- MaineGeneral Health (Waterville, ME)
- …seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects of ... reimbursement , managed care contracts, and payer enrollment. The successful candidate will have a deep understanding of healthcare finance, regulatory… more
- Stanford Health Care (Palo Alto, CA)
- … Care department and various other SHC and SMCH departments on matters of managed care strategy, reimbursement , cost, payer mix, and other contract ... specific issues. + Represents the Managed Care department on cross-functional committees across...of health care , marketing, managed care strategy, financial/contract analysis and the medical reimbursement… more
- National Health Care Associates (Wethersfield, CT)
- …long-term care and short-term rehabilitation services in the Northeast US, is seeking a Director of Managed Care . This is a fantastic opportunity for the ... and profit and loss analysis + Deep understanding of managed care models, population health management and healthcare reimbursement systems. + Knowledge… 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...(MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and Third-Party Health… more
- Elderwood (Buffalo, NY)
- …claims over 30 days until paid in full. + Maintain working knowledge of Managed Care and Insurance contract reimbursement and claim submission requirements. ... or third party payers regarding financial records. + Maintain working knowledge of Managed Care and Insurance contract reimbursement and billing… more
- The New Jewish Home (Bronx, NY)
- …skilled nursing home billing is required + Must Understand Medicare, Managed Care , Medicaid (NY) billing and reimbursement + Prior experience working with ... in Waters Place, Bronx is seeking a full time Managed Care Billing Specialist to join our...issues affecting AR. + Work closely with Revenue Cycle Director and Director and resolve issues as… 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 ... Experience in reimbursement and/or data analytics preferred. * Knowledge of managed care organizations and integrated health systems. * Comprehensive project… 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 ... requirements + The unique complex needs of the foster care population + Medicaid Managed Care...+ Perform other secretarial duties as requested by Medical Director . + Any other related duties as required Educational… more
- CommuniCare Health Services Corporate (Akron, OH)
- …to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and ... timely filing of all managed care claims on their assigned caseload...team, CBO cash posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management, and others. The… more
- National Health Care Associates (Valley Stream, NY)
- …are valued and appreciated, we invite you to join our corporate team as Assistant Director of Budgets & Reimbursement . **-** **What We Offer** As part of ... invite you to join our team! **-** National Health Care Associates, provider of high-quality long-term care ...growth and seeking a specialist in healthcare budget and reimbursement to join our team at our corporate office… more
- Bayer (Los Angeles, CA)
- …this knowledge to address individual customer concerns; + Broad knowledge of Medicare, managed care , third party payers and Medicaid; + Demonstrated excellence ... make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology -...National and local Commercial Payer experience, State Medicaid, and Managed Plans; + Experience in educating and supporting Prior… more
- Bayer (Houston, TX)
- …this knowledge to address individual customer concerns; + Broad knowledge of Medicare, managed care , third party payers and Medicaid; + Demonstrated excellence ... **Associate Director - Field Reimbursement - Oncology...National and local Commercial Payer experience, State Medicaid, and Managed Plans; + Experience in educating and supporting Prior… more
- Bayer (Denver, CO)
- …this knowledge to address individual customer concerns; + Broad knowledge of Medicare, managed care , third party payers and Medicaid; + Demonstrated excellence ... make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology -...National and local Commercial Payer experience, State Medicaid, and Managed Plans; + Experience in educating and supporting Prior… more
- Bayer (WI)
- …this knowledge to address individual customer concerns; + Broad knowledge of Medicare, managed care , third party payers and Medicaid; + Demonstrated excellence ... make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology Great...National and local Commercial Payer experience, State Medicaid, and Managed Plans; + Experience in educating and supporting Prior… more
- LA Care Health Plan (Los Angeles, CA)
- Director , Care Management Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... net required to achieve that purpose. Job Summary The Director , Care Management will mainly be responsible...Medicare and Medicaid Service (CMS), California Department of Health Care Services (DHCS)], California Department of Managed … more
- Ebenezer (Bloomington, MN)
- **Overview** Ebenezer is looking for a ** Director of Clinical Reimbursement ** to join our team! This nursing role is responsible forCoordination and overseeing ... the areas of RAI process and reimbursement process for long-term care . Schedule is...MN near woodlands/wetlands and along the Minnesota River Bluffs. Managed by Ebenezer, we offer 137 units between our… more
- Fairview Health Services (Bloomington, MN)
- Ebenezer is looking for a ** Director of Clinical Reimbursement ** to join our team! This nursing role is responsible for Coordination and overseeing the areas of ... RAI process and reimbursement process for long-term care . Schedule is...MN near woodlands/wetlands and along the Minnesota River Bluffs. Managed by Ebenezer, we offer 137 units between our… more
- Novo Nordisk (Omaha, NE)
- …pertaining to NNI products; b) develops, establishes and maintains relationships with key Managed Care Customers; c) conveys appropriate use of NNI products and ... d) Provides leadership with Account Executives in answering unsolicited questions from Managed Care Customers + Combines account management skills, business… more
- Nuvance Health (Norwalk, CT)
- …appeals, at the first level of appeal as appropriate, in an effort to maximize reimbursement . Reviews and edits Managed Care Contract Language relating to ... new services and/or programs. Interfaces and coordinates services with Admission, Finance, Managed Care , Medical Records, Home Care , Rehabilitative and… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …leader that is responsible for oversight, leadership, management, and tactical execution of the Managed Care team. This person will focus and direct the strategy ... future products. + Set strategic and tactical objectives for managed care , develop, and implement strategies, and...of 10 years experience in the Pharmaceutical/Biotech industry in managed markets, ALS, reimbursement or similar roles,… more