- UT Health (Houston, TX)
- Manager , Facility Contracting and Provider Enrollment Services **Location:** Houston, Texas **Hot** **Category:** Healthcare Support Services UTHealth Houston ... (new, changes, revalidations) for nurse practitioners. + Maintains database with provider, payer , per diem rates, rate negotiation dates, and ensures correct rates… more
- Beth Israel Lahey Health (Boston, MA)
- …HMFP enterprise revenue cycle on broad-based initiatives + Collaborates with the department 's Coding Compliance Manager to ensure billing and coding compliance, ... needed on payer relations (BILHPN) related to payer payment issues and contracting . Ensures timely...department staff. **Reporting Relationship** + Sr. Data Project Manager **Required Qualifications:** + High School diploma or GED… more
- Mount Sinai Health System (New York, NY)
- …(CBO) and Change Departments with key aspects of Managed Care contracting support including communication, fee schedule access, interpretation, compliance and ... problem resolution. This role develops and maintains strong payer and provider relationships and positively positions the MSHP IPA in both communities. This position… more
- Molina Healthcare (CA)
- …California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of Complex contracts with Alternative Payment Methods… more
- Covenant Health Inc. (Knoxville, TN)
- …senior management, payers, etc. + Following strategic priorities, helps coordinate the contracting process for third-party payer contracts per established ... seven times. Position Summary: In conjunction with others in the Managed Care Department , this position is responsible for assisting in the coordination of the… more
- J&J Family of Companies (Titusville, NJ)
- Manager , Fee For Service (1 of 2) - Johnson & Johnson HCS Inc. Johnson & Johnson Health Care Systems Inc. (Strategic Customer Group-SCG) is recruiting for a ... Manager , Offer Development that can be based in Titusville,...& Johnson Health Care Systems Inc. (JJHCS) provides commercial contracting , supply chain, business services, and strategic solutions to… more
- UTMB Health (Galveston, TX)
- …recruitment and retention of management and operational staff. + Works closely with contracting to ensure optimal payer contract terms, and is responsible for ... Manager , Hosp/Professional Ins Follow Up - Revenue Cycle...+ Responsible for timely and accurate account resolution, including payer appeals for all denials and underpayments. + Collaborates… more
- Stanford Health Care (Palo Alto, CA)
- …training to staff as needed. + Understand enrollment functions that support appropriate payer contracting and claims adjudication + Work closely with contracted ... delivering against the agreed upon service levels in the organization. The Senior Manager is responsible for the department 's overall cash, accounts receivables,… more
- LifePoint Health (Las Cruces, NM)
- …visits, colonoscopies, cervical cancer screenings, and mammograms. The Quality Practice Manager (QPM) will collaborate with employed practices to achieve local ... position collaborates with Credentialing, Care Management, technology platform, and payer representatives as appropriate. *_Responsibilities:_* Collaborate with various practices… more
- City of New York (New York, NY)
- …Health Systems seeks to hire a Healthcare Payment and Financing Innovation Manager . This position will be responsible for conducting payment, financing and ... experience, with demonstrated expertise in at least one of the following: Contracting , Invoicing, payment and financing experience at local, state, and/or federal… more
- Beth Israel Lahey Health (Charlestown, MA)
- …taking a job, you're making a difference in people's lives.** Reporting to the Manager , Patient Financial Services, the Clinical Analyst plays an important role in a ... and documentation requirements. To perform and monitor Third Party Payer audits by obtaining information relative to all claims...to communicate and trend all issues and communicate with contracting any and all contracting related problems.… more
- University of Rochester (Rochester, NY)
- …eligibility every 30 days for active coverage. Attends educational programs for the department at the Manager 's direction. May train or perform other duties ... Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department : 500183 Financial Counseling&Outpt Reg Work Shift: UR - Day (United States… more
- Bristol Myers Squibb (Madison, NJ)
- …identify actionable solutions + Expertise and deep experience with commercial payers, payer contracting , and health economics + Deep understanding of Medicare ... Here, uniquely interesting work happens every day, in every department . From optimizing a production line to the latest...of US Franchise Access Marketing initiatives to support patient, payer , and provider access objectives across the BMS CAR… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. + Researches denials, gathering supporting documentation and ... reduced/eliminated through system modifications and/or communication and feedback to the department /clinic or other areas. + Notifies Supervisor of additional claim… more
- Vanderbilt University Medical Center (Nashville, TN)
- …of loss of reimbursement relating to pharmaceuticals. Assists with maintaining drug and payer data files in the dispensing system. Works with dispensing staff and/or ... above departments. * Maintains list of potential opportunities for reimbursement and contracting based on proactive review of data. * Works collaboratively to… more
- University of Rochester (Rochester, NY)
- …operations, including compliance requirements as well as payer credentialing, contracting and reimbursement practices. The Manager for Credits reports ... Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department : 910502 United Business Office-PAS Work Shift: UR - Day (United States… more
- Intermountain Health (Columbus, OH)
- …claim processing and initiating third party appeals, along with liaising with the Payer Contracting and Pharmacy System Director as needed. + Support the ... Pharmacy Manager (s) to ensure pharmacies are operating in compliance with the board of pharmacy and DEA rules and regulations. + Assist with diversion monitoring and… more