• Director of Reimbursement

    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
    MaineGeneral Health (09/06/24)
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  • Executive Director , Office of Mail Renewal…

    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
    City of New York (10/25/24)
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  • Assistant Director , Managed

    UCLA Health (Los Angeles, CA)
    Description The Assistant Director , Managed Care Operations is responsible for the collaborative development, implementation and ongoing operations of ... contract performance. In this role, you will assist the Director , Managed Care Operations in...delegated health care model, capitation and other managed care IPA and provider reimbursement more
    UCLA Health (10/23/24)
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  • Manager Managed Care

    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
    Henry Ford Health System (10/05/24)
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  • Managed Care Specialist, OP Adult…

    RWJBarnabas Health (Elizabeth, NJ)
    care caseload, as assigned + Provide verbal update on overall status of managed care caseload to program director /designee, as requested + Provides ... Managed Care Specialist, OP Adult Partial...Disability + Life & Accidental Death Insurance + Tuition Reimbursement + Health Care /Dependent Care more
    RWJBarnabas Health (11/01/24)
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  • Medical Billing Specialist (Medicare/…

    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
    Elderwood (10/26/24)
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  • Managed Care Billing Specialist

    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
    The New Jewish Home (08/24/24)
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  • Per Diem Billing Associate & Managed

    Beth Israel Lahey Health (Boston, MA)
    …you're making a difference in people's lives.** The per diem Billing Associate and Managed Care Coordinator will be supporting the Orthopedics Department at Beth ... physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations...years related work experience required. + Knowledge of health care revenue cycle, including billing and reimbursement more
    Beth Israel Lahey Health (10/09/24)
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  • Medicaid Managed Care Liaison

    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
    Abbott House (10/19/24)
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  • Managed Care Claims Validator…

    CommuniCare Health Services Corporate (Charleston, WV)
    …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
    CommuniCare Health Services Corporate (10/20/24)
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  • Associate Director - Field…

    Bayer (Knoxville, TN)
    …this knowledge to address individual customer concerns; + Broad knowledge of Medicare, managed care , third party payers and Medicaid; + Demonstrated excellence ... diverse minds to make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology Tennessee Valley** **Associate … more
    Bayer (11/04/24)
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  • Director , Care Management

    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
    LA Care Health Plan (09/12/24)
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  • Nurse Director of Clinical…

    Ebenezer (Bloomington, MN)
    **Overview** Ebenezer is looking for a ** Director of Clinical Reimbursement ** to join our team! This role is responsible forCoordination and overseeing the areas ... of RAI process and reimbursement process for long-term ...Bloomington, near woodlands/wetlands and along the Minnesota River Bluffs. Managed by Ebenezer, we offer 137 units between our… more
    Ebenezer (10/16/24)
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  • Nurse Director of Clinical…

    Fairview Health Services (Bloomington, MN)
    Ebenezer is looking for a ** Director of Clinical Reimbursement ** to join our team! This role is responsible for Coordination and overseeing the areas of RAI ... process and reimbursement process for long-term ...Bloomington, near woodlands/wetlands and along the Minnesota River Bluffs. Managed by Ebenezer, we offer 137 units between our… more
    Fairview Health Services (10/16/24)
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  • Case Managment / Care Coordination…

    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
    Nuvance Health (10/13/24)
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  • Physician - Medical Director

    Corewell Health (Royal Oak, MI)
    …+ Demonstrated knowledge of the operational impacts of insurance industry contracts and managed care proposals . Knowledge of system-wide operational duties . ... the clinical, educational and research missions as the Medical Director of the Mickey Shapiro 2 East Cardiovascular Intensive... of the Mickey Shapiro 2 East Cardiovascular Intensive Care Unit (2E CVICU). The mission and vision of… more
    Corewell Health (11/04/24)
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  • Senior Director Clinical Programs - Remote

    Martin's Point Health Care (Portland, ME)
    …new or redesigning existing product programs to achieve the triple aim. The Senior Director Care Management leads a team to execute on program strategy, design ... organization. Partnering with all Health Plan and shared service departments, the Senior Director Care Management will support the above through coordination of… more
    Martin's Point Health Care (08/20/24)
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  • Director of Contracting and Operations

    Baylor Scott & White Health (Dallas, TX)
    …experience in a leadership role. 4. Experience in negotiation of managed care contracts. 5. Understanding of healthcare reimbursement concepts and managed ... and Operations is responsible for planning, developing, and implementing new and existing managed care contracts for Baylor Scott and White Health (BSWH), which… more
    Baylor Scott & White Health (08/16/24)
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  • Director Accountable Care & CIN,…

    Community Health Network (IN)
    Director Accountable Care & CIN, IHCI...of leadership experience in a multi-group practice, integrated health care system, or managed care ... positively impact and improve the healthcare delivery system. **Make a Difference** The Director of Accountable Care and Clinically Integrated Network (CIN) is… more
    Community Health Network (10/24/24)
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  • Area Sales Director / Chronic Therapies…

    Option Care Health (West Palm Beach, FL)
    …business sales plan that aligns with the national goals and objectives of Option Care Health. The Area Sales Director will be responsible for the execution ... sales teams and key supporting functions is a major focus. The Area Sales Director will work collaboratively with Option Care Health Operations to resolve… more
    Option Care Health (10/30/24)
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