- Corewell Health (Southfield, MI)
- …passion for problem solving? Priority Health is seeking a Senior Provider Contract Specialist to take ownership of affiliated network contracting . In this ... and renewal. Provides support for management of medical cost of care and efficiency initiatives. Additionally, this position manages the contract execution… more
- Molina Healthcare (Green Bay, WI)
- …experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care , and/or Provider Network Mgmt & Operations with an ... **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards and resources to help Molina… more
- Molina Healthcare (St. Clair Shores, MI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated delivery… more
- Molina Healthcare (Miami, FL)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy...large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider… more
- HCA Healthcare (Campbell, CA)
- …of health plan economics analyses, metrics and health plan reporting in a Managed Care environment relating to the financial, quality and operational performance ... Come join our team as a Health Plan Economics Specialist . We care for our community! Just...for Health plan Metrics, Analytics and Reporting for a Managed Care organization + Develop and maintain… more
- Houston Methodist (Sugar Land, TX)
- …+ Maintains knowledge of Federal, State, and local billing regulations and partners with managed care contracting as needed. + Maintains knowledge of ... insurance and governmental programs, state and federal regulations and billing processes, managed care contracts and coordination of benefits related to… more
- Vistra (Dallas, TX)
- …are currently available and apply online. **Job Summary** The Procurement Specialist is responsible for driving savings and implementing contractual protections for ... the company. Tasks include leading sourcing events as well as facilitating the contracting and procurement processes. A solid knowledge of all aspects of the… more
- CareFirst (Baltimore, MD)
- …years' experience in risk adjustment coding, ambulatory coding and/or CRC coding experience in managed care ; state or federal health care programs; or health ... Utilizes extensive coding knowledge, combined with medical policy, credentialing, and contracting rules knowledge to help build the effective guides and resources… more
- Penn Medicine (Plainsboro, NJ)
- …significant knowledge of all types in-network and out-of-network health insurance, managed care companies, benefits and policies for commercial, Medicare ... regulations and requirements + Ability to develop a good working relationship with managed care organizations, and provide excellent customer service + Ability… more
- Waystar (Atlanta, GA)
- …Develop and maintain strong relationships with payers, including health insurance companies, managed care organizations, and government agencies. + Create new, ... **ABOUT THIS POSITION** The Payer Relations Specialist is responsible for initiatives to identify and...performance. + Track and communicate the status of payer contracting and connections activities **OPTIONAL DETAILS --Looking for… more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, ... **Job Summary and Responsibilities** The Contract Specialist II, reporting to the Network Operations/ Contracting...with a business objective to excel in coordinating patient care in a manner that supports containing costs while… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- Summary This position serves as an Inventory Management Specialist (EX) in the Supply Chain Management Service at the Veteran Affairs Health Care System San ... matter expert to all services and service lines. Inventories managed include a wide variety of expendable items and...materially affect the VA HCS' ability to provide medical care to Veterans. Researches opportunities for and conducts analysis… more
- Nuvance Health (Danbury, CT)
- …on a daily/regular basis with the Denials Management team. * Assists with informing Managed Care contracting team with necessary contractual language to ... * Current working knowledge of utilization management, performance improvement and managed care reimbursement. Education: BACHELOR'S LVL DGRE Working Conditions:… more
- Helio Health Inc. (Syracuse, NY)
- …Guidelines. + Coordinates services with external case managers, managed care operators, licensing, funding, and contracting agencies. + Provide excellent ... support the mission of Helio Health, Inc., theFinancial Management Unit Specialist (Representative Payee) is responsible for the day-to-day interaction with patients… more
- Centene Corporation (Nashville, TN)
- …services experience required, including experience in a managed health care environment with exposure to provider contracting , servicing benefits ... interpretation, and internal operations of provider relations.Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid… more
- Prime Healthcare (Ontario, CA)
- …and as part of a team, and strong interpersonal skills + Experience in managed care contracting , provider re-imbursement, fee-scheduling, prior experience in ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/220835/contract- specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare… more
- RTX Corporation (Mckinney, TX)
- …a security clearance **Security Clearance:** DoD Clearance: Secret **Raytheon Company, Managed by Collins Aerospace** We are currently seeking an experienced ... and have good working knowledge of company business systems and policies, contracting processes and earned value management techniques. + Collaborate with PLT to… more
- Commonwealth Care Alliance (Boston, MA)
- …Bachelor's Degree or equivalent experience **Experience (Required)** + 3-5 years + Managed Care experience + Experience in health plan provider relations. ... responsible for cultivating, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) provider community. In this highly visible field… more
- Commonwealth Care Alliance (Boston, MA)
- …Strong claims experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/Medicaid) + Experience in health plan ... Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening relationships with… more
- Chenega Corporation (Rockville, MD)
- …and communication with the HRSA CICP Contracting Officer's Representative (COR), Contracting Officer (CO), Contracting Specialist (CS), CICP Program ... and Task specific knowledge of worker's compensation, injury compensation programs, or managed care . + Professional Background: Relevant experience in claims… more
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