- UTMB Health (Galveston, TX)
- Contract Admin , Managed Care - Revenue Cycle Operation Support **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health Requisition ... # 2405923 **Job Summary:** The primary responsibility of the Contract Administrator - Managed Care position is to evaluate, negotiate and secure agreement to… more
- McLaren Health Care (Auburn Hills, MI)
- …escalated contractual, payor policy and operational issues through collaboration with managed care organizations and internal stakeholders. 7. Facilitates Joint ... care or related field; or an Associate degree and two (2) years' experience in managed care ; or a high school diploma or equivalent and four (4) years'… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration , Managed Care Contracting, Reimbursement, or ... leads financial and data analysis to evaluate rate proposals, contract terms, and health plan reimbursement. This position will...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- Roper St. Francis (Charleston, SC)
- …Position** Manages the overall operations of managed care including managed care contract negotiations, analysis, and compliance activities in ... aligned with the strategic plan. Provides executive oversight for managed care contract performance and...related field. + Master's degree in business or healthcare administration preferred. **Work Experience** + Five years of provider… more
- Hackensack Meridian Health (Edison, NJ)
- …_Health_ includes: + ** Contract Negotiation & Network Management:** + Lead all managed care contract negotiations for HMH and its entities (hospitals, ... of positive change. The **Senior Vice President (SVP) of Managed Care ** is a critical leadership role...Lead the development and execution of managed care contracting policies and strategies. Monitor contract … more
- RWJBarnabas Health (Elizabeth, NJ)
- …Officer + Function as primary manager and liaison with regard to our department grant/ contract (non- managed care ) business + Support compliance with grant/ ... Senior Manager, Psych Service- Admin AmbulatoryReq #:0000177187 Category:Accounting/Finance Status:Full-Time Shift:Day Facility:Trinitas Regional Medical Center… more
- UNC Health Care (Durham, NC)
- …and office assistant as needed. 8. Performs Registrations for patients to include contract registration for Managed Care patients and complete registration ... NCHEALTH Entity: UNC REX Healthcare Organization Unit: UNC Homecare Admin Work Type: Full Time Standard Hours Per Week:...NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.… more
- Amneal Pharmaceuticals (Bridgewater, NJ)
- …As a Manager, this role will be responsible for leading and supporting the Managed Care claims processing, contract maintenance, formulary and data ... Adjudication process. This will include review and approval of managed care rebates, admin fees,...possess a strong working knowledge of Managed Care pharmaceutical contracting, especially in rebate administration .… more
- State of Minnesota (St. Paul, MN)
- … services. Responsibilities Include: . Collaborate with and participate in the Division's managed care contract development and negotiations related to ... managed care contractual requirements. . Support managed care contract initiatives intended...governing managed care and health care . . Health care administration ,… more
- LA Care Health Plan (Los Angeles, CA)
- …The Account Manager III is responsible for the initial on-board training of new managed care contract provider partners, and for ensuring their provider ... LAC; and providing in-service orientation meetings with providers. Responsible for monitoring managed care contracts for renewals and expirations. Acts the… more
- Catholic Health Initiatives (Lexington, KY)
- …& Strategy:** Lead payer contract modeling strategy and consolidation for large managed care payer negotiations. Act as a liaison between CommonSpirit Health ... analysis. + ** Contract Financial Performance Monitoring:** Monitor and analyze contract financial performance, publish managed care performance… more
- Community Health Systems (Franklin, TN)
- … Administration , or a related field required + 4-6 years of experience in managed care contract administration , accounts receivable, or related field ... and scheduled rate changes. + Ensures accurate interpretation and programming of managed care contract language to reflect rate structures and terms as… more
- Sharp Electronics Corporation (Renton, WA)
- **Overview** The Contract Coordinator position is responsible for the timely and accurate creation and processing of contract billing, in compliance with all ... procedures. **Responsibilities** + Ensure completeness and accuracy of maintenance contract documents including MICAS (meter automation) requirements and valid… more
- MyFlorida (Bartow, FL)
- …Serves as expert resource to FDOH-Polk and Hardee staff with regards to managed care contract planning, development, interpretation, implementation, and ... maintenance. Establishes and maintains a good working relationship with managed care organizations. Performs contract analysis, assembles data, and provides… more
- Hackensack Meridian Health (Edison, NJ)
- …effectively communicating specifics to persons involved on all levels. Utilizes current managed care contract matrix, different insurancesystems and ... or medical office certificate. 2. Minimum of one year of clerical or secretarial/ administrative experience in a health care setting. 3. Knowledge of medical… more
- Beth Israel Lahey Health (Charlestown, MA)
- …but not limited to:** 1) Designs & performs analyses and reporting in support of managed care contract negotiations including but not limited to Hospital ... Finance. This position provides key support and analyses during rate negotiations with Managed Care Plans and performs functions related to other financial… more
- Ochsner Health (New Orleans, LA)
- …accordance with Generally Accepted Accounting Principles (GAAP). Conducts analysis to support managed care contract negotiation, evaluates payer performance ... with Generally Accepted Accounting Principles (GAAP). + Conducts analysis to support managed care contract negotiation, evaluates payer performance and… more
- AdventHealth (TX)
- …to all accounting internal control policies and procedures. * Create or monitor all contract negotiations, including Managed Care contracts. * Control the ... organizes and administers the institution- wide program of financial management reporting and managed care contracting to best meet the strategic objectives of… more
- Sanofi Group (Bridgewater, NJ)
- … Operations **Location** : Bridgewater, NJ **About the Job** The Managed Care Specialist is responsible for contract management for various markets including ... ECP (Electronic Claims Processor) and Revenue Manager (Model N administration system). This position will analyze and pay rebates...will work in close cooperation with Managed Care Operations colleagues and counterparts in Contract … more
- LA Care Health Plan (Los Angeles, CA)
- …At least 3 years of experience in contract and/or regulatory analysis in managed care or healthcare industry. At least 3 years of healthcare experience in ... and provision of in-service orientation meetings with providers. Responsible for monitoring managed care contracts for renewals and expirations. (30%) Researches… more