- Merck & Co. (North Wales, PA)
- …management experienceKnowledge of contract lifecycle management processKnowledge of managed health care environmentKnowledge of COGNOS and SQLFamiliarity ... Job DescriptionThe Sr Specialist, Contract Analyst is responsible for contract adjudication, analysis, and customer contact and coordination activities in… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …& Contracting, and other field and home office stakeholders. External relationships include Managed Care & Medicare customers, Market Access and System Vendors. ... and conditions, as stated in the contractual agreements Prepares and provides contract reports (ie, sales, rebate pricing, reconciliation) to field sales and home… more
- 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
- 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
- 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 related field. + ... 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
- 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
- Roper St. Francis (Charleston, SC)
- …Position** Manages the overall operations of managed care including managed care contract negotiations, analysis, and compliance activities in ... opportunities aligned with the strategic plan. Provides executive oversight for managed care contract performance and compliance with contractual terms and… 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
- 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
- Mount Sinai Health System (New York, NY)
- …leadership as well as the general IPA membership in all aspects of professional managed care contract support including issue tracking and resolution. 18. ... Office (CBO) and Change Departments with key aspects of Managed Care contracting support including communication, fee...the MSHP IPA in both communities. This position provides contract support for regional payers as well as preferred… more
- Intermountain Health (Broomfield, CO)
- …cycle insurance follow up or denial management, required - Extensive knowledge of managed care contract interpretation, required - Associate's degree, ... and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. Log findings and... contract /rates from a high level. Collaborate with Managed Care to determine network status Hold… 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
- 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
- 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
- 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
- Community Health Systems (Franklin, TN)
- …Analyst is responsible for accurately coding, testing and maintaining managed care contracts from assigned facilities into the contract management system in ... Contract Analyst acts as a liaison for Managed Care Financial Analysts modeling contracts and...programs. **ESSENTIAL DUTIES AND RESPONSIBILITIES** + Load ("programs") executed managed care contracts into the contract… more
- Community Health Systems (Franklin, TN)
- …methodologies, and scheduled rate changes. + Ensures accurate interpretation and programming of managed care contract language to reflect rate structures and ... or a related field required + 4-6 years of experience in managed care contract administration, accounts receivable, or related field required +… 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …operational areas and contracted organizations. + Manages relationships with assigned managed care organizations including monitoring contract performance, ... financial analysis of hospital, physician and ancillary rates and other ad hoc financial analysis. + Serves as managed care liaison for assigned Emory Healthcare… more
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