- Henry Ford Health System (Troy, MI)
- …skills. + Strong organizational and interpersonal skills. + Strong Understanding of Managed Care Reimbursement methodologies, coding, and terminology. ... EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement , or related… more
- e CancerCare (Nashville, TN)
- …in reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance, along with rate modeling ... reimbursement terms in a multi-functional approach to Managed Care strategies. . Assume other projects...skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating… more
- UTMB Health (Galveston, TX)
- Contract Admin, Managed Care - Revenue Cycle Operation Support **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health Requisition # ... 2405923 **Job Summary:** The primary responsibility of the Contract Administrator - Managed Care ...with fee schedule, case rate, per diem, and capitation reimbursement . **Essential Job Functions:** + Assists with negotiating contractual… more
- MaineGeneral Health (Waterville, ME)
- …are actively 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...the Charge Description Master (CDM) rate setting + Lead contract negotiations and manage payer relationships + Utilize Sorian… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …and Monitoring: Ensure timely and accurate implementation of managed care agreements, including fee schedules, contract terms, and performance metrics. ... Medicaid programs. Develop and update internal policies related to payer contracts, reimbursement methodologies, and managed care processes. Collaborate with… more
- Covenant Health Inc. (Knoxville, TN)
- … Department, this position is responsible for assisting in the coordination of the contract management process for managed care contracts for all Covenant ... periods of time specified to ensure accuracy of Expected Reimbursement calculation within the Contract Analytics module,...the DSS. + Meets regularly with Managed Care and Financial Analytics Teams regarding the contract… more
- Hackensack Meridian Health (Edison, NJ)
- …_Health_ includes: + ** Contract Negotiation & Network Management:** + Lead all managed care contract negotiations for HMH and its entities (hospitals, ... maximizing reimbursement . + Develop and expand HMH's managed care contracting network, strategically aligning with...Lead the development and execution of managed care contracting policies and strategies. Monitor contract … more
- RWJBarnabas Health (Oceanport, NJ)
- …Functions + Analytical lead on modeling contract rates using EPIC throughout the managed care contract negotiation process. + Assists in varying aspects ... in accordance with contractual terms. + Serves as a managed care resource across the organization assisting with reimbursement inquires, contractual rate… more
- Roper St. Francis (Charleston, SC)
- …Position** Manages the overall operations of managed care including managed care contract negotiations, analysis, and compliance activities in ... contractual payment terms. Develops and implements financial parameters and managed care reimbursement methodologies in...aligned with the strategic plan. Provides executive oversight for managed care contract performance and… more
- Fairview Health Services (St. Paul, MN)
- …This position has ultimate accountability for effective and timely execution of all managed care contract negotiations and contract execution ... stakeholders to assure efficient and effective communication and implementation of Fairview's managed care contract relationships, including but not limited… more
- Henry Ford Health System (Troy, MI)
- …Experience in reimbursement and/or data analytics preferred. * Knowledge of managed care organizations and integrated health systems. * Comprehensive project ... GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is...Care Contracting team in evaluating, analyzing, and negotiating contract terms and reimbursement rates with health… more
- Nuvance Health (Danbury, CT)
- …all Nuvance entities. In addition to gathering volume data and modeling of current reimbursement , the Managed Care Analyst determines the need for ... *Description* Summary: The Managed Care Analyst compiles, validates, and analyzes utilization and reimbursement data to aid in contract negotiations for… more
- Cedars-Sinai (Beverly Hills, CA)
- …implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and ... metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for compliance and financial performance, identifying… more
- Cedars-Sinai (CA)
- …service the network's membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star ratings, access, physician network ... + Well versed within the various components that comprise Managed Care and its key concepts including...etc. and provide a comprehensive written documentation of that reimbursement methodology within a contract . + Familiarity… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Senior Managed Care ... with the specific payer guidelines, policies, procedures, and compliance regulations for managed care . This includes maintaining the deficiency lists used to… more
- Emanate Health (Covina, CA)
- …and the #19 ranked company in the country. Job Summary Senior Analyst, Managed Care is responsible for the acquisition, manipulation, reporting and analysis ... at Emanate Health plays a vital role in the care we deliver. No matter what department you belong...subject to third party payor contracts; the assessment of contract /plan profitability and the development and analysis of proposed… more
- Rush Copley Medical Center (Aurora, IL)
- …carve out billing to payers as required by the Managed Care /WorkComp contracts, following up to ensure reimbursement , reporting current status monthly. ... analyzing the hospital and physician current accounts receivable for Managed Care , finding underpayments and rebilling the... under our contracts. Bills all special devices per contract to receive the additional reimbursement and… more
- Gentiva (Mooresville, NC)
- …National Account Dept. is looking for an Implementation Specialist of Bus Dev & Managed Care to join our dynamic team. This position will report directly ... to the VP of Strategic Business Development & Managed Care and is essentially a "sales...be responsible for meeting the established goals in closed contract projects as well as new deal implementation plans.… more
- Kelsey-Seybold Clinic (Houston, TX)
- …and coaching and other duties as assigned. **Job Title: Supervisor, Managed Care Claims** **Location: Pearland Administrative Office** **Department:** **Claims** ... Bachelor's Degree **Experience** Required: 5 years of working experience in a Managed Care environment as Senior Analyst, Coordinator, OR Supervisor or… more
- Cedars-Sinai (CA)
- …people throughout Los Angeles and beyond. **Req ID** : 6771 **Working Title** : Claims Examiner ( Managed Care ) - Remote **Department** : MNS Managed Care ... sophisticated medical education programs. We offer learning programs, tuition reimbursement and performance-improvement projects so you can achieve certifications… more