- 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
- State of Colorado (Denver, CO)
- …drafting, negotiating, processing, and implementing contracts, amendments, and waivers in addition to contract management for Medicaid managed care and DSNP ... Managed Care Unit Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4779560)...degree from an accredited institution in public policy, public administration , health care administration or… more
- Prime Healthcare (Weslaco, TX)
- …Association; is the primary staff person to maintain the physical/original and electronic managed care contract files; tracks and monitors contracts ... Coordinator is responsible for assisting in the management, security, and data integrity of the managed care agreements in place for Mid Valley Physicians… 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
- 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
- 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
- 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
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …and Monitoring: Ensure timely and accurate implementation of managed care agreements, including fee schedules, contract terms, and performance metrics. ... + GENERAL SUMMARY + The Leader, Managed Care Contracting, is responsible for...integrated networks and clinical teams to ensure alignment between contract requirements and clinical care delivery models.… 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
- Cedars-Sinai (CA)
- …service the network's membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star ratings, access, physician network ... user or client acceptance. + Well versed within the various components that comprise Managed Care and its key concepts including but not limited to eligibility,… more
- Cedars-Sinai (Beverly Hills, CA)
- …implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and ... modeling and forecasting to assess the impact of proposed contract changes and new initiatives. + Monitor and evaluate...identifying trends, variances, and areas for improvement. + Analyze managed care contracts for compliance and financial… more
- MaineGeneral Health (Waterville, ME)
- …a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects of reimbursement, managed ... the Charge Description Master (CDM) rate setting + Lead contract negotiations and manage payer relationships + Utilize Sorian...of 7 years of experience in healthcare reimbursement and managed care - some leadership experience is… more
- Kelsey-Seybold Clinic (Houston, TX)
- …development and coaching and other duties as assigned. **Job Title: Supervisor, Managed Care Claims** **Location: Pearland Administrative Office** ... Bachelor's Degree **Experience** Required: 5 years of working experience in a Managed Care environment as Senior Analyst, Coordinator, OR Supervisor or… more
- CommonSpirit Health (Englewood, CO)
- …is a remote position. Seeking a strong manager of technical healthcare teams for Managed Care .** **Job Summary / Purpose** The System Manager, Data Engineering ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US from clinics and hospitals...in healthcare **Strongly Preferred Experience** + Experience in payer contract analysis and payer process preferred + Experience with… more