- CAIPA MSO LLC (New York, NY)
- … Specialist New York, NY (http://maps.google.com/maps?q=202+Canal+Street+New+York+NY+USA+10013) Description As a Managed Care Contracting Specialist , ... to communicate and implement the terms of the managed care contracts *Job Responsibilities coordinates and support contracting activities, including… more
- MetroHealth (Brooklyn Heights, OH)
- **Value Based Contracting Attribution Specialist - Managed Care ** **Location:** **BROOKLYN HEIGHTS** **Biweekly Hours:** **80.00** **Shift:** **8am-5pm** ... payer partners, and transitions from Pre-Medicare coverage. Collaborates with Payer Strategy, Managed Care , and ACO leadership teams and conducting efforts… more
- WellSense (Boston, MA)
- Contracting Specialist WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, ... Bachelor's preferred **Experience:** + 1-3 years experience in insurance, healthcare or managed care required. **Certification or Conditions of Employment:** +… more
- Healthfirst (NY)
- …Healthfirst, its Members, and Providers **Minimum Qualifications:** + Medicare and/or Medicaid managed care experience + Excellent oral and written communication ... point of contact for all plan related issues including marketing, enrollment, contracting , billing and reimbursement. + Responsible for the resolution of all issues,… more
- American Endovascular & Amputation Prevention LLC (Glen Rock, PA)
- …with third-party commercial payers to provide necessary documentation and information needed for managed care contracting to proceed* Report on performance ... CREDENTIALING SPECIALIST Job Details Job Location Glen Rock, PA...School Diploma/GED required.* Minimal five years' experience in a managed care credentialing and contracting … more
- Federal Retirement Thrift Investment Board (Washington, DC)
- …looking for a highly qualified and motivated individual to serve as a Contract Specialist . This Job Opportunity Announcement (JOA) may be used to fill other Contract ... Specialist , GS -1102- 12/13 positions within the FRTIB in...with both public and private sector officials involved in contracting and procurement activities. Provide professional guidance and direction… more
- CareOregon (Portland, OR)
- …Experience and/or Education Required + Minimum 5 years' progressive experience in managed care contracting , provider relations, network/business development, ... in Oregon or Washington. Job Summary The Senior Contract Specialist is a key contributor to the Contracting...Skills and Abilities Required Knowledge + Extensive knowledge of managed care and the Oregon Health Plan… more
- Molina Healthcare (CA)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care field. **PREFERRED EDUCATION** ... or an equivalent combination of education and experience **PREFERRED EXPERIENCE** : 1-3 Years Managed Care experience To all current Molina employees: If you are… more
- Marshfield Clinic (Marshfield, WI)
- …Working knowledge of health care delivery systems and concepts of managed care . Demonstrated proficiency with the Microsoft Office suite. Excellent written ... (United States of America) **Job Description:** **JOB SUMMARY** The Provider Contract Specialist works in cooperation with the Contracting Manager - Marshfield… more
- Molina Healthcare (ID)
- …field or an equivalent combination of education and experience **PREFERRED EXPERIENCE** : Managed Care experience To all current Molina employees: If you are ... Idaho _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more
- Mom's Meals (Ankeny, IA)
- …, paralegal experience in a regulated environment, preferably healthcare or managed care + Experience negotiating, drafting, and implementing moderately ... Position SummaryThe Contract Specialist II works closely with corporate leadership to...complex contracts for managed care plans, health systems, or government… more
- BayCare Health System (Tampa, FL)
- …will resolve errors and issues by coordinating with the plans, the CBO and the Managed Care contracting department. **Why BayCare?** Our network consists of ... in Florida. **Responsibilities** + Responsible for initiating and maintaining credentialing, managed care provider enrollment and hospital privileges for BayCare… more
- Houston Methodist (Houston, TX)
- …with payment review opportunities, appropriately communicating with payors and/or Managed Care regarding contract compliance responsibilities and resolving ... principles + Extensive knowledge of claims reimbursement and collection efforts for Managed Care , Medicare, Medicaid, Workers Comp, Commercial plans, etc.;… more
- 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 ... Senior Healthcare Program Specialist 1 Commerce Plaza, Albany, NY 12210, USA...to support the Bureau's complaint investigations; research and analyze Managed Care Organization (MCO) business process data… more
- Aspen Dental (Springfield, IL)
- …maintains effective working relationships with insurance company and managed care company personnel responsible for contracting with healthcare providers. + ... offices across 48 states in four distinct categories: dental care , urgent care , medical aesthetics, and animal...exciting opportunity to join our team as a Contract Specialist . The Contract Specialist plays a vital… more
- Staffing Solutions Organization (Albany, NY)
- …evaluating health reform initiatives with a primary focus on quality oversight of Managed Long Term Care plans. **Specific duties include:** + Assistsenior ... Senior Healthcare Program Specialist - Quality Oversight One Commerce Plaza, Albany,...LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed… more
- Sharp HealthCare (San Diego, CA)
- …in Healthcare Management, Business, or other degree acceptable with combination of education and managed care experience. + 3 Years experience in a managed ... apply knowledge as part of day-to-day job responsibilities. + Knowledge of managed care principles, reimbursement methodologies, and healthcare delivery systems.… more
- St. Luke's Health System (Boise, ID)
- …administration/revenue optimization + Collaborate with finance, revenue cycle, managed care professionals to ensure optimal pharmacy contracting and revenue ... prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team...place to work. We are seeking a Pharmacy Business Specialist to join our Pharmacy Administrative team. This is… more
- Dignity Health (Bakersfield, CA)
- … contracting , provider relations, and claims processing is preferred. - Expereince with managed care provider contracting or health plan contracting ... management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health… more
- CommonSpirit Health (West Jordan, UT)
- …Relationship leadership, to support the negotiation of terms and conditions for Managed Care payer contracts for facility, professional, and ancillary entities. ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US from clinics and hospitals...The primary focus of this role is contracting support (specifically credentialing, payer/ provider relations and payer… more
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