- Genmab (Remote, OR)
- …The Regional Director MSL-East (Solid Tumor) is responsible for the management of the regional MSL team including:Ensure operational excellence of their ... with corporate objectives/tactics, cross-functional medical support, and external health care professional engagements Provide guidance on collection of medical… more
- Sun Pharma (Taro Pharma) (Princeton, NJ)
- …Immunology space with a strong preference for Oncology experience. * Additionally managed care experience, reimbursement and clinical expertise desired, as well ... and management of customized training programs for each assigned contract . The candidate is the primary training contact/liaison for the assigned training… more
- Erickson Senior Living (Baltimore, MD)
- …in Baltimore, Maryland is a national provider of senior living and health care with campuses in 11 states-and growing. Erickson Senior Living develops and manages ... to ensure that finishes are being installed with proper care and by Erickson Senior Living standards and design...and Turnover progress.Ability to read and interpret plans and contract specifications for the type of work that QA… more
- Hackensack Meridian Health (Edison, NJ)
- …more years of experience in financial analytics. + Two or more years of experience in managed care contract management . + Effective oral and written ... Home Care , Hospice, Infusion, and DME). Perform managed care contract modeling analytics;...Revenue Integrity analytics; assist with Charge Master Analytics; the Contract Management System analytics and build, and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Finance for the Northern Region. + Trend, analyze & report issues on Managed Care Contracts, Contract Management and other Payer related topics to be ... all existing contracts are loaded correctly into Epic's Reimbursement Contract Management module for the Northern Region....included in weekly Managed Care & Supervisors meeting in order… 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 ... role includes loading and maintaining reimbursement rates in ION contract management system. Additional responsibilities include collaborating...skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating… more
- Vanderbilt University Medical Center (Nashville, TN)
- …the interests of the organization in contract negotiations, implementation, and management of managed care relationships. Contributes to strategy ... through preeminent programs in patient care , education, and research. **Organization:** Managed Care Ops **Job Summary:** JOB SUMMARY Provides leadership in… more
- UNC Health Care (Goldsboro, NC)
- …the cost accounting system for analysis of product lines related to managed care contract , rate setting, case management , and cost containment. Makes ... Officer of the hospital and is responsible for directing the financial planning, management and control systems and programs to ensure both the short and long-term… more
- Alameda Health System (Oakland, CA)
- …regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case Management functions. + Works closely with ... Director, Inpatient System Care Management + Oakland, CA + Highland General Hospital + SYS Care Coordination + Full Time - Varies + Management + Req… more
- McLaren Health Care (Auburn Hills, MI)
- We are looking for a Managed Care Coordinator to join us in leading our organization forward. McLaren Health Care is one of Michigan's fastest growing health ... of care delivery and operations including clinical integration, contracting, quality, care coordination and care management , across all settings.… more
- Robert Half Accountemps (Van Nuys, CA)
- …DHCS, and CMS regulations. + Proven negotiation and leadership skills. + Experience with managed care contract rates for network providers, services, and ... Description We are seeking an experienced Managed Care Analyst to join our...year. This professional will engage in essential coordination and management duties associated with ancillary and health plan agreements… more
- Hartford HealthCare (Wethersfield, CT)
- …programs and other common practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, committed, ... Query Language (MSSQL) Database skills to lead/execute the development of the complex Managed Care / Payer Analytics platform. The Payer Analytics team is… more
- UCLA Health (Los Angeles, CA)
- …procedures and systems to achieve the goals set by leadership for UCLA Medical Group managed care contract performance. In this role, you will assist the ... Description The Assistant Director, Managed Care Operations is responsible for...reporting, training, education and support to leadership and the management team to promote financial success + develop and… more
- Commonwealth of Pennsylvania (PA)
- … career to the next level? The Department of Human Services, Bureau of Fiscal Management , is seeking a Managed Care Financial Manager. You will play ... It also involves financial management , contract management , and rate setting for statewide capitated managed care programs in the Department of Human… more
- AdventHealth (Maitland, FL)
- … managed care , patient financial services, healthcare reimbursement, accounting and contract management . . 5 years of management experience required. ... role you'll contribute:** This position will be responsible for execution of the managed care payor dispute resolution processes for all AdventHealth providers… more
- Hartford HealthCare (Wethersfield, CT)
- …the Sr. Payer Analyst develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops payment related tools such ... Builds contract terms in EPIC to reflect negotiated rate changes. Works with Contract Management team to identify and correct build issues related to payment… more
- Burrell Behavioral Health (St. Louis, MO)
- …credentialing software to complete credentialing packets for associates for managed care contracting, and track status per contract in a timely manner. ... Job Description: Job Title: Managed Care Enrollment Specialist Location: Remote...Education and/or Experience Qualifications: + Bachelor's Degree in Healthcare Management , Business Administration, or Medical BillingOR + Four years… more
- MaineGeneral Health (Waterville, ME)
- …a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects of reimbursement, managed ... contract modeling and troubleshoot payer issues + Oversee contract management and reporting + Ensure compliance...of 7 years of experience in healthcare reimbursement and managed care - some leadership experience is… more
- Nuvance Health (Norwalk, CT)
- …effort to maximize reimbursement. Reviews and edits Managed Care Contract Language relating to Utilization Management Issues. Director Care ... Criteria D: Interfaces and coordinates services with Admission, Finance, Managed Care , Medical Records, Home Care... Managed Care , Medical Records, Home Care , Rehabilitative and Risk Management . Ensures provisions… more
- Prime Healthcare (Lynwood, CA)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/157568/senior- managed - care -biller-collector/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The Senior Managed Care Biller/Collector is responsible for… more
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