evidenced based clinical criteria or approved… more
- Rapisarda Real Estate (Vacaville, CA)
- …personal administrative tasks to ensure Tom's time is protected, priorities are managed , and operations run smoothly. Compensation: Salary Range: $52,000 - $62,000 ... logistics, and reservations. *Handle confidential personal and professional matters with care and discretion. *Assist with personal errands, reminders, and ongoing… more
- Baystate Health (Springfield, MA)
- Summary Description: The Sr. Managed Care Contract Manager will act as the catalyst between the contract , contract parties and the data. Supporting ... to the contract language, evaluate validity in the data and support the Managed Care Contract Team at Baycare Health Partners. The Sr. Managed … more
- Publix (Lakeland, FL)
- **34227BR** **Position Title:** Managed Care Contract Support Specialist **Department:** Pharmacy **Location:** Lakeland, FL **Description:** If you want to ... that plays a pivotal role in the success of Publix Pharmacy and the Managed Care Contract Support Specialist serves as the subject-matter expert in the… 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
- Stony Brook University (Commack, NY)
- …physician, and ancillary Managed Care contracts. + Maintain accurate, up-to-date Managed Care contract databases and tracking tools. + Timely review ... payer policy interpretation as it relates to Managed Care contracts. + Proficiency with contract management systems and analytics tools used for contract … more
- RWJBarnabas Health (Oceanport, NJ)
- …Functions + Analytical lead on modeling contract rates using EPIC throughout the managed care contract negotiation process, + Assists in varying aspects ... Senior Managed Care AnalystReq #:0000205920 Category:Professional /...assists with aspects of the fee-for-service environment related to contract negotiations, rate modeling, payer relationship management and … more
- Houston Methodist (Houston, TX)
- …+ Knowledge of acute care contracts, financial modeling techniques and managed care contracting, contract pricing, language requirements, rates and ... At Houston Methodist, the Director Managed Care Contracting position is responsible...timely termination submission, timely timecard approval, etc.). + Analyzes contract proposals including but not limited to analysis of… more
- AdventHealth (Shawnee, KS)
- …Merriam, KS **The role you will contribute:** This position will provide leadership for managed care strategy, contracting and contract management for the ... will bring to the team:** + Facilitates understanding of managed care within hospital departments, medical practices,...care leadership experience required in managed care with an emphasis on contracting, contract … more
- CommonSpirit Health (Phoenix, AZ)
- …+ Knowledge and experience in reimbursement, the financial aspects of contracting and managed care operations + Contract language + Effective project ... **Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR)...compliance on a regional and market level; ensuring that managed care contracts are correctly negotiated and… more
- AmeriHealth Caritas (Southfield, MI)
- …five (5) to ten (10 ) years experience in operational and regulatory policy updates, managed care , and contract compliance. + Ability to build relationships ... now. We're looking for the next generation of health care leaders. Responsibilities: The Director of Contract ...minimum of five (5) years of government experience with managed care knowledge. ; At AmeriHealth Caritas,… more
- UTMB Health (Galveston, TX)
- …UTMB Health Requisition # 2504255 **JOB SUMMARY** The primary responsibility of the Managed Care , Senior Contract Administrator position is leading, ... Senior Contract Administrator - Revenue Cycle Ops Support **Galveston,...developing, and negotiating managed care agreements to ensure favorable reimbursement, alignment with organizational… more
- MyFlorida (Tallahassee, FL)
- …analyzing results and findings and developing compliance actions as prescribed in the managed care contract (eg, corrective action plans, sanctions, ... with the Agency's contract managers responsible for the Medicaid managed care plan contract (s). The incumbent in this position maintains up-to-date… more
- AdventHealth (Maitland, FL)
- …adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... key contract data elements which are populated into the Managed Care database including addition of new payers, auto increases, renewals and termination.… more
- AdventHealth (Maitland, FL)
- …department leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the ... Enterprise leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues. Ensures key stakeholders are… more
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