- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Contract Modeling, Implementation, and Validation: + Responsible for the configuration and build of payor contract models within StrataJazz and EPIC ... Atlanta, GA **Description** + Emory Healthcare is seeking a Contract Build Analyst to join our Medical Economics team...Analyst to join our Medical Economics team + The Contract Build Analyst role is responsible forimplementing, validating, and… more
- Molina Healthcare (Provo, UT)
- …adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either ... to over- or underpayment. + Utilize QNXT to research claims history, provider contract setup, and benefits configuration . + Work cross-functionally with … more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …other projects, work, and activities as assigned by the Pharmacy Director Qualifications: + Managed Care experience preferred, but not required + Part D Coverage ... Medicare Part D laws, regulations and reporting requirements, benefit configuration and benefit transition process, and drug reviews for...of, or currently enrolled in, residency program (PGY1) in managed care pharmacy, or pharmacy practice. +… more
- Henry Ford Health System (Troy, MI)
- …of Michigan Office of Financial and Insurance Services. + Effectively communicates contract terms to Information Systems for configuration . + Represents Provider ... of provider contracting; builds rates and reimbursement terms, manage configuration process for accurate reimbursement, maintain database related to reimbursement… more
- UHS (Binghamton, NY)
- …Services (UHS) is seeking a detail-oriented Contract Technician to support our Managed Care Contracting team. In this role, you'll assist with the ... together to support healthier communities. Primary Department, Division, or Unit: UHS Managed Care Contracting Primary Work Shift: Day Regular Scheduled Weekly… 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 ... staff regarding departmental and unit policy and procedure, including: Managed Care Contracts. + Monitors work queues...dollar accounts. + Analyzes new contracts and works with Contract Management system support to trouble-shoot contract … more
- Point32Health (NH)
- …responsible management experience in a complex healthcare setting. Experience in managed care contracting and experience working collaboratively with providers. ... results and lead teams to achieve goals. + Strong working knowledge of managed care /risk contracting payment methodologies. + Savvy negotiator with experience in… more
- Dignity Health (Bakersfield, CA)
- …- Masters degree preferred. - 5 years experience with background in a managed care facility, IPA or health plan preferred. **Overview** The purpose ... plan agreements, and provide support to administration in evaluating contract terms and preparing contract proposals. The...pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to… more
- Molina Healthcare (Las Cruces, NM)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... specialty or multispecialty provider groups. * 3+ years experience in provider contract negotiations in a managed healthcare setting **PREFERRED EXPERIENCE** :… more
- Molina Healthcare (Hartford, CT)
- …* 7-10 years' experience in Healthcare Administration, Health Plan Operations, Managed Care , and/or Provider Services. * Experience managing/supervising ... Plan leader and liaison for MHI Service Operations, including: Claims, Configuration Information Management, Enrollment, Contact Center Operations, IT, Provider … more
- Motion Recruitment Partners (Lawrenceville, GA)
- Intune Administrator Lawrenceville, Georgia **Onsite** Contract $55/hr - $60/hr InTune Administrator Fantastic organization in Lawrenceville, GA is looking for a ... InTune Administrator for a 12+ month 100% onsite contract role in Lawrenceville, GA As an Intune Administrator,...primary focus will be on ensuring the effective deployment, configuration , and ongoing support of Intune for endpoint management… more
- System One (Dayton, OH)
- …five (5) years of medical coding or medical billing experience required + Managed Care experience is required, preferably associated with benefits coding, claims ... Job Title: Coding Analyst Location: Dayton, Ohio Type: Contract Compensation: Contractor Work Model: Remote Hours: Add the job's scheduled days and times (delete if… more
- Blue KC (Kansas City, MO)
- …3 years of experience in a supervisory or lead capacity + Previous managed care network contracting experience associated with commercial or Government Programs ... applications such as Word, Excel, Access, and PowerPoint + Extensive knowledge of managed care processes and contracting + Extensive knowledge of specialized… more
- Motion Recruitment Partners (Minneapolis, MN)
- Sr. Database Administrator Minneapolis, MN **Hybrid** Contract $52.97/hr - $57.97/hr Every year, nearly 200 million travelers trust our client to get them where ... Oracle Database Administrator to join their crew systems team in Minneapolis, MN! Contract Duration: 12 Months **Required Skills & Experience** + 8+ years of… more
- Molina Healthcare (Dayton, OH)
- …**Required Experience** + 10+ years progressive experience in Healthcare Administration, Managed Care and/or Provider Services. + Experience managing employees. ... Administration, or related field. **Preferred Experience** Experience with Medicaid and Medicare managed care plans. \#PJHPO \#LI-AC1 To all current Molina… more
- Robert Half Management Resources (Burbank, CA)
- …experience in Medicaid enrollment and eligibility functions within a health plan or managed care organization. + Deep understanding of the Medicaid enrollment ... seeking an experienced Medicaid Enrollment & Eligibility Consultant for a fully remote, contract -based opportunity. This role will play a key part in evaluating and… more
- CareOregon (Portland, OR)
- …experience to include creating queries. + 2 years' experience working in health care /insurance + Experience with managed care and/or project participation ... with projects. + Investigate and resolve provider and provider contract pended claims as requested by more advanced Provider...databases + General understanding of or ability to learn managed care and Oregon Health Plan concepts… more
- RTX Corporation (Mount Laurel, NJ)
- …as only US citizens are authorized to access information under this program/ contract . **Security Clearance:** None/Not Required **Raytheon Company, Managed by ... in a Unix/Linux environment. + You will collaborate in Agile-style workflows with configuration and change control tools. **What YOU will learn:** + How air traffic… more
- Evolent (Lincoln, NE)
- …agile space and adapting to fluctuating situations. + General understanding of US health care , Managed Care Organizations, and/or Medicaid. **To comply with ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...You will work closely with teams such as Claims, Configuration , and Enrollment/Eligibility to ensure timely and accurate data… more
- Xcel Energy (Denver, CO)
- …demand management, execution, and operation of IT solutions + Experience with contract and vendor management In-depth expertise on core IT components within the ... application modules. + Experience configuring and deploying SAP in a Managed Project environment (structured deployments) (Minimum 2 projects preferred) + Relevant… more