- MaineGeneral Health (Waterville, ME)
- …We are actively seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects ... Job Summary:MaineGeneral Health is a leading health care system proud of the culture...of reimbursement, managed care contracts, and payer enrollment. The successful candidate will… more
- Stanford Health Care (Palo Alto, CA)
- …Care **What you will do** + Provides leadership and subject matter expertise to Managed Care department and various other SHC and SMCH departments on matters ... of managed care strategy, reimbursement, cost, payer mix,...level appropriate for the job. + Knowledge of computer systems and software used in functional area. + Knowledge… more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals ... design, build and growth of the department. Experience with IPA or network managed care , EZCAP and analytics strongly preferred. **Position Summary:** Provide… more
- Fairview Health Services (St. Paul, MN)
- …Finance **Experience** *10+ years of healthcare experience in managed care , negotiating and contracting for integrated delivery systems . Demonstrated ... position has ultimate accountability for effective and timely execution of all managed care contract negotiations and contract execution for hospital, physician… more
- University of Michigan (Ann Arbor, MI)
- …research that together enhance our contribution to society. **Responsibilities + Support Manager, Managed Care Operations and Senior Director , Managed ... Managed Care Payer/Operations Analyst Apply Now...operations of all payer contracts for all three health systems , which includes: Joint Operating Committee (JOC) Meetings with… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the ... team accountable for completing work accurately and timely. Keep Director informed on issues and progress. 7. Maintain contracts,...data analytics preferred. * Knowledge of managed care organizations and integrated health systems . *… more
- City of New York (New York, NY)
- …to function as the Executive Director , of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under the ... for independent initiative, decision making, and judgement, the Executive Director (ED) is responsible for the administration of three...Managed Care Program (MCP), interfaces with managed care delivery systems comprised… more
- Mount Sinai Health System (New York, NY)
- …the MSAHC Medical Director ; + Working knowledge and understanding of managed care and healthcare financing; + Personal qualities of integrity, credibility, ... Based Health Centers **Grade:** Faculty **Reports to:** Deputy Medical Director of Primary Care , Mount Sinai Adolescent...System is one of the largest academic medical systems in the New York metro area, with 48,000… more
- Gateway-Longview (Williamsville, NY)
- …set forth in the client's treatment plan. + In collaboration with the program supervisor/ director , Managed Care Organization (MCO) and the child and family, ... and supports. + Work collaboratively with the child and family system of care which could include, Residential, Behavioral Health Clinic, Foster Care… more
- Scotland Health Care System (Laurinburg, NC)
- This position works with government agencies, third party payers, Medical Staff Coordinator and Managed Care Director , CHS MHR, and our medical providers to ... initiate enrollment and credentialing applications, maintain recredentialing and updates for individual providers and entities and subgroups of SMH, SRHN, and EMC. Qualifications include high school graduate; Associate's degree preferred; excellent computer… more
- State of Colorado (Denver, CO)
- …encounter SLA performance, and performance metrics. * Oversee three main areas of the delivery system design: managed care eligibility, managed care ... Managed Care Technology Administrator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4730377) Apply Managed Care Technology… more
- Omaha Children's Hospital (Omaha, NE)
- …audits with representatives of third-party agencies and negotiate equitable settlements. Involving Director of Managed Care when appropriate. + Analyzes ... to ensure accuracy and in compliance with regulatory requirements, hospital and system policies and procedures. This position will complete audits to ensure that… more
- VNS Health (Manhattan, NY)
- … care management Director or above leadership role within a managed care organization required + Proven experience in developing and implementing ... performance through regular audits and other evaluative measures to maintain high-quality care standards. + Plans leadership and medical director meetings as… more
- The New Jewish Home (Bronx, NY)
- The Finance Department in Waters Place, Bronx is seeking a full time Managed Care Billing Specialist to join our team. The Managed Care Specialist is ... responsible for resolving managed care denied and underpaid claims timely. Responsibilities + Must...+ Track MCO responses + Complete understanding of billing system (Netsmart/ MyUnity) is needed to identify payment discrepancies,… more
- Alameda Health System (Oakland, CA)
- Director , Inpatient System Care Management + Oakland, CA + Highland General Hospital + SYS Care Coordination + Full Time - Varies + Management + Req ... the Vice President of Care Management, the Director of Inpatient System Care ...and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case… more
- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have ... experience, expertise, and knowledge of: + The child welfare system + Foster care healthcare requirements +...requirements + The unique complex needs of the foster care population + Medicaid Managed Care… more
- Hawaii Pacific Health (Honolulu, HI)
- …The department also performs additional services in collaboration with the managed care services department including referral management, patient steerage, ... peer equity. Starting Hourly Rate: 30.47 **Position** Analyst - Analytics Managed Care **Category** Administrative **Employment Type** Employee **Location**… more
- ManpowerGroup (Columbia, SC)
- + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site work required for the first week, followed by remote work. + **Hours:** ... + Identify and make referrals to appropriate staff (eg, Medical Director , Case Manager, Preventive Services, etc.). + Participate in data collection/input… more
- Trinity Health (Fresno, CA)
- …Reporting to the Director CVHP Operations, CVHP Operations, this position coordinates care and service for defined patient populations across the acute care ... continuum for CVHP members. This includes discharge planning, utilization management, care coordination, and support for resource utilization. This position works… more
- Bayer (Detroit, MI)
- …Kerendia with the Account's patient care objectives. The Regional Associate Director Health System & Population Health will establish a comprehensive ... a real difference, there's only one choice.** **Regional Associate Director Health System & Population Health (Detroit,...work experience with strong network and relationships across health care systems and with Specialty HCP networks… more