- AccentCare, Inc. (Dallas, TX)
- Overview Managed Care Contract Specialist Location: Dallas Corporate Office Position: Managed Care Contract Specialist Position Type: ... is necessary for success in this role. Find Your Passion and Purpose as a Managed Care Contract Specialist What You Need to Know Reimagining Your Career… more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring ... contract language for Commercial, Medicare and Medi-Cal managed care . + Acts as a liaison...and beyond. **Req ID** : 11981 **Working Title** : Managed Care Compliance Specialist -… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Contract Specialist II, reporting to the Network Operations/Contracting Manager, plays a critical role in managing ... contract management system for accurate record-keeping. The Contract Specialist II will act as a...pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to… more
- JPMorgan Chase (Columbus, OH)
- …center of high-impact collaboration with senior leaders and industry experts. As the Contract Specialist within JP Morgan's Asset Management you are an ... Take charge of the contract management process for JP Morgan's diverse investment...Mutual Funds, Global Liquidity, 529, Commingled, ETF, Alternatives and Managed Account businesses. This includes responsibility for the approval… more
- State of Michigan (Lansing, MI)
- …This position functions as the specialist and subject matter expert within the Managed Care Plan Division (MCPD), overseeing the compliance of care ... Departmental Specialist 13 - Complex Care for...adherence to program obligations, and providing oversight of contracted Managed Care Entities (MCE) to align initiatives… more
- Prime Healthcare (Ontario, CA)
- …part of a team, and strong interpersonal skills + Experience in managed care contracting, provider re-imbursement, fee-scheduling, prior experience in Healthplan ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/220835/ contract - specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)… more
- Huron Consulting Group (Chicago, IL)
- …pressure to improve clinical outcomes and reduce the cost of providing patient care . Investing in new partnerships, clinical services and technology is not enough to ... you are now and create your future. The Huron Managed Services Coding Operations Director oversees a portfolio of...experience with 5+ in coding managerial positions * Acute care hospital coding experience * Professional services coding experience… more
- Valor Health (Bowling Green, KY)
- Clinical Pharmacist Specialist - Primary Care Bowling Green,...patients utilizing rules set forth by the VA for co- managed care . + Completes any and all ... Healthcare is seeking a dynamic and passionate Clinical Pharmacist Specialist (CPS) to provide care at the...preferred. Specific requirements could vary based on individual VA contract . + Must be credentialed and remain in good… more
- LA Care Health Plan (Los Angeles, CA)
- …or credentialing related experience. At least 1 year of experience in a healthcare/ managed care environment. Skills Required: Ability to audit data and make ... Credentialing Specialist II Job Category: Provider Relations Department: Provider...$69,045.00 (Mid.) - $82,867.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- HCA Healthcare (Campbell, CA)
- …of health plan economics analyses, metrics and health plan reporting in a Managed Care environment relating to the financial, quality and operational performance ... Come join our team as a Health Plan Economics Specialist . We care for our community! Just...for Health plan Metrics, Analytics and Reporting for a Managed Care organization + Develop and maintain… more
- New York State Civil Service (Commack, NY)
- …People With Developmental Disabilities, Office for Title Human Resources Specialist 1/Trainee 1/2 Occupational Category Administrative or General Management Salary ... City Commack State NY Zip Code 11725 Duties Description As a Human Resource Specialist 1 you may be responsible for the performance of various personnel activities,… more
- Robert Half Accountemps (Philadelphia, PA)
- …medical billing. * Strong understanding of Managed Care Collections and Managed Care contract requirements. * Proficiency in using electronic medical ... billing UB04 form and 1500 form. Highlights of Required Skills/Knowledge: Full understanding of Managed Care Collections and knowledge of Managed Care … more
- New York State Civil Service (Albany, NY)
- … 1 - Grade 18 position in the Division of Community Program Management & Managed Care , Bureau of Housing Development & Support. The Bureau oversees more than ... Yes Agency Mental Health, Office of Title Mental Health Program Specialist 1/Trainee, Central Office; Occupational Category Other Professional Careers Salary Grade… more
- Molina Healthcare (St. Clair Shores, MI)
- …effective and efficient business results. * Trains and monitors newly hired Contract Specialist (s). * Participates in other contracting related special projects ... does not entail heavy negotiations. Minimal ongoing engagement after contract . Synchronizes data among multiple claims systems when applicable,... field including, but not limited to, provider's office, managed care , or other health care… 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 ... HELP Yes Agency Mental Health, Office of Title Mental Health Program Specialist 1/Mental Health Program Specialist Trainee, Central Office; Occupational Category… more
- Logan Health (Kalispell, MT)
- …Preferred Qualifications: + Associate's or Bachelor's degree. + Experience with managed care coverage, reimbursement, medical terminology, and medical coding. ... the world of healthcare insurance? As a Financial Clearance Specialist at Logan Health, you'll play a key role...working knowledge of applicable rules, regulations and guidelines governing managed care coverage and reimbursement preferred. +… more
- Corewell Health (Southfield, MI)
- …and passion for problem solving? Priority Health is seeking a Senior Provider Contract Specialist to take ownership of affiliated network contracting. In this ... you will be the key contact and subject matter expert for all contract related activities - leading negotiations, managing contract lifestyles, and ensuring… 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
- HCA Healthcare (Sunrise, FL)
- …to join an organization that invests in you as a Recruitment Operations Specialist WFH? At HealthTrust Workforce Solutions, you come first. HCA Healthcare has ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...difference. We are looking for a dedicated Recruitment Operations Specialist WFH like you to be a part of… 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 ... Agency Mental Health, Office of Title Mental Health Program Specialist 2, Central Office; Occupational Category Other Professional Careers...the Bureaus within the Division of Strategic Finance and Managed Care in a broad range of… more