- AccentCare, Inc. (Dallas, TX)
- Overview Managed Care Contract Specialist Location: Dallas Corporate Office Position: Managed Care Contract Specialist Position Type: Full-Time ... Advanced Excel Skills will be considered. Find Your Passion and Purpose as a Managed Care Contract Specialist What You Need to Know Reimagining Your Career… more
- Omaha Children's Hospital (Omaha, NE)
- …employer including veterans and people with disabilities. **A Brief Overview** The Sr. Managed Care Contract and Revenue Analyst will conduct complex ... + Minimum 2 years' experience in analysis of financial, reimbursement, or managed care contract modeling. Required **Skills and Abilities** + Knowledge of… 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
- Fresenius Medical Center (Waltham, MA)
- … managed care organizations. + Develops long-term strategies and tactics for managed care contract review and analysis. + Leads the initiation, ... members. + Oversee the evaluation, analysis and preparation and completion of Managed Care contract proposals for direct reports. + Outlines revenue targets… more
- State of Minnesota (St. Paul, MN)
- …additional policy areas or social services._ + _Oversee the procurement process for all managed care products and leads contract negotiations for contract ... **Working Title: Managed Care Contracting and Rates (MCCR)...coordinating the MCO coverage policies, rate development impacts, and contract compliance with other areas across DHS, including those… more
- Dignity Health (Bakersfield, CA)
- …and compliance standards are met. + **Strategic Partnerships** + Collaborate closely with the Managed Care COO to ensure contract compliance and successful ... and Responsibilities** This role is the key clinical leader for Managed Care Services within the Population Health Services Organization, responsible for… more
- Cardinal Health (Salem, OR)
- …strategic customers within territory. + Support member pharmacies when there are specific managed care operations questions including contract questions and ... lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the relationship… more
- UTMB Health (Galveston, TX)
- …UTMB Health Requisition # 2504255 **JOB SUMMARY** The primary responsibility of the Managed Care , Senior Contract Administrator position is leading, ... Senior Contract Administrator - Revenue Cycle Ops Support **Galveston,...developing, and negotiating managed care agreements to ensure favorable reimbursement, alignment with organizational… more
- Baylor Scott & White Health (Dallas, TX)
- …Cycle's interests in contract negotiations; maintain a strong working knowledge of managed care contract language and operational implications * Provide ... as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline...with the Revenue Analytics team and Managed Care to assess financial impacts of commercial contract… more
- University of Southern California (Alhambra, CA)
- …prevent ER Visits, Hospital admissions, or Re-admissions. 4. Maintains awareness of current managed care contract requirements. 5. Coordinate the management ... are completed within 24 hours of admission; Observation patients are effectively care managed on a daily basis; and Facilitate throughput and timely discharges… more
- Banner Health (AZ)
- …thorough knowledge of third-party billing requirements, reimbursement principles, collection laws and managed care and contract payor implications are ... background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll...on operations and collections issues as they relate to contract negotiations. CORE FUNCTIONS 1. Manages staff and the… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …include revenue cycle management and supervisory experience. Preferred Experience Involvement with managed care contract negotiation and payer relations. ... financial planning, revenue cycle management, budgeting, financial reporting, oversight of managed care contracts, and to ensure compliance with regulatory… more
- University of Southern California (Los Angeles, CA)
- …Institute through collaborative management of fiscal operations, (budget, Medicare Cost Reporting, and managed care contract terms) and leads the strategic ... Responsible for patient flow, scheduling, patient assessment and action, service to managed care organizations, and coordination of clinical research across the… more
- Rush University Medical Center (Chicago, IL)
- …for facilitating weekly Revenue and Receivable meetings between Revenue Cycle Leadership and Managed Care Contract Managers. Directs the creation and ... design, and implement a process to produce monthly payer scorecards for all major managed care payers. Provides feedback and statistical analysis to Rush Health… more
- CVS Health (Springfield, IL)
- …skills while executing national, regional, and market-level strategies + Experience in negotiating managed care (including vbc) contract terms across the ... and execution of Contracts with providers and delivery systems to participate in Aetna managed care networks. Work will include, but not be limited to active… more
- University of Southern California (Los Angeles, CA)
- …and documents avoidable delays in the M drive. * Maintains awareness of current managed care contract requirements. * Participates in appeal process. * ... In collaboration with the interdisciplinary team, provides care coordination services evaluating options and services required to meet an individual's health care… more
- Providence (Mission Hills, CA)
- …screens phones. Schedules and coordinates all meetings attended by Administrative Director of Managed Care , Contract Manager, Case Managers and UM ... Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters… more
- MyFlorida (Fort Lauderdale, FL)
- …Medicaid managed care claim complaints and determining managed care compliance with the SMMC contract as it relates to claims processing. Examples ... Analyzes programmatic reports of claims and provider reimbursement issues/complaints to determine managed care plan compliance with contract provisions.… more
- Guthrie (Sayre, PA)
- …workflows/processes that impact the Revenue Integrity functions: chargemaster, Federal, State & managed care contract rule development and charge capture ... a part of a tradition of excellence in health care . In all areas and at all levels of...through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include… more
- Beth Israel Lahey Health (Charlestown, MA)
- …to the Supervisor, Billing. 11. Keeps informed of all federal, state, and managed care contract regulations, maintains working knowledge of billing ... and in accordance with the law. **As a health care organization, we have a responsibility to do everything...a responsibility to do everything in our power to care for and protect our patients, our colleagues and… more
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