- MaineGeneral Health (Augusta, ME)
- …seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects of ... reimbursement , managed care contracts, and payer enrollment. The successful candidate will have a deep understanding of healthcare finance, regulatory… more
- Merck (Augusta, ME)
- …in a strategy and operations type role preferred (including experience working in managed care /health systems) + Team lead or management experience preferred ... **Job Description** **Role Summary:** The USMA Health Systems (HS) Director , Strategic Medical Implementation Lead, plays a critical leadership role in advancing the… more
- Evolent (Augusta, ME)
- …professional experience in claims-based healthcare analytics with a payer, provider, vendor, managed care , or related healthcare consulting entity + Extensive ... differences between institutional vs professional billing and various sites of care /service + Previous Experience with healthcare reimbursement methodologies and… more
- Covenant Health (Lewiston, ME)
- …periods calmly, coordinating discharge needs across all disciplines. + Verify managed care company rates and insurance coverage, obtaining pre-certification ... Summary Under the guidance of the Director of Nursing, the Care Coordinator...policies. + Familiarize with acceptable diagnoses for admissions and reimbursement . + Maintain patient safety through infection control measures… more
- Cardinal Health (Augusta, ME)
- …interactions that take place between payer and provider(s) to ensure optimal reimbursement including managed care contracting, enrollment, credentialing, and ... companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing… more
- Central Maine Medical Center (Lewiston, ME)
- …with outside regulatory requirements are documented (ie Pricing Transparency, CMS regulations, Managed Care contract terms) Management Reporting and Monitoring + ... At Central Maine Healthcare our team members are committed to providing exceptional care and experiences for our community and for each other every day. Central… more
- Merck (Augusta, ME)
- …of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients' ... They do this to support customer operational and financial needs such as reimbursement information and contract adherence in an effort to help the provider or… more
- RES (Augusta, ME)
- …a workplace where everyone feels heard and respected, and extending our culture of care so that every individual can reach their full potential. We want you to ... third party owned wind, solar, and battery storage assets managed by RES in the United States and Canada....as presented by the SVP of Support Services and Director of Accounting, Support Services. Safety: + Follows safety… more