- Innovative Management Systems Incorporated (City Of Industry, CA)
- …excellent reading comprehension and analysis to assist the Director of Contracting and Contract Specialist . The Contract Coordinator will need to utilize ... Description:Position: Contract Coordinator This position will assist in the...at IMS, you'll gain an in-depth perspective of the managed care industry and share in the… more
- Kaiser Permanente (Los Angeles, CA)
- …and evaluates care provided to members. In conjunction with primary care and specialist physicians, evaluates and develops baseline medical and psychosocial ... Coordinates with physicians, staff, and non-Kaiser providers/facilities regarding patient care /population based management for patients in specifically defined geriatric… more
- Publix (Lakeland, FL)
- **29403BR** **Position Title:** Managed Care Contract Support Specialist **Department:** Pharmacy **Location:** Lakeland, FL **Description:** If you want ... pivotal role in the success of Publix Pharmacy and the Managed Care Contract Support Specialist serves as the subject-matter expert in the contracting… more
- Hackensack Meridian Health (Edison, NJ)
- …transform healthcare and serve as a leader of positive change. The **Senior Contracting Specialist Managed Care ** will develop and negotiate owned and ... A day in the life of a **Senior Contracting Specialist Managed Care ** at Hackensack... Care ** at Hackensack Meridian Health includes: + Managed Care Contract Negotiation: Develop… more
- Burrell Behavioral Health (St. Louis, MO)
- Job Description: Job Title: Managed Care Enrollment Specialist Location: Remote Employment Type: Full-time Job Summary: This is a remote position under the ... collaborating with other internal departments to resolve discrepancies. The Managed Care Enrollment Specialist position...complete credentialing packets for associates for managed care contracting, and track status per contract … more
- Logan Health (Kalispell, MT)
- Job Description Summary: Assists in contract management tasks to ensure completeness and compliance with applicable policies and regulatory requirements. Provides ... possess knowledge of commonly-used concepts, practices and producers for contract management. + Excellent organizational skills, detail-oriented, a self-starter,… more
- MetroLink (Los Angeles, CA)
- Contract Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4472709) Apply Contract Specialist Salary $59,645.00 - $92,450.00 ... Benefits + Questions SUMMARY PURPOSE OF POSITION The Contracts Specialist performs quality control checks, confirms that contract...change dentists at any time, go to a dental specialist of your choice, receive dental care … more
- CommonSpirit Health (Englewood, CO)
- …Relationship leadership, to support the negotiation of terms and conditions for Managed Care payer contracts for facility, professional, and ancillary entities. ... to ensure the terms and conditions of the payer contract adhere to the CommonSpirit Health Standards and Guidelines,...experience in a healthcare related field + Payer or Managed Care experience strongly preferred \#LI-CSH **Pay… 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
- Robert Half Accountemps (Van Nuys, CA)
- …Hospital Medical Collections Specialist will also be responsible for managing Medicare managed care , commercial, PPO/HMO and Medical managed care . ... Valley is looking to add a Hospital Medical Collections Specialist to the team. The Hospital Medical Collections ...collection processes with accuracy and efficiency * Handle Medicare managed care , commercial, PPO/HMO, and Medical … more
- AdventHealth (Maitland, FL)
- …OR REGISTRATION PREFERRED:** + Advanced certification or formal training in Population Health, Managed Care , or Value-based Care + Change Management Training ... need to travel to Ocala/Tampa areas)** **The role you'll contribute:** The Primary Care Performance Specialist I is a role focused on driving individual… 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 and Community Support Specialist 1 (OPEN & PROMOTIONAL) Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4492158) Apply Housing… more
- J&J Family of Companies (Joliet, IL)
- …in cardiovascular and metabolic therapeutic areas, healthcare landscape, clinical/therapeutic, Managed Care , and customer using approved/ compliant documentation ... Senior Sales Specialist , Cardiovascular & Metabolism - Joliet, IL -...in cardiovascular and metabolic therapeutic areas, healthcare landscape, clinical/therapeutic, Managed Care , and customer using approved/ compliant… more
- CareOregon (Portland, OR)
- …should include involvement in several of the following areas: Provider relations, managed care operations (eg, claims, appeals, grievances, customer service), ... Job Title Provider Relations Specialist Lead - Behavorial Health Department 116-Provider Relations...and relations + Strong knowledge and understanding of Medicare, managed care , and the Oregon Health Plan… more
- CareOregon (Portland, OR)
- …should include involvement in several of the following areas: Provider relations, managed care operations (eg, claims, appeals, grievances, customer service), ... an insured vehicle Knowledge, Skills and Abilities Required Knowledge + Advanced understanding of managed care and the Oregon Health Plan + Strong knowledge of… more
- Baptist Memorial (Memphis, TN)
- …and Experience Education Minimum: Bachelor's degree Experience Preferred: 3 years of managed care or equivalent related experience. Minimum: 2 years of ... Professional Fee Schedule(s). Negotiates and prepares facility and ancillary contract documents as assigned and maintains BHSG facility and... managed care or equivalent related experience. Licensure,… more
- UTMB Health (Huntsville, TX)
- …Managerial & Finance UTMB Health Requisition # 2403279 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
- Robert Half Office Team (Costa Mesa, CA)
- …(billing & collections), including procedures and policies. + Has thorough knowledge of managed care contracts, current payor rates, understanding of terms and ... customer service and coding skills for a Medical Collections Specialist position with one of its Fortune 500 healthcare...maximum amount of reimbursement by evaluating claims at the contract rate with the use of the contract… more
- Prime Healthcare (North Las Vegas, NV)
- …, 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 Education and Work Experience +… more
- UT Health (Houston, TX)
- …and procedures. + Receives and reviews UT-H Health Science Center' Managed Care contracts to understand the contract provisions. Interprets managed ... Insurance Authorization Verification Specialist II - Neurology (Epilepsy) **Location:** Texas Medical...healthcare education, innovation, scientific discovery, and excellence in patient care . That's where you come in. **We are hiring… more
