- MaineGeneral Health (Waterville, ME)
- …We are actively seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects ... of reimbursement, managed care contracts, and payer enrollment. The successful candidate will...of 7 years of experience in healthcare reimbursement and managed care - some leadership experience is… more
- Stanford Health Care (Palo Alto, CA)
- …Care **What you will do** + Provides leadership and subject matter expertise to Managed Care department and various other SHC and SMCH departments on matters ... of managed care strategy, reimbursement, cost, payer mix, and other contract specific issues. + Represents the Managed Care department on… more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals ... **within California** **.** Working in a collaborative environment, the Director will be a hands-on leader to the Enrollment...growth of the department. Experience with IPA or network managed care , EZCAP and analytics strongly preferred.… more
- Fairview Health Services (St. Paul, MN)
- …position has ultimate accountability for effective and timely execution of all managed care contract negotiations and contract execution for hospital, physician ... partners. Is accountable for achieving budgeted net revenue expectations for all managed care contracts; assesses, evaluates, and directs the application of… more
- University of Michigan (Ann Arbor, MI)
- …research that together enhance our contribution to society. **Responsibilities + Support Manager, Managed Care Operations and Senior Director , Managed ... Managed Care Payer/Operations Analyst Apply Now **Job Summary** The Managed Care Contracting and Operations (MCCO) Department is responsible for the… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the ... physicians of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract… more
- City of New York (New York, NY)
- …to function as the Executive Director , of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under the ... for independent initiative, decision making, and judgement, the Executive Director (ED) is responsible for the administration of three...(MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and Third-Party Health… more
- Ebenezer (Hermantown, MN)
- **Overview** The **Executive Director ** for Ebenezer's newest managed senior care and living build in Hermantown, MN will be responsible for leading and ... marketing and business functions of our Vibrant Assisted Living & Memory Care community near Duluth. This licensed health services Ebenezer leadership position is… more
- Fairview Health Services (Hermantown, MN)
- The **Executive Director ** for Ebenezer's newest managed senior care and living build in Hermantown, MN will be responsible for leading and supervising the ... marketing and business functions of our Vibrant Assisted Living & Memory Care community near Duluth. This licensed health services Ebenezer leadership position is… more
- e CancerCare (Nashville, TN)
- …with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible ... aligns negotiation with strategy. Essential Functions: In collaboration with the Director of Managed Care , negotiate and manage assigned contracts, including… more
- Gateway-Longview (Williamsville, NY)
- …set forth in the client's treatment plan. + In collaboration with the program supervisor/ director , Managed Care Organization (MCO) and the child and family, ... pride in offering an amazing benefits package to take care of our most important asset- our employees! We...Work collaboratively with the child and family system of care which could include, Residential, Behavioral Health Clinic, Foster… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …scheduling log. + Alerts Director of Intake, Patient Services Manager, and Director of Managed Care with anticipated staffing shortages. + Collects ... nursing services. + Staffs each case appropriately, following guidelines set by the Director of Intake. + Forwards all pertinent intake information to COC prior to… more
- Mount Sinai Health System (New York, NY)
- …the MSAHC Medical Director ; + Working knowledge and understanding of managed care and healthcare financing; + Personal qualities of integrity, credibility, ... School Based Health Centers **Grade:** Faculty **Reports to:** Deputy Medical Director of Primary Care , Mount Sinai Adolescent Health Center **Primary… more
- VNS Health (Manhattan, NY)
- … care management Director or above leadership role within a managed care organization required + Proven experience in developing and implementing ... regular audits and other evaluative measures to maintain high-quality care standards. + Plans leadership and medical director... care standards. + Plans leadership and medical director meetings as stipulated by the State BH contract… more
- Sea Mar Community Health Centers (Bellevue, WA)
- …education, and public health coverage case management. Under the direction of the Managed Care Director and Regional Coordinator, they pro-actively contact ... Position Summary: Full-Time Customer Service Rep position available for our Managed Care Department located at our Bellevue Medical Clinic. The Customer Service… more
- Omaha Children's Hospital (Omaha, NE)
- …audits with representatives of third-party agencies and negotiate equitable settlements. Involving Director of Managed Care when appropriate. + Analyzes ... Qualifications** + Minimum 5 years experience of clinical nursing required, intensive care /med surg experience in a pediatric setting Required and + Experience in… more
- State of Colorado (Denver, CO)
- Managed Care Technology Administrator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4730377) Apply Managed Care Technology ... the Division goals through administration of the RAE and Managed Care Organization (MCO) contracts, the Enrollment...process may request a review by the State Personnel Director . As an applicant directly affected by the results… more
- Scotland Health Care System (Laurinburg, NC)
- This position works with government agencies, third party payers, Medical Staff Coordinator and Managed Care Director , CHS MHR, and our medical providers to ... initiate enrollment and credentialing applications, maintain recredentialing and updates for individual providers and entities and subgroups of SMH, SRHN, and EMC. Qualifications include high school graduate; Associate's degree preferred; excellent computer… more
- Elderwood (Buffalo, NY)
- …to providing exceptional care to our residents. Medical Billing Specialist (Medicare/ Managed Care ) Position Overview: + Responsible for Managed ... until paid in full. + Maintain working knowledge of Managed Care and Insurance contract reimbursement and...+ Prepare bad debt write-offs and forward to the Director of Accounts Receivable. + Communicate information about billing… more
- The New Jewish Home (Bronx, NY)
- The Finance Department in Waters Place, Bronx is seeking a full time Managed Care Billing Specialist to join our team. The Managed Care Specialist is ... responsible for resolving managed care denied and underpaid claims timely. Responsibilities + Must...issues affecting AR. + Work closely with Revenue Cycle Director and Director and resolve issues as… more
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