- e CancerCare (Nashville, TN)
- …data to provide in reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance, along with ... setting. Strong communication skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating experience with managed care… more
- McLaren Health Care (Auburn Hills, MI)
- We are looking for a Managed Care Contract Assistant to join us in leading our organization forward. McLaren Health Care is one of Michigan's fastest ... of the Leadership Team in implementing, operationalizing, and administering third-party payor/ Managed Care agreements within all market segments for McLaren… more
- CAIPA MSO LLC (New York, NY)
- Managed Care Contract Specialist New York, NY (http://maps.google.com/maps?q=202+Canal+Street+New+York+NY+USA+10013) Description As a Managed Care ... and internal departments to communicate and implement the terms of the managed care contracts *Job Responsibilities coordinates and support contracting… more
- Fairview Health Services (St. Paul, MN)
- …This position has ultimate accountability for effective and timely execution of all managed care contract negotiations and contract execution ... stakeholders to assure efficient and effective communication and implementation of Fairview's managed care contract relationships, including but not limited… more
- Roper St. Francis (Ladson, SC)
- …the performance of managed care initiatives. + Support (and lead certain) managed care contract negotiations and contract related issues and ... + ** Contract Management:** + Oversee the daily operations of managed care arrangements, including value-based arrangements, ensuring compliance with… more
- Molina Healthcare (MI)
- …portfolio of growth projects for the company - including new market launches, complex managed care contract procurement wins, and M&A integrations. This ... **Job Summary** The Vice President, Managed Care Enterprise Integration is responsible for managing the successful delivery and launch of a… more
- Stanford Health Care (Palo Alto, CA)
- …cost, payer mix, and other contract specific issues. + Represents the Managed Care department on cross-functional committees across the SHC and SMCH ... assists with implementing process improvement initiatives on behalf of the Managed Care department. + Directs contract proposal modeling and miscellaneous… more
- Elderwood (Buffalo, NY)
- …claims over 30 days until paid in full. + Maintain working knowledge of Managed Care and Insurance contract reimbursement and claim submission requirements. ... party payers regarding financial records. + Maintain working knowledge of Managed Care and Insurance contract reimbursement and billing requirements. Assist… more
- St. Luke's University Health Network (Allentown, PA)
- …variances with payments. The Contract Analyst is also responsible for the audit of managed care contract terms and changes within the Contract ... we serve, regardless of a patient's ability to pay for health care . The Contract Payment Analyst is responsible for monitoring the accuracy of insurance payments… 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 ... trends and issues. The Specialist will work in close cooperation with Managed Care Operations colleagues and counterparts in Contract Development, the… more
- MyFlorida (Tallahassee, FL)
- …analyzing results and findings and developing compliance actions as prescribed in the managed care contract (eg, corrective action plans, sanctions, ... with the Agency's contract managers responsible for the Medicaid managed care plan contract (s). The incumbent in this position maintains up-to-date… more
- ManpowerGroup (Columbia, SC)
- **Job title: Coordinator, Managed Care II/CM-DM** ** Contract on W2** **Work type REMOTE but need to be onsite from (Columbia SC 29203) for 4-6 weeks for ... orientation/training purpose.** **Shift timings - Monday - Friday: 8am - 4:30pm** **Pay budget - $30 - $38/hr.** **Required Education** + Associate degree - Nursing, OR, Graduate of Accredited School of Nursing, OR master's degree in social work (for Div. 6B… more
- LA Care Health Plan (Los Angeles, CA)
- …The Account Manager II is responsible for the initial on-board training of new managed care contract provider partners, and for ensuring their provider ... LAC; and provide in-service orientation meetings with providers. Responsible for monitoring managed care contracts for renewals and expirations. Act as the… 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
- RWJBarnabas Health (Oceanport, NJ)
- …Essential Functions + Analytical lead on modeling contract rates throughout the managed care contract negotiation process. + Assists in varying aspects ... Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department: Managed Care Location: SBC Corporation, Oceanport, Oceanport,… more
- Robert Half Finance & Accounting (Portsmouth, NH)
- …with forms and an outline of the requirements to be given to therapists for each managed care contract . e. Develop and oversee maintenance of " Managed ... and training to A/R Department staff, intake and admissions, managed care assistants, provides training to the...third party reimbursement. 5. Oversees all managed care contracts (HMO,PPO,etc.). a. Coordinates new contract … more
- Nuvance Health (Norwalk, CT)
- …of appeal as appropriate, in an effort to maximize reimbursement. Reviews and edits Managed Care Contract Language relating to Utilization Management Issues. ... services and/or programs. Interfaces and coordinates services with Admission, Finance, Managed Care , Medical Records, Home Care , Rehabilitative and Risk… more
- Surgery Care Affiliates (Chicago, IL)
- …attention to detail and strong analytical and critical thinking skills + Experience with managed care contract terms analysis + Strong written and verbal ... to examine and organize complex data for multiple ASC contract and development negotiations. Moreover, we are seeking an...field + 3+ years of analytical experience in a Healthcare/ Managed Care environment required + Travel to… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …within contractual guidelines. **How you'll spend your day** * The Managed Care Rebate Analyst must interpret contract language and input and maintain plans, ... Managed Care Rebate Analyst Date: Nov... Managed Care Rebate Analyst Date: Nov 7, 2024 Location:...completeness * Analyzes and resolves disputes with accounts involving contract interpretation or processing issues; engages Managed … more
- Seacoast Mental Health Center (Portsmouth, NH)
- …with forms and an outline of the requirements to be given to therapists for each managed care contract . Develop and oversee maintenance of " Managed ... requirements for optimal third party reimbursement. Oversees all managed care contracts (HMO,PPO,etc.). Coordinates new contract submission and periodic… more
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