- Henry Ford Health System (Troy, MI)
- …skills. + Strong organizational and interpersonal skills. + Strong Understanding of Managed Care Reimbursement methodologies, coding, and terminology. ... EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement , or related… more
- Henry Ford Health System (Detroit, MI)
- …recorded. + Partner with Managed Care Contracting to ensure contract terms, reimbursement methodologies, and modeling tools align with net revenue ... The Associate Vice President (AVP), Reimbursement & Net Revenue Optimization provides strategic leadership...improve upstream processes in collaboration with Revenue Cycle, Finance, Managed Care , System Analytics, and the Mosaic… more
- UNC Health Care (Morrisville, NC)
- …plants to execute such projects. The HCS Director of Managed Care Contracting will optimize the organization's contract performance with its contracted ... Abilities Requirements:** + Deep understanding of various managed care models (HMO, PPO, EPO), their structures, reimbursement methodologies,… more
- UNC Health Care (Morrisville, NC)
- …will in the future, affect UNC Health. Responsibilities: 1. Managed Care Analysis- Research, coordinate and analyze Payer Reimbursement Policies and ... Policy analysis. Reviews billings and claims payments according to managed care contracts as needed. 4. Contract Negotiation- Provide assistance to the… more
- Saint Francis Health System (Tulsa, OK)
- …performs on going analysis, which maintains the integrity of financial expectations of managed care contracts within the Epic system. Resolves programming issues ... - 5:00pm Job Summary: Responsible for analysis of contracts and performing contract negotiations to include monitoring and reviewing existing contracts to ensure… more
- Truman Medical Centers (Kansas City, MO)
- …mission, vision, and business objectives. **Contracting & Negotiations** + Lead high-impact contract negotiations with managed care organizations to secure ... (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Vice President of Managed Care 101 Truman Medical Center **Job Location**… more
- HCA Healthcare (Nashville, TN)
- …alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As an AVP Managed Care with Surgery Ventures, you can be a manager in an ... by location._** Come join our team as an AVP Managed Care . We care for...will be deployed in order to both (a) maximize contract performance/yield (eg, Net Revenue, Percentage of Charge Revenue,… more
- St. Luke's Health System (Boise, ID)
- …remote from the states of Idaho, Oregon, Utah and Arizona only.** The Director, Managed Care Analytics is responsible for the creation and development of ... financial metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for financial performance, identifying areas for… more
- Cedars-Sinai (Beverly Hills, CA)
- …implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and ... metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for compliance and financial performance, identifying… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street ... analytics with a focus on hospital and ancillary. Reviews and monitors contract /payer performance including payer parity. Compares expected reimbursement data to… more
- Humana (Oklahoma City, OK)
- …desired + Understanding of managed care contracts, including contract language and reimbursement **Additional Information** WAH Internet Statement To ... interactions with Humana's Oklahoma Medicaid plan + Ensure compliance with Oklahoma's managed care contractual requirements for provider relations, such as… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key leadership role within the Controller's Office, responsible for ... and reporting processes to increase efficiency, accuracy, and scalability. + Non-Patient Care Services Receivable + Oversee invoicing, contract compliance, and… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...Health System. This individual will ensure the accuracy of contract terms, reimbursement structures, and facilitate the… more
- Intermountain Health (Salem, OR)
- …in a complex invoice/billing/reconciliation environment, preferred- Extensive knowledge of managed care contract interpretation **Physical Requirements** ... payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. + Log findings and provides feedback… more
- UTMB Health (Galveston, TX)
- …UTMB Health Requisition # 2504255 **JOB SUMMARY** The primary responsibility of the Managed Care , Senior Contract Administrator position is leading, ... developing, and negotiating managed care agreements to ensure favorable reimbursement , alignment...HMOs, PPOs, ACOs, and Medicaid/Medicare Advantage plans. * Analyze reimbursement methodologies and contract performance to ensure… more
- Ascendis Pharma (Princeton, NJ)
- …administration of rebate programs, including government rebates (eg, Medicaid, Medicare), managed care rebates, and commercial rebates. Ensure accurate ... formulary validation processes accurately and before payment deadlines, oversee payments of managed care and government rebates, and manage Market Access… more
- US Physical Therapy (Houston, TX)
- …+ Interprets managed care contracts and government reimbursement methodologies to create contract modeling calculation. + Prepare pre-negotiation ... a positive attitude to join our company as a ** Contract Manager/Analyst.** This is a dual role that will...negotiation reimbursement analysis and modeling for the Managed Care Team as a whole **Qualifications**… more
- UHS (Binghamton, NY)
- …Health Services (UHS) is seeking a detail-oriented Contract Technician to join our Managed Care Contracting team. In this role, you will review and improve ... hospital, homecare, and physician contract management within the Epic system, validating HealthPlan payments... is delivered. Primary Department, Division, or Unit: UHS Managed Care Contracting Primary Work Shift: Day… more
- Highmark Health (Oklahoma City, OK)
- …Healthcare, Healthcare Insurance, Consulting or related area + 3 years Value-based reimbursement , through managed care contracting, provider reimbursement ... This job supports the matrixed strategic design and analytical approach to reimbursement . To be successful, the incumbent will work closely with stakeholders across… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …hospital or professional provider reimbursement programs for traditional and managed care programs and Medicare Advantage. Contact other plans, consultants, ... or statistical analysis of financial information is required + Provider contract analysis and/or reimbursement program implementation experience is strongly… more