• Managed Care Contract

    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
    CAIPA MSO LLC (01/10/25)
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  • Specialist , Managed Care

    Sanofi Group (Bridgewater, NJ)
    … Operations **Location** : Bridgewater, NJ **About the Job** The Managed Care Specialist is responsible for contract management for various markets ... and issues. The Specialist will work in close cooperation with Managed Care Operations colleagues and counterparts in Contract Development, the Account… more
    Sanofi Group (11/22/24)
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  • Implementation Specialist Bus Dev…

    Gentiva (Mooresville, NC)
    …National Account Dept. is looking for an Implementation Specialist of Bus Dev & Managed Care to join our dynamic team. This position will report directly to ... the VP of Strategic Business Development & Managed Care and is essentially a "sales...be responsible for meeting the established goals in closed contract projects as well as new deal implementation plans.… more
    Gentiva (01/07/25)
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  • Reimbursement Specialist Contract

    Intermountain Health (Broomfield, CO)
    …cycle insurance follow up or denial management, required - Extensive knowledge of managed care contract interpretation, required - Associate's degree, ... **Job Description:** No Summary Available Scope As a Reimbursement Specialist you need to know how to: Evaluate payment... contract /rates from a high level. Collaborate with Managed Care to determine network status Hold… more
    Intermountain Health (01/08/25)
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  • Provider Contract Specialist (Remote…

    Marshfield Clinic (Marshfield, WI)
    …methods, and understanding of contract terminology. Working knowledge of health care delivery systems and concepts of managed care . Demonstrated ... to support the most exciting missions in the world!** **Job Title:** Provider Contract Specialist (Remote Option within SHP Service Area) **Cost Center:**… more
    Marshfield Clinic (01/21/25)
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  • Senior Specialist , Contract Analyst…

    Merck (North Wales, PA)
    …experience + Knowledge of contract lifecycle management process + Knowledge of managed health care environment + Knowledge of COGNOS and SQL + Familiarity ... **Job Description** The Sr Specialist , Contract Analyst is responsible for contract adjudication, analysis, and customer contact and coordination activities… more
    Merck (01/24/25)
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  • Mental Health Program Specialist 1/Mental…

    New York State Civil Service (Albany, NY)
    …NY Zip Code 12229 Duties Description The Office of Financial Management, Strategic Financial & Managed Care Group is recruiting to fill a Mental Health Program ... Trainee position. The incumbent will be responsible for evaluating Medicaid Managed Care Plans' (MMCPs') performance and compliance with behavioral health… more
    New York State Civil Service (01/25/25)
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  • Human Resources Specialist 1

    New York State Civil Service (Albany, NY)
    …Agency People With Developmental Disabilities, Office for Title Human Resources Specialist 1 Occupational Category Administrative or General Management Salary Grade ... and other employee relations issues including preparing and presenting 1st Step contract , non- contract and disciplinary grievances.. Meet with and respond to… more
    New York State Civil Service (01/23/25)
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  • Senior Healthcare Program Specialist

    Staffing Solutions Organization (New York, NY)
    …making you an integral part of the team. + Provide technical assistance, contract management, and performance monitoring of Social Care Networks. One of ... Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse… more
    Staffing Solutions Organization (11/09/24)
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  • Senior Provider Contracts Specialist

    Molina Healthcare (Warren, MI)
    …effective and efficient business results. * Trains and monitors newly hired Contract Specialist (s). * Participates in other contracting related special projects ... does not entail heavy negotiations. Minimal ongoing engagement after contract . Synchronizes data among multiple claims systems when applicable,... field including, but not limited to, provider's office, managed care , or other health care more
    Molina Healthcare (11/15/24)
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  • Vendor Relationship Specialist

    CareOregon (Portland, OR)
    …Preferred + Project coordination or management experience + Experience in a managed care /insurance sector Knowledge, Skills and Abilities Required Knowledge + ... Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Vendor Relationship Specialist Department Clinical Operations Exemption Status Exempt Requisition # 24768… more
    CareOregon (01/09/25)
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  • Housing & Community Support Specialist 1

