- 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
- Omaha Children's Hospital (Omaha, NE)
- …+ Minimum 2 years' experience in analysis of financial, reimbursement , or managed care contract modeling. Required **Skills and Abilities** + Knowledge ... and people with disabilities. **A Brief Overview** The Sr. Managed Care Contract and Revenue...annual fee schedule analysis to identify opportunities to maximize reimbursement . + Promote a culture of collaborative, customer-focused service… more
- Henry Ford Health System (Detroit, MI)
- …recorded. + Partner with Managed Care Contracting to ensure contract terms, reimbursement methodologies, and modeling tools align with net revenue ... The Associate Vice President (AVP), Reimbursement & Net Revenue Optimization provides strategic leadership...improve upstream processes in collaboration with Revenue Cycle, Finance, Managed Care , System Analytics, and the Mosaic… more
- Saint Francis Health System (Tulsa, OK)
- …performs on going analysis, which maintains the integrity of financial expectations of managed care contracts within the Epic system. Resolves programming issues ... - 5:00pm Job Summary: Responsible for analysis of contracts and performing contract negotiations to include monitoring and reviewing existing contracts to ensure… more
- Bristol Myers Squibb (Princeton, NJ)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as all aspects with evaluating implications of and reporting Managed Care data required for US and...hours flexibility. Parental, caregiver, bereavement, and military leave. Family care services such as adoption and surrogacy reimbursement… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street ... analytics with a focus on hospital and ancillary. Reviews and monitors contract /payer performance including payer parity. Compares expected reimbursement data to… more
- PVH Corp. (Bridgewater, NJ)
- ….com Services:** Access to services for childcare, elder care , adoption preparation, pet care , plus reimbursement for backup care when your regular plans ... Operations department. Operations & Service Management is responsible for **Application Managed Services (L2)** , Enterprise Operations Center including L2 for… more
- WellSpan Health (York, PA)
- …Summary** Ensures initial and recurrent authorizations are present to ensure timely reimbursement . Assists with coordination of care and/or transfers to higher ... completion and submission of applications for public assistance or uncompensated care . Provides support to multiple provider types in behavioral health authorization… more
- Guidehouse (San Antonio, TX)
- …components. * Provides oversight and executive level management to overcall contract operations often involving multiple projects/tasks and groups of personnel at ... leading teams **Experience with oversight and executive level management for overall contract operations** **What Would Be Nice to Have** **:** + Experience with… more
- Intermountain Health (Frankfort, KY)
- …revenue cycle insurance follow up or denial management, required- Extensive knowledge of managed care contract interpretation, required - Associate's Degree, ... **Job Description:** The Reimbursement Specialist is responsible for performing a variety...duties, including working insurance claims follow-up and escalations, interpreting contract language, and tracking trends. This specialist works facility… more
- Humana (Springfield, IL)
- …+ Thorough understanding of managed care contracts, including contract language and reimbursement . + Exceptional written and verbal communication skills, ... trainings. + Attend Network Meetings/Conferences. Ensure compliance with all Virginia managed care contractual requirements for provider relations, such as… more
- Humana (Oklahoma City, OK)
- …desired + Understanding of managed care contracts, including contract language and reimbursement **Additional Information** WAH Internet Statement To ... interactions with Humana's Oklahoma Medicaid plan + Ensure compliance with Oklahoma's managed care contractual requirements for provider relations, such as… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key leadership role within the Controller's Office, responsible for ... and reporting processes to increase efficiency, accuracy, and scalability. + Non-Patient Care Services Receivable + Oversee invoicing, contract compliance, and… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...Health System. This individual will ensure the accuracy of contract terms, reimbursement structures, and facilitate the… more
- UTMB Health (Galveston, TX)
- …UTMB Health Requisition # 2504255 **JOB SUMMARY** The primary responsibility of the Managed Care , Senior Contract Administrator position is leading, ... developing, and negotiating managed care agreements to ensure favorable reimbursement , alignment...HMOs, PPOs, ACOs, and Medicaid/Medicare Advantage plans. * Analyze reimbursement methodologies and contract performance to ensure… more
- Community Health Systems (Franklin, TN)
- … analysis required **Knowledge, Skills and Abilities** + Strong understanding of managed care , government contracts, and reimbursement processes. + ... reimbursement by identifying variances between posted and expected revenue for managed care , government contracts, and other payers. This role includes… more
- Fresenius Medical Center (Franklin, TN)
- …(HMO, PPO, POS, etc.) for Payor Relations. Oversees contractual relationships with managed care organizations and other third party payors regarding rate ... Plans, Government Payors and other large payors + Oversees contractual relationships with managed care organizations and other third party payors regarding rate… more
- Humana (Frankfort, KY)
- …+ Understanding of Kentucky managed care contracts, including contract language and reimbursement . + Comprehensive knowledge of claims systems, ... and Humana locations.** + Bachelor's Degree. + 2+ years of health care or managed care experience working with providers (eg, provider relations, claims… more
- Ascendis Pharma (Princeton, NJ)
- …administration of rebate programs, including government rebates (eg, Medicaid, Medicare), managed care rebates, and commercial rebates. Ensure accurate ... formulary validation processes accurately and before payment deadlines, oversee payments of managed care and government rebates, and manage Market Access… more
- US Physical Therapy (Houston, TX)
- …+ Interprets managed care contracts and government reimbursement methodologies to create contract modeling calculation. + Prepare pre-negotiation ... a positive attitude to join our company as a ** Contract Manager/Analyst.** This is a dual role that will...negotiation reimbursement analysis and modeling for the Managed Care Team as a whole **Qualifications**… more