• Managed Care Contracts

    Queen's Health System (Honolulu, HI)
    …* Assists in development, maintenance and administration of the medical centers' contracts with health insurers for services provided to members. * Performs ... negotiate optimal contractual agreements. * Responsible for maintenance of contract modules. * Serves as a liaison with selected...LICENSURE: * Bachelor's degree in Business, Finance or Health Care Administration or four (4) years with health … more
    Queen's Health System (05/08/24)
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  • Business Systems Consultant

    Highmark Health (Honolulu, HI)
    …provider data code sets, and benefits into systems parameters to ensure accurate managed care operations (ie enrollment & billing, claims processing, etc.). This ... benefits, business rules, screen design and functionality, templates, workflows, provider contracts , user task analysis, personalization to different plans, and user… more
    Highmark Health (06/18/24)
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