- 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 ... view Collaborate with other departments to prioritize and ensure Managed Care contract performance and...schedules, preparing all uploads, validating input and updating EPIC reimbursement contracts. Stay abreast of all Texas Medicaid &… 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
- 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; ... both claim processing systems; HealthRules and Amisys. Understanding of provider reimbursement mechanisms Intermediate to Advanced skills in Microsoft Office (Word,… more
- Henry Ford Health System (Troy, MI)
- …skills. + Strong organizational and interpersonal skills. + Strong Understanding of Managed Care Reimbursement methodologies, coding, and terminology. ... EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement , or related… more
- AdventHealth (Maitland, FL)
- …leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues. Ensures key stakeholders are ... within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the implementation… more
- HCA Healthcare (Dallas, TX)
- …Surgery Centers. This entails financial analysis and management, cash flow, and knowledge of managed care contract reimbursement as well as general ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more… more
- Cedars-Sinai (Los Angeles, CA)
- …revenue codes) preferred. *Minimum of 2 years of experience with Managed care contract interpretation and reimbursement analysis preferred. **Why work ... accounts to ensure payment and resolution. + Monitors, evaluates, and reviews Cedars-Sinai Managed Care contracts and reconcile to payments received. + Ensures… 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 ... language, evaluate validity in the data and support the Managed Care Contract Team at...and analyzes any data variances. 12) Conduct service line managed care reimbursement analysis as… more
- Publix (Lakeland, FL)
- **34227BR** **Position Title:** Managed Care Contract Support Specialist **Department:** Pharmacy **Location:** Lakeland, FL **Description:** If you want to ... role in the success of Publix Pharmacy and the Managed Care Contract Support Specialist...Leave + Short- and long-term disability insurance + Tuition reimbursement + Free hot lunches (buffet-style) at facilities with… more
- Stony Brook University (Commack, NY)
- …the organization. + Monitor and dispute Managed Care payer reimbursement policies or practices that breach contract terms, track resolution outcomes. + ... Care contracts. + Maintain accurate, up-to-date Managed Care contract databases and...Strong knowledge of New York State, Federal, commercial payer reimbursement methodologies and Managed Care … 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 ... in accordance with contractual terms, + Serves as a managed care resource across the organization assisting with reimbursement inquires, contractual rate… more
- RWJBarnabas Health (West Orange, NJ)
- …involving managed care and payer contracting, value-based reimbursement models, and contract negotiation strategies. The successful candidate will ... Senior Counsel / Assistant Vice President, Legal Affairs, Managed Care ContractingReq #:0000206244 Category:Professional / Management Status:Full-Time Shift:Day… more
- Houston Methodist (Houston, TX)
- …the Houston Methodist (HM) contracts for reimbursement of services billed through managed care companies and serves as a technical expert for management and ... contracts for reimbursement of services billed through managed care . The managed ...acute care contracts, financial modeling techniques and managed care contracting, contract pricing,… more
- Bristol Myers Squibb (Princeton, NJ)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as all aspects with evaluating implications of and reporting Managed Care data required for US and...hours flexibility. Parental, caregiver, bereavement, and military leave. Family care services such as adoption and surrogacy reimbursement… more
- Bon Secours Mercy Health (Cincinnati, OH)
- … sites and clinicians are recognized for clinical and operational excellence. **DIRECTOR MANAGED CARE CONTRACTING - LARGE ACCOUNTS** **| REMOTE** This position ... developing, managing, and leading the day-to-day activities associated with managed care contracting for both fee for...state for Bon Secours Mercy Health. This scope of contract management will range in revenues between $500m and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director, Managed Care Payer Contracting Date: Aug 20, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job ... generation of pharmaceutical access in a high-growth environment.** The Associate Director, Managed Care Payer Contracting plays a pivotal role in supporting… more
- Select Medical (Mechanicsburg, PA)
- …knowledge, experience, and expertise in successful Managed Care Contracting negotiations, language, modelling analytics, reimbursement methodologies ... **Overview** The Senior Director is responsible for leading the Managed Care Contracting team and planning, analyzing, negotiating, and implementing new and… more
- Select Medical (Mechanicsburg, PA)
- **Overview** The Director of Managed Care Contracting is responsible for leading the strategic planning, financial analysis, negotiation, and execution of new ... and renewed managed care agreements across an assigned hospital...for hospitals.** + Responsible for rate and payment methodologies, contract language, as well as following all internal controls… 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
