- University of Michigan (Ann Arbor, MI)
- …Care Payer /Operations Analyst Apply Now **Job Summary** The Managed Care Contracting and Operations (MCCO) Department is responsible for the negotiation, ... often involving Out of State Payers. The Managed Care Payer Analyst will report to the Manager ,...**FLSA Status** Nonexempt **Organizational Group** Exec Vp Med Affairs ** Department ** MM Managed Care & Contracting **Posting… more
- Mount Sinai Health System (New York, NY)
- …Experian Contract Manager Tool to determine financial performance. + Model Payer Proposals in Experian Contract Manager Tool. + Reconcile budgeted revenue ... within Mount Sinai. The team includes 400+ employees with clinical, contracting , finance, IT, analytics, operations, and product development expertise. MSHP is… more
- Amgen (Washington, DC)
- … is integral to Amgen's financial performance and will work with Market Access, Payer Contracting , Legal, and Contract Pricing Execution teams to validate ... multiple payers - facilitate multiple account formulary validation teams that include Payer Contracting , Market Access, Legal, and Contract Pricing Execution +… more
- Novo Nordisk (Plainsboro, NJ)
- About the Department Novo Nordisk's Market Access and Public Affairs team engages diverse stakeholders across political and healthcare landscapes to forge solutions ... ready to realize your potential? The Position The Senior Manager Market Access Channel Strategy is part of a...+ Monitors evolving US market access environment to identify payer landscape trends and policy changes including but not… more
- Molina Healthcare (MS)
- …_** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of Complex contracts with Alternative Payment Methods… more
- Trinity Health (Boise, ID)
- …necessary for resolution of questions regarding claims, fee schedules, network contracting , provider credentials verification, payer enrollment, and network ... departments including shared services, data analytics, finance, credentialing, and contracting . Leads the process for completion of Alliance Participation… more
- Henry Ford Health System (Troy, MI)
- …accurate charge capture and compliance with all regulatory and third-party payer requirements. The Manager , Revenue Integrity/System Charge Description Master ... with other Revenue Cycle teams, Finance, Reimbursement, Compliance and Contracting on the distribution of and compliance with third...on the distribution of and compliance with third party payer coding and billing requirements. The Manager ,… more
- Tidelands Health (Pawleys Island, SC)
- …seminars, teleconferences, and training sessions. + Work closely with the Managed Care contracting department , monitor updates and train staff to comply with ... supervisor of the Revenue Cycle Assistant Director, the Revenue Cycle Manager applies professional administrative knowledge and skill while providing accountable… more
- Tidelands Health (Pawleys Island, SC)
- …seminars, teleconferences, and training sessions. * Work closely with the Managed Care contracting department , monitor updates and train staff to comply with ... general supervisor of the Revenue Cycle Director, the Revenue Cycle Manager applies professional administrative knowledge and skill while providing accountable… more
- Beth Israel Lahey Health (Boston, MA)
- …HMFP enterprise revenue cycle on broad-based initiatives + Collaborates with the department 's Coding Compliance Manager to ensure billing and coding compliance, ... needed on payer relations (BILHPN) related to payer payment issues and contracting . Ensures timely...department staff. **Reporting Relationship** + Sr. Data Project Manager **Required Qualifications:** + High School diploma or GED… more
- Stanford Health Care (Palo Alto, CA)
- …training to staff as needed. + Understand enrollment functions that support appropriate payer contracting and claims adjudication + Work closely with contracted ... delivering against the agreed upon service levels in the organization. The Senior Manager is responsible for the department 's overall cash, accounts receivables,… more
- Surgery Care Affiliates (Seattle, WA)
- …financial forecasts. + Responsible for identifying process improvements within the accounting department . + Assists Payer Contracting with financial analysis ... career opportunities for YOU. Responsibilities We are seeking an experienced Manager of Accounting. Responsibilities: + Manages and supervises accounting staff to… more
- HCA Healthcare (Franklin, NC)
- …payor quality initiatives + Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to achieve ... **Description** **Introduction** **The Care Manager supports the patient and primary care relationship...**Transitions of Care** + Contacts patients after an emergency department encounter or hospital discharge to identify the need… more
- Stanford Health Care (Palo Alto, CA)
- …to managed care contracting . + Performs special projects on behalf of Department VP as assigned. + Researches options for participation in new managed care and ... Children's Health (SMCH). Develop, execute, and sustain SHC and SMCH payer strategy strategies for applicable agreements. **Locations** Stanford Health Care **What… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. + Researches denials, gathering supporting documentation and ... reduced/eliminated through system modifications and/or communication and feedback to the department /clinic or other areas. + Notifies Supervisor of additional claim… more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: The Transplant Senior Finance Manager directs and plans the financial activity for the Transplant Institute. Develops annual operating and capital ... Manage the Transplant Billing Specialist position. The Transplant Senior Finance Manager will engage key departments to ensure the transplant electronic billing… more
- Vanderbilt University Medical Center (Nashville, TN)
- …of loss of reimbursement relating to pharmaceuticals. Assists with maintaining drug and payer data files in the dispensing system. Works with dispensing staff and/or ... above departments. * Maintains list of potential opportunities for reimbursement and contracting based on proactive review of data. * Works collaboratively to… more
- University of Rochester (Rochester, NY)
- …operations, including compliance requirements as well as payer credentialing, contracting and reimbursement practices. The Manager for Credits reports ... GENERAL PURPOSE: The Manager for Credits is responsible for working across...trains, evaluates, and perform disciplinary actions as necessary following department and University guidelines. Constructs and monitors development plans… more
- UR Medicine Home Care (Rochester, NY)
- …reducing bad debt, and decreasing Accounts Receivable. + Works closely with URMC Payer Contracting & Reimbursement department on payor contracts including ... and timing issues. Maintains strong relationships with banking partners and University Treasury department as it relates to cash flows and managing the line of… more