- Stony Brook University (Commack, NY)
- Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook Medicine, as a Managed Care Provider Enrollment Specialist , you ... Management Plan, Inc., and Meeting House Lane Medical Practice, PC._ **Duties of a Managed Care Provider Enrollment Specialist may include the following but… more
- Arkansas Children's (Little Rock, AR)
- …in a related field of study. **Required Work Experience:** Related Field - 3 years managed care , payer relations, payer contract , or physician or hospital ... 8:00 am - 5:00 pm - Hybrid The Payer Contract Specialist is responsible for managing payer... Experience** **Familiarity with insurance contracts, reimbursement terms, and managed care agreements.** **Data & Financial Analysis**… more
- Corewell Health (Grand Rapids, MI)
- …internal and external customers. The successful candidate will understand the nuances of managed care contracting, analytics, managed care payers, ... Operating Committee meetings. May be requested to present and represent Managed Care Contracting updates/initiatives at meeting with internal/external… more
- CommonSpirit Health (Rancho Cordova, CA)
- …and have California physician contract experience. **Job Summary:** The Contract Specialist Divisional Payers Payer Strategy & Relationships (PSR) works ... to support the negotiation of terms and conditions for Managed Care payer contracts for facility professional...to ensure the terms and conditions of the payer contract adhere to the CSH Standards and Guidelines represent… more
- UPMC (Pittsburgh, PA)
- UPMC Community Care Behavioral Health is hiring a full-time Contract Specialist II. This role will predominantly work remotely but may require occasional ... given to candidates local to the Pittsburgh area. The Contract Specialist II is responsible for facilitating...and in a timely manner. + General knowledge of managed care functions and management techniques preferred.… more
- Gentiva (Atlanta, GA)
- **Overview** We're looking for a ** Contract Specialist ** to join our team.You will report directly to the VP of Regulatory Counsel andbe responsible for ... preparing, reviewing, analyzing, and responding to requests for managed care , provider, and other related healthcare agreements. + Prepares and negotiates… more
- WMCHealth (Valhalla, NY)
- …Performs other related work as required. Responsibilities: + Responsible for maintaining managed care contracts in contract management system including ... reimbursement formulas/calculations in accordance with payment methodology (DRG, Medicare/Medicaid, Managed Care - Commercial, etc,). Validates payment rate… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …collections of outstanding account balances for commercial, government, and managed care payors as assigned. The Reimbursement Specialist I is required to ... their leadership. It is a requirement for the Reimbursement Specialist I to read, interpret and apply complex payor... I to read, interpret and apply complex payor contract language to expected reimbursement calculations and pursue all… more
- Stony Brook University (East Setauket, NY)
- …Care Hospital Revenue Cycle or Patient Accounting Department resolving hospital Managed Care payment variances and/or denials. **Job Responsibilities may ... Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the...staff regarding departmental and unit policy and procedure, including: Managed Care Contracts. + Monitors work queues… more
- Molina Healthcare (Traverse City, MI)
- …effective and efficient business results. * Trains and monitors newly hired Contract Specialist (s). * Participates in other contracting related special projects ... does not entail heavy negotiations. Minimal ongoing engagement after contract . Synchronizes data among multiple claims systems when applicable,... field including, but not limited to, provider's office, managed care , or other health care… more
- New York State Civil Service (Schenectady, NY)
- …People With Developmental Disabilities, Office for Title Human Resources Specialist 1/Trainee 1/2 Occupational Category Administrative or General Management Salary ... State NY Zip Code 12304 Duties Description Under the supervision of a Human Resources Specialist 2, the Human Resources Specialist 1 this position will perform a… more
- Spokane County (Spokane, WA)
- …the timelines established for service delivery and to meet the Washington State Health Care Authority (HCA), DOH, Managed Care Organization (MCO), and SCRBH ... Housing & Community Support Specialist 1 (OPEN & PROMOTIONAL) Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4913284) Apply Housing &… more
- Robert Half Accountemps (Doylestown, PA)
- …billing UB04 form and 1500 form. Highlights of Required Skills/Knowledge: Full understanding of Managed Care Collections and knowledge of Managed Care ... in accounts receivable and medical billing processes. * Strong knowledge of managed care collections and contracts, including terminology and requirements. *… more
- Sharp HealthCare (San Diego, CA)
- …in Healthcare Management, Business, or other degree acceptable with combination of education and managed care experience. + 3 Years experience in a managed ... apply knowledge as part of day-to-day job responsibilities. + Knowledge of managed care principles, reimbursement methodologies, and healthcare delivery systems.… more
- RTX Corporation (St. Petersburg, FL)
- …a security clearance **Security Clearance:** DoD Clearance: Secret **Raytheon Company, managed by Collins Aerospace** Join the Collins Aerospace Mission Systems ... team as a Principal Contracts Specialist within the Advanced Networking Solutions (ANS) Program, supporting...the team, you will contribute to all aspects of contract administration, including business pursuits, proposal preparation, contract… more
- Banner Health (CO)
- …on demographic and network data requirements. 4. Identifies, assists, and resolves managed care issues concerning claims, contract interpretation, ... including remote and hybrid opportunities. As a Network Data Specialist for Banner Plans & Networks, you will be...reporting network development needs in various geographic regions. Completes managed care contracts updates in the Impact… more
- BayCare Health System (Clearwater, FL)
- …services. Maintain proper documentation in Soarian or GE systems. Work closely with Managed Care and understands health insurances rule sets, manuals, and ... + Preferred - 1 year of Healthcare Business Office and /or Managed Care experience Equal Opportunity Employer Veterans/Disabled **Position** Central… more
- BayCare Health System (Clearwater, FL)
- …services. Maintain proper documentation in Soarian or GE systems. Work closely with Managed Care and understands health insurances rule sets, manuals, and ... PM + **Days:** Monday through Friday This Central Authorization Specialist II opportunity is a full-time remote (following onsite...- 1 year of Healthcare Business Office and /or Managed Care experience + Preferred - Hospital… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …(https://das.iowa.gov/state-employees/human-resources/employee-benefits-programs/employee-benefits-overview) . The SRF Program Specialist position is a non-merit, ... SRF Program Specialist Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5017947) Apply SRF Program ...state. About this Opportunity The SRF Program is jointly managed by IFA and the Department of Natural Resources… more
- Prime Healthcare (Garden City, MI)
- …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications EDUCATION, EXPERIENCE, TRAINING 1.… more
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