- Unknown (Fort Worth, TX)
- Vice President, Revenue Cycle & Managed Care About the Company Large regional healthcare system Industry Hospital & Health Care Type Non Profit Founded 1906 ... is seeking a Vice President for Revenue Cycle and Managed Care to provide strategic, financial, and.... Preferred qualifications include a background in leading payer contract negotiations and value-based reimbursement strategies, as… more
- Unknown (Raleigh, NC)
- …organizations or behavioral health networks, as well as experience in payer contracting, managed care negotiations, and reimbursement modeling, is essential. ... providing support services to individuals with disabilities Industry Mental Health Care Type Non Profit Founded 1940 Employees 1001-5000 Specialties cerebral palsy… 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
- Henry Ford Health System (Detroit, MI)
- …recorded. + Partner with Managed Care Contracting to ensure contract terms, reimbursement methodologies, and modeling tools align with net revenue ... The Associate Vice President (AVP), Reimbursement & Net Revenue Optimization provides strategic leadership...improve upstream processes in collaboration with Revenue Cycle, Finance, Managed Care , System Analytics, and the Mosaic… more
- Saint Francis Health System (Tulsa, OK)
- …performs on going analysis, which maintains the integrity of financial expectations of managed care contracts within the Epic system. Resolves programming issues ... - 5:00pm Job Summary: Responsible for analysis of contracts and performing contract negotiations to include monitoring and reviewing existing contracts to ensure… more
- UNC Health Care (Morrisville, NC)
- …plants to execute such projects. The HCS Director of Managed Care Contracting will optimize the organization's contract performance with its contracted ... Abilities Requirements:** + Deep understanding of various managed care models (HMO, PPO, EPO), their structures, reimbursement methodologies,… more
- UNC Health Care (Morrisville, NC)
- …will in the future, affect UNC Health. Responsibilities: 1. Managed Care Analysis- Research, coordinate and analyze Payer Reimbursement Policies and ... Policy analysis. Reviews billings and claims payments according to managed care contracts as needed. 4. Contract Negotiation- Provide assistance to the… more
- UNC Health Care (Morrisville, NC)
- …the health and well-being of the unique communities we serve. Summary: The Managed Care Coordinator (analyst) supports UNC Health's network strategy by ... developing, maintaining, and analyzing physician contract models and performing ad hoc system (hospital and...‑related insights. Respond to ad hoc analytical requests from Managed Care leadership, Finance, and operational partners.… more
- Truman Medical Centers (Kansas City, MO)
- …mission, vision, and business objectives. **Contracting & Negotiations** + Lead high-impact contract negotiations with managed care organizations to secure ... (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Vice President of Managed Care 101 Truman Medical Center **Job Location**… more
- TEKsystems (Hartford, CT)
- The Managed Care Coordinator is responsible for supporting managed care credentialing, contracting, and reimbursement initiatives across multiple ... a key liaison between payers, internal departments, and the Managed Care team to ensure accurate contracting,...team on data analytics reviews and reporting + Investigate reimbursement discrepancies and assist in resolving contract -related… more
- National Vision (Lawrenceville, GA)
- …with IT, revenue cycle, and payer relations teams to ensure compliance with managed care contract requirements and industry regulations. + Analyze ... growth is a reality. We are hiring for a Managed Care Billing Logistics Representative to join...causes of problems, and recommend process improvements to maximize reimbursement and reduce rejections, denials, and write-offs. + Provide… more
- Cardinal Health (Atlanta, GA)
- …when there are specific managed care operations questions including contract questions and analysis related to reimbursement . + Support sales including ... lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the relationship… more
- St. Luke's Health System (Boise, ID)
- …remote from the states of Idaho, Oregon, Utah and Arizona only.** The Director, Managed Care Analytics is responsible for the creation and development of ... financial metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for financial performance, identifying areas for… 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
- Guidehouse (Chicago, IL)
- …healthcare data into measurable healthcare financial performance. This role is dedicated to managed care contracting - you will learn to read payer contracts ... (commercial and government), model reimbursement terms in our existing tools, and enhance those...pass yield, cash acceleration, net revenue). + Work with Managed Care /Finance, Revenue Integrity/CDM, PFS, and IT/Data… more
- Prime Healthcare (Victorville, CA)
- …seeking new members to join our corporate team! Responsibilities The Senior Managed Care Biller/Collector is responsible for both billing and collections, ... with the specific payer guidelines, policies, procedures, and compliance regulations for managed care . This includes maintaining the deficiency lists used to… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street ... analytics with a focus on hospital and ancillary. Reviews and monitors contract /payer performance including payer parity. Compares expected reimbursement data to… more
- Sutter Health (Sacramento, CA)
- …financial analysis principles, methods, practices, and procedures. + Knowledge of managed care payment/ reimbursement methodologies (eg, Medicaid/Medi-Cal, ... you are interested in joining Sutter Health! **Organization:** SSC-Sutter Senior Care **Position Overview:** Hybrid position with report requirements in Sacramento,… more
- Humana (Oklahoma City, OK)
- …desired + Understanding of managed care contracts, including contract language and reimbursement **Additional Information** WAH Internet Statement To ... interactions with Humana's Oklahoma Medicaid plan + Ensure compliance with Oklahoma's managed care contractual requirements for provider relations, such as… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key leadership role within the Controller's Office, responsible for ... and reporting processes to increase efficiency, accuracy, and scalability. + Non-Patient Care Services Receivable + Oversee invoicing, contract compliance, and… more
