- Northeast Georgia Health System, Inc (Gainesville, GA)
- …managed care payors to resolve claims and related issues in order to enhance managed care contract performance. Supports multiple managed care ... but not limited to Epic data integrity, contract management system integrity, managed care contract negotiations, and managed care payer… more
- RWJBarnabas Health (Oceanport, NJ)
- …Essential Functions Analytical lead on modeling contract rates throughout the managed care contract negotiation process. Assists in varying aspects ... in finance or accounting required. Experience working with complex and sophisticated managed care contracts. Strong analytical skills with ability to manipulate… more
- Pacer Staffing (Whittier, CA)
- …the supervision of the Billing and Collection Supervisor. . Analyzes and interprets Managed Care contract language, terms, conditions, and responsibility ... ensure timely payments. . Has a strong understanding of CMS regulations, Managed Care and insurance company payment principles, rules, and regulations. . Is… more
- MetroPlus (New York, NY)
- …list of products, including, but not limited to, New York State Medicaid Managed Care , Medicare, Child Health Plus, Exchange, Partnership in Care ... Empower. Unite. Care . MetroPlusHealth is committed to empowering New Yorkers...their healthiest life. Position Overview The Director of Provider Contract Configuration is responsible for evaluating operation processes and… more
- A-Line Staffing Solutions (Atlanta, GA)
- …Qualifications : COMPACT RN LICENSE Must have experience with Medicare / Medicaid / Managed care plans Care /Case Management experience Must have solid ... A-Line staffing is hiring Fully Remote Telephonic RN Care Managers with a Compact RN License! If...RN LICENSE Schedule: Monday-Friday 8:00am-5:00pm EST (occasional OT) 60-day contract assignment, with a possible 1 month extension depending… more
- A-Line Staffing Solutions (Los Angeles, CA)
- …diploma 2+ years of clinical nursing experience with at least 1 year in Managed Care Strong Computer skills, including e-mail, word processing, spreadsheet and ... with 1 year of service on our eligibility dates Care Manager Highlights This position is a contract assignment with potential to hire on permanently based upon… more
- Option Care Health (Albany, OR)
- …Experience RequirementsBachelor's degreeFive (5) or more years of experience within the managed care space Basic Qualifications Strong relationships with Key ... no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and...account strategies along with the Director of Contracting and Contract Performance teams, developing strategic roadmaps and plans for… more
- Innovative Management Systems Incorporated (City Of Industry, CA)
- …Service industry, Independent Physician Associates (IPAs), and/or have experience in a Managed Care /Service Organization (MSO) or Health Plan background. The ... E-Verify.Requirements:What You Need.High School Diploma and/or equivalent work experience in managed care /services, health plan, and/or IPA.Minimum of 1 year… more
- MetroPlus (New York, NY)
- …list of products, including, but not limited to, New York State Medicaid Managed Care , Medicare, Child Health Plus, Exchange, Partnership in Care ... Minimum of 4 years of experience performing claims quality audits in a managed care setting Expertise in both professional and institutional claims coding,… more
- Careerbuilder-US (Albuquerque, NM)
- …providers. . Provide ongoing development of database, reports and statistical analyses of managed care networks. Create, modify and maintain new and existing ... Location: Albuquerque, NM 87113 (HYBRID) Job Duration: 12+ Months contract Duties and Responsibilities: . This is a training...Assist with the review of provider directories for the managed care networks.Develop and maintain a good… more
- A-Line Staffing Solutions (Waco, TX)
- …a caseload and work assigned tasks Complete H2060 assessments with members in managed care services Make follow up calls Describe the performance ... field Service Coordination, Case Management or Nursing experience preferred. Background in Managed Care Familiarity and experience working with Medicare or… more
- A-Line Staffing Solutions (Wichita Falls, TX)
- …a caseload and work assigned tasks * Complete H2060 assessments with members in managed care services * Make follow up calls Describe the performance ... or Nursing experience preferred. . Bilingual candidates highly preferred . Background in Managed Care . Familiarity and experience working with Medicare or… more
- Drees Homes (Brentwood, TN)
- …with a passion for making custom homes easy. For over 95 years, we have taken care of our employees and our customers. It's why we rank as the 21st largest ... of being named a 2023 and 2024 US Best Managed Company, a program sponsored by Deloitte Private and...the purchasing duties for the division which includes pricing, contract administration, bid processes and insurance/legal claims. Also, work… more
- Careerbuilder-US (Costa Mesa, CA)
- …(billing & collections), including procedures and policies. . Has thorough knowledge of managed care contracts, current payor rates, understanding of terms and ... Job Location: Costa Mesa, CA Job Duration: 6 Months Contract (Possibilities of Extension) Pay Range: $30.00 - $33.00/Hour....maximum amount of reimbursement by evaluating claims at the contract rate with the use of the contract… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …consistent with HHS Technology Group and State Government guidelines, processes, and contract stipulations. This highly valued Project Manager will oversee and lead ... for questions, and manage expectations. Work closely with our Contract Manager handling contract -related activities Maintain and...a new system being built in which you project managed it from project kickoff to go-live. Project Management… more
- Community Hospital Corporation (Springfield, CO)
- …programs through internal and external resources. Takes a proactive approach to managed care , healthcare reform and related issues.Participates in and represents ... and the region.The CEO provides leadership, guidance and management direction for the Acute Care Hospital, Long Term Care Center, and Alzheimer's Care Unit… more
- US Tech Solutions, Inc. (Columbia, SC)
- …15% Respond to audit letters. Work with other areas including claims, marketing and managed care to obtain requested information. Track claims packet filing and ... Title: Accounting Assistant Location: Columbia, SC 29229 Duration: 12+ months (Possible contract to hire) Job Description: . Eligible Hours: Mon-Fri 7:30am-4:00pm or… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …and accountability for access and control throughout NGHS continuum. Facilitates a managed care process that analyzes, orchestrates, and delivers a medicine ... the case management and interdisciplinary healthcare team in facilitating patient care through the continuum. Monitors department activities to ensure optimum case… more
- Midwest Clinical Resource in Southeast Wisconsin (Milwaukee, WI)
- …your interest? Good! Midwest Clinical Resource is looking for you!:LPN'S - Casual or Contract - UP TO $35 PER HOUR::Midwest Clinical Resource is the premier, skilled ... nursing staffing agency in partnership with North Shore Healthcare long-term care facilities throughout the state of Wisconsin.Being an agency, we are able to offer… more
- Prime Health Services (Franklin, TN)
- …Essential Job FunctionsContacting (call/email) medical providers to negotiate managed care PPO contracts, ensuring a cost effective contract in compliance ... years of sales (direct/indirect) experience and/or proven contracting performanceManaged care contract experience and/or healthcare experience is… more
Related Job Searches:
Care,
Contract,
Contract Manager Managed Care,
Managed,
Managed Care,
Managed Care Contract Analyst,
Managed Care Contract Associate,
Managed Care Contract Management,
Managed Care Contract Specialist,
Senior Managed Care Contract