- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Responsible for seeking contract opportunities, reviewing contract language and terms, conducting data analysis on financial terms, negotiating ... problem resolutions regarding payment issues with all contracted payors. Manages the contract review process for RCSSD 3rd party contracts, contracts with payors,… 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
- Bozeman Health (Bozeman, MT)
- …above to be applicable for this position. Position Summary: The Epic Reimbursement Contract Specialist is responsible for building and maintaining the HB ... in a multi-entity health care system, large hospital, physical office, or managed care organization. Essential Job Functions: In addition to the essential… more
- Gentiva (Atlanta, GA)
- …a lasting difference in people's lives every day. **Overview** We're looking for a ** Contract Specialist ** to join our team.You will report directly to the VP ... andbe responsible for preparing, reviewing, analyzing, and responding to requests for managed care , provider, and other related healthcare agreements. + Prepares… 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
- New York State Civil Service (Albany, NY)
- …NY Zip Code 12229 Duties Description The Office of Financial Management, Strategic Financial & Managed Care Group is recruiting to fill a Mental Health Program ... Trainee position. The incumbent will be responsible for evaluating Medicaid Managed Care Plans' (MMCPs') performance and compliance with behavioral health… more
- Delta Dental of Iowa (Johnston, IA)
- …with Government Programs contracts. You will collaborate with key stakeholders including managed care organizations, the Iowa Department of Health and Human ... Government Programs Outreach and Care Coordination Specialist Johnston, IA (http://maps.google.com/maps?q=9000+Northpark+Drive+Johnston+IA+USA+50131) Apply Job… 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
- Communities Connected for Kids (Port Saint Lucie, FL)
- …Prior experience with Medicaid managed care . Apply for this job (https://careers-cck.icims.com/jobs/44073/behavioral-health- specialist ... Health Child Welfare Specialty Plan agreement and all related managed care entities. (eg, Sunshine Health, Cenpatico...Purchase of Therapeutic Services for children. Maintain compliance with contract terms to carry out care coordination… 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
- UTMB Health (Huntsville, TX)
- …Managerial & Finance UTMB Health Requisition # 2502658 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... Acquisition Specialist - CMC - Huntsville **Huntsville, Texas, United...+ Coordinates and assists in leading the purchase and contract negotiations developing appropriate strategies and tactics to minimize… more
- CareOregon (Portland, OR)
- …work in one or more of the following areas: Provider relations, managed care operations (eg claims, appeals, grievances, customer service), medical/behavioral ... Job Title Provider Relations Specialist I Exemption Status Exempt Department Provider Relations...Knowledge, Skills and Abilities Required Knowledge + Knowledge of managed care and the Oregon Health Plan… more
- Honeywell (Des Plaines, IL)
- As the Metals Commodity Manager (Lead Strategic Sourcing Specialist ), you will be accountable for driving the procurement of materials and services related to ... working capital through payment terms extensions, payment cycle optimization, and vendor- managed inventories + Drive inventory and guide time reductions + Improve… 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
- Robert Half Accountemps (Pearland, TX)
- …and Access. * Familiarity with NCQA and AAAHC accreditation standards. * Knowledge of managed care systems and payor delegation processes. * Ability to conduct ... Description We are looking for a dedicated Credentialing Specialist to join our team. The Credentialing ...job seekers to opportunities at great companies. We offer contract , temporary and permanent placement solutions for finance and… more
- Prime Healthcare (Lynwood, CA)
- …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications + Minimum of four years hospital… more
- Prime Healthcare (Garden City, MI)
- …Specialist , Billing is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications Education and Work Experience 1.… 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
- Prime Healthcare (Denville, NJ)
- … Specialist is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with health ... reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. #LI-BM2 Qualifications EDUCATION, EXPERIENCE, TRAINING… more