- Baylor Scott & White Health (Dallas, TX)
- …+ Makes decisions and recommendations on critical initiatives related to managed care analytics and contract management , and is able to communicate ... and operating/net income by entity and line of business. ** MANAGED CARE ANALYTICS & CONTRACT ...applications, SQL, Power Query, Power BI. + Proven leadership, management , data and communication abilities. + Ensures that services… more
- Option Care Health (Carmel, IN)
- …Experience Requirements** High school diploma and 10yrs of experience in managed care account management or contract analysis and negotiation within the ... services. Experience in working with managed care clients and familiarity with contract terms...degree and 5-8yrs of experience in contract management and negotiation within the health care … more
- AdventHealth (Maitland, FL)
- …Accountant (CPA) Upon Hire + 5 in Managed Care , Managed Care finance, contract management , or health insurance claims processing **Our people are ... The Senior Compliance Analyst role requires extensive knowledge in Managed Care contract interpretation and...ancillaries, etc.). + Ability to use data systems, and contract management software applications, clinical information and… more
- UCLA Health (Los Angeles, CA)
- …system-wide and local managed care agreements. * Oversee contract lifecycle management , ensuring compliance with financial, legal, and regulatory ... the Chief Contracting Officer (CCO), overseeing all aspects of managed care strategy and contracting across our... impact. * Ensure the development and maintenance of contract management systems, validating actual payments against… more
- McLaren Health Care (Auburn Hills, MI)
- …of care delivery and operations including clinical integration, contracting, quality, care coordination and care management , across all settings. To ... escalated contractual, payor policy and operational issues through collaboration with managed care organizations and internal stakeholders. 7. Facilitates Joint… more
- 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 ... role includes loading and maintaining reimbursement rates in ION contract management system. Additional responsibilities include collaborating...skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating… 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
- Nuvance Health (Norwalk, CT)
- …effort to maximize reimbursement. Reviews and edits Managed Care Contract Language relating to Utilization Management Issues. Ensures severity of illness ... and/or programs. Interfaces and coordinates services with Admission, Finance, Managed Care , Medical Records, Home Care... Managed Care , Medical Records, Home Care , Rehabilitative and Risk Management . Ensures provisions… more
- University of Miami (Medley, FL)
- … Care /Business development areas and functions, including Managed Care Strategic Planning, Contracting and Negotiations Management , Operations and ... in managed care . + Leads and manages care staff, including network contracting, contract implementation/operations, non-participation agreements,… more
- Houston Methodist (Houston, TX)
- …of individual payer contract performance. + Ensures the dissemination of managed care financial information to internal finance departments and partners to ... At Houston Methodist, the Vice President Managed Care position is responsible for...in the organization and has responsibilities which include providing management and oversight of multiple areas and entities, as… more
- CommonSpirit Health (Omaha, NE)
- …with senior management , physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract modeling strategy and consolidation ... analysis. + Monitor contract financial performance. + Analyze and publish managed care performance statements and determine profitability. + Review and… more
- AmeriHealth Caritas (Raleigh, NC)
- …outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy ... system, including chief executive officers, chief financial officers, and directors of managed care leadership. **Responsibilities:** + Lead the development and… 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
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the ... physicians of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract… more
- AdventHealth (Maitland, FL)
- … managed care , patient financial services, healthcare reimbursement, accounting and contract management . . 5 years of management experience required. ... role you'll contribute:** This position will be responsible for execution of the managed care payor dispute resolution processes for all AdventHealth providers… more
- Nuvance Health (Danbury, CT)
- …and policies, payer market share, etc. 6. Liaison between billing/ managed care departments, the payer, Business Office, Practice Management and other ... *Description* Summary: The Managed Care Analyst compiles, validates, and...and analyzes utilization and reimbursement data to aid in contract negotiations for all Nuvance entities. In addition to… more
- Cedars-Sinai (Beverly Hills, CA)
- …implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and ... metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for compliance and financial performance, identifying… more
- Covenant Health (Lubbock, TX)
- …Area. In this pivotal role, you will spearhead the Managed Care Contracting Program, guiding our organization through contract analysis, negotiation, ... entities and ministries. + **Master Negotiator:** Lead the charge in negotiating favorable managed care rates and contractual terms for all Texas Region CHS… more
- The County of Los Angeles (Los Angeles, CA)
- DEPUTY DIRECTOR, MENTAL HEALTH (UC) - MANAGED CARE OPERATIONS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4843984) DEPUTY DIRECTOR, ... MENTAL HEALTH (UC) - MANAGED CARE OPERATIONS Salary $176,297.52 - $274,178.64.... This role is responsible for budgeting, financial strategy, contract negotiations, and network management to ensure… more
- MaineGeneral Health (Waterville, ME)
- …a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects of reimbursement, managed ... contract modeling and troubleshoot payer issues + Oversee contract management and reporting + Ensure compliance...of 7 years of experience in healthcare reimbursement and managed care - some leadership experience is… more
Related Job Searches:
Care,
Contract,
Contract Management,
Managed,
Managed Care,
Managed Care Contract,
Management