- Omaha Children's Hospital (Omaha, NE)
- …equal opportunity employer including veterans and people with disabilities. **A Brief Overview** The Sr . Managed Care Contract and Revenue Analyst will ... + Minimum 2 years' experience in analysis of financial, reimbursement, or managed care contract modeling. Required **Skills and Abilities** + Knowledge of… more
- Evolent (Lincoln, NE)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Omaha Children's Hospital (Omaha, NE)
- …coding practices in regards to billing and processing of Explanation Of Benefit, managed care contracts, HIPAA standards and governmental program regulations. + ... our mission is to improve the life of every child through exceptional care , advocacy, research and education. As the state's only full-service pediatric healthcare… more
- Humana (Lincoln, NE)
- …in claims analysis, payment integrity, or healthcare data analytics, preferably within a managed care or payer environment. + Advanced proficiency in data mining ... caring community and help us put health first** The Senior Payment Integrity Professional uses technology and data mining,...overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring… more
- Humana (Lincoln, NE)
- …and network administration in a healthcare company + Experienced in negotiating managed care contracts with large physician groups, ancillary providers and ... data requires an in-depth evaluation of variable factors. The Senior Provider Contracting Professional communicates contract terms,...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Molina Healthcare (Lincoln, NE)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and… more
- Datavant (Lincoln, NE)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... life experiences to realize our bold vision for healthcare. **Job Summary** The Senior Manager, Facilities at Datavant will lead all aspects of facilities operations… more
- Omaha Children's Hospital (Omaha, NE)
- …various analysis to understand impact to the organization + Work with Director of Managed Care to aid in understanding of reimbursement issues and analyze payor ... to improve the life of every child through exceptional care , advocacy, research and education. As the state's only... contract changes + Coordinate with various areas in analysis… more
- Highmark Health (Lincoln, NE)
- …auditing, investigations, regulatory accreditation, process improvement, project management and/or managed care operations **Knowledge, Skills and Abilities** + ... Continuously monitors regulatory changes, legislative efforts, industry trends, and/or contract changes. **ESSENTIAL RESPONSIBILITIES** + Manage and coordinate compliance… more
- Catholic Health Initiatives (Omaha, NE)
- …active member of all CVSL subcommittees and other committees as directed by Executive Managed Market Director and senior leadership. + In collaboration with the ... the service line; provides required CVSL performance reports to senior leadership on an annual and periodic basis. +...national best practices. + Works (in partnership with Executive Managed Market Director and CHI Health leadership) to build… more
- Cardinal Health (Lincoln, NE)
- …strategic C-suite and senior executive leadership partnerships with payers and managed care organizations + Comprehensive understanding of the evolving ... covering both strategic hunting and complex account management with payers and managed care organizations. By combining rigorous performance management with… more
- Cardinal Health (Lincoln, NE)
- …OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing ... contract lifecycle. + Serve as the external subject matter expert on managed care , value-based payment methodologies, and population health trends, leveraging… more
- Molina Healthcare (Lincoln, NE)
- …in quality compliance/HEDIS operations, customer service or provider service in a managed care setting with AVP level experience (eg, Supervisory experience, ... indicators. + Communicating with the Plan President, Molina Plan Senior Leadership Team, Chief Medical Officer, + national intervention...10+ years' experience in Quality leadership role with a Managed Care Payer with experience in all… more
- Highmark Health (Lincoln, NE)
- …Doctor of Pharmacy degree + Active pharmacist license + 4 years of experience in managed care pharmacy + 2 years of clinical account management experience in ... respective client portfolio as well as its P&L and contract compliance. Responsibilities include leading initiatives regarding the specific...Medicare as part of the 4 year managed care experience + 2 years of… more
- Evolent (Lincoln, NE)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... sales with long cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers and risk-bearing organizations)… more
- CommonSpirit Health (Omaha, NE)
- …may include any combination of the following responsibilities: Manages multiple acute care facilities totaling greater than 500,000 square feet, greater than 250 ... licensed beds, and/or non-acute care buildings Responsible for multiple supervisors and/or departments, Environmental Services, Dietary, Transportation, Laundry,… more