    Spokane County (Spokane, WA)
    …the timelines established for service delivery and to meet the Washington State Health Care Authority (HCA), DOH, Managed Care Organization (MCO), and SCRBH ... Housing & Community Support Specialist 1 Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4691885) Apply  Housing & Community Support … more
    Spokane County (10/28/24)
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  • Contracts Specialist Payer Strategy

    CommonSpirit Health (Englewood, CO)
    …Relationship leadership, to support the negotiation of terms and conditions for Managed Care payer contracts for facility, professional, and ancillary entities. ... Primary focus of contract management and negotiation support is to ensure the...experience in reimbursement, the financial aspects of contracting and managed care operations + Strength in project… more
    CommonSpirit Health (01/25/25)
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  • Senior Healthcare Program Specialist

    Staffing Solutions Organization (Albany, NY)
    …and analysis associated with the transition and monitoring of vulnerable populations into managed care . Additional duties include: provide data analysis for the ... and insight to support the Bureau's complaint investigations; research and analyze Managed Care Organization (MCO) business process data to prevent/ensure… more
    Staffing Solutions Organization (11/12/24)
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  • Aircraft Programs Specialist | KVNY

    Clay Lacy Aviation (Van Nuys, CA)
    …the Aircraft Programs Manager and is responsible for planning, vendor relationships, contract renewals, and customer support. This specialist ensure efficient ... ensuring smooth communication and effective resolution of challenges. + Track contract renewal timelines and milestones to ensure timely renewal negotiations and… more
    Clay Lacy Aviation (12/25/24)
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  • Central Authorization Specialist II…

    BayCare Health System (Clearwater, FL)
    …services. Maintain proper documentation in Soarian or GE systems. Work closely with Managed Care and understands health insurances rule sets, manuals, and ... + Preferred - 1 year of Healthcare Business Office and /or Managed Care experience Equal Opportunity Employer Veterans/Disabled **Position** Central… more
    BayCare Health System (12/04/24)
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  • Contracts Specialist II

    Mom's Meals (Ankeny, IA)
    Position SummaryThe Contract Specialist II works closely with corporate leadership to develop, negotiate and execute moderately complex contracts in a timely ... contracting, paralegal experience in a regulated environment, preferably healthcare or managed care + Experience negotiating, drafting, and implementing… more
    Mom's Meals (01/15/25)
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  • Reimbursement Specialist I - Reimbursement…

    Rady Children's Hospital San Diego (San Diego, CA)
    …collections of outstanding account balances for commercial, government, and managed care payors as assigned. The Reimbursement Specialist I is required to ... their leadership. It is a requirement for the Reimbursement Specialist I to read, interpret and apply complex payor... I to read, interpret and apply complex payor contract language to expected reimbursement calculations and pursue all… more
    Rady Children's Hospital San Diego (11/24/24)
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  • Healthcare Program Specialist - DHPCO

    Staffing Solutions Organization (Albany, NY)
    …Preferred: Experience or knowledge of NYS public health insurance programs (eg, Medicaid, Managed Long Term Care , CHPlus or Health Benefit Exchange. **Additional ... LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed...our clients and the people they serve. **Healthcare Program Specialist - Albany, NY** **DHPCO - 1347** **Summary** The… more
    Staffing Solutions Organization (01/09/25)
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  • Strategic Communications Specialist

    CGI Technologies and Solutions, Inc. (Washington, DC)
    **Strategic Communications Specialist ** **Category:** Communications & Investor Relations **Main location:** United States, District of Columbia, Washington ... Full Time **Position Description:** CGI is hiring for a Strategic Communication Specialist . This position supports the Defense Civilian Training Corps (DCTC) pilot… more
    CGI Technologies and Solutions, Inc. (01/24/25)
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