- MultiPlan (Atlanta, GA)
- Provider Contract Specialist - Medicare Advantage and Managed Care (Network Development Specialist ) Remote At MultiPlan, we pride ourselves on being ... a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all of our stakeholders - internal and external - driving us to consistently exceed… more
- Community Hospital Corporation (Plano, TX)
- …DFW Top 100 Employer, is looking for a Supply Chain Operations and Communications Specialist based out of our home office in Plano, TX. This position, under general ... supervision, the Operations and Communications Specialist will work closely with the CHC Supply Trust team to ensure operations are optimized in identified areas.… more
- Creative Financial Staffing (Rahway, NJ)
- …PTO, and more Responsibilities of The Billing Manager: Handling medical billing and collections, managed care organizations working with CMS / CPT / HCPCS codes, ... claim submissions contract negotiations strong communication skills Minimum Qualifications of The Billing Manager Two years of relevant billing experience. Advanced… more
- Hired by Matrix (Norwood, OH)
- …contact providers for application information when necessary, contact government agencies and managed care companies to obtain status and resolve discrepancies ... If so, our client is hiring an Payer Enrollment Specialist (Day)! What You'll Do: Responsible for the credentialing...days in a week. Business casual attire. Position Type: Contract Get in Touch: We want to hear from… more
- The Bartech Group Inc (Menomonie, WI)
- …are powered by Impellam Group, a connected group providing global workforce and specialist recruitment solutions. Our client has engaged us to assist them in hiring ... a contract Warehouse Supervisor - 2nd shift. If you are...lines per man hourAssure flow of inbound/outbound material is managed according to Partners In Customer Satisfaction (PICS) ProcessAssure… more
- ProMedica Health System (Toledo, OH)
- …knowledge of Microsoft Office tools Years of Experience: 3+ in Managed Care or Billing ADDITIONAL EXPERIENCE Contract negotiating experience with managed ... Working with the Director and AVP of Managed Care , this position is responsible...each are resolved. This includes items like billing issues, contract loading issues, credentialing issues and inpatient and post… more
- Elevance Health (Plano, TX)
- …our specialty pharmacies, our infusion centers, and the home setting._ **Title:** Managed Care Credentialing Specialist (Risk Management Analyst) ... Standard Hours (CST). **Build the Possibilities. Make an Extraordinary Impact.** The ** Managed Care Credentialing Specialist ** is responsible for Responsible… more
- MetroLink (Los Angeles, CA)
- Contract Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4472709) Apply Contract Specialist Salary $59,645.00 - $92,450.00 ... Benefits + Questions SUMMARY PURPOSE OF POSITION The Contracts Specialist performs quality control checks, confirms that contract...change dentists at any time, go to a dental specialist of your choice, receive dental care … 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 ... with a business objective to excel in coordinating patient care in a manner that supports containing costs while...expected to work PST business hours.** **Position Summary:** The Contract Specialist II will be responsible for… more
- Pacificorp (Portland, OR)
- Power Purchase Contract Management Specialist (Portland, OR) -112646 **Date:** Sep 14, 2024 **Location:** PORTLAND, OR, US, 97232 **Company:** PacifiCorp ... Conduct thorough risk assessments and develop mitigation strategies to minimize potential contract related issues. + Lead contractual disputes related to new and… more
- CommonSpirit Health (Englewood, CO)
- …Relationship leadership, to support the negotiation of terms and conditions for Managed Care payer contracts for facility, professional, and ancillary entities. ... to ensure the terms and conditions of the payer contract adhere to the CommonSpirit Health Standards and Guidelines,...experience in a healthcare related field + Payer or Managed Care experience strongly preferred \#LI-CSH **Pay… more
- St. Luke's Health System (Boise, ID)
- … contract administration/revenue optimization + Collaborate with finance, revenue cycle, managed care professionals to ensure optimal pharmacy contracting and ... prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team...place to work. We are seeking a Pharmacy Business Specialist to join our Pharmacy Administrative team. This is… more
- Henry Ford Health System (Detroit, MI)
- …Investigator and Fund Accounting to ensure that revenues and expenditures are managed appropriately and conform to project awards, agency guidelines and internal ... journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team… more
- Staffing Solutions Organization (Albany, NY)
- …**OMH - 1234** **Summary** The incumbent of this position will assist the Bureau of Managed Care Oversight and its stakeholders (eg, Medicaid managed care ... and clients) in transitioning the children's behavioral health services system into Medicaid Managed Care . Special emphasis will be placed on managed … more
- Rady Children's Hospital San Diego (San Diego, CA)
- …collections of outstanding account balances for commercial, government, and managed care payors as assigned. The Reimbursement Specialist I is required to ... their leadership. It is a requirement for the Reimbursement Specialist I to read, interpret and apply complex payor... I to read, interpret and apply complex payor contract language to expected reimbursement calculations and pursue all… more
- MyFlorida (Tallahassee, FL)
- …Quality and Clinical Management Unit for the Office of Children's Medical Services Managed Care Plan. The position is responsible for promoting an integrated, ... OPERATIONS REVIEW SPECIALIST - 64008443 Date: Aug 29, 2024 The...Are: Florida Department of Health Children's Medical Services (CMS) Managed Care Plan is responsible for the… more
- Houston Methodist (Katy, TX)
- …Medicaid, Workers Comp, Commercial plans, etc.; knowledge of how to interpret a managed care contract , Medicare and Medicaid and Workers Compensation ... accounts with payment review opportunities, appropriately communicating with payors and/or Managed Care regarding contract compliance responsibilities and… more
- HCA Healthcare (Nashville, TN)
- …working with the Custom Contracting Directors, Contract Analysts, Financial Analysts, Contract Admins, Contract Specialist , and others to facilitate the ... and inclusion thrive? Submit your application for our Portfolio Specialist opening with HealthTrust today and find out what...finalization of pricing, contract documents and amendments managed by the… more
- Robert Half Accountemps (Van Nuys, CA)
- …Hospital Medical Collections Specialist will also be responsible for managing Medicare managed care , commercial, PPO/HMO and Medical managed care . ... Valley is looking to add a Hospital Medical Collections Specialist to the team. The Hospital Medical Collections ...collection processes with accuracy and efficiency * Handle Medicare managed care , commercial, PPO/HMO, and Medical … more
- Aston Carter (St. Louis, MO)
- Job Title: Purchasing Specialist Job Description Position Summary: The Procurement Specialist will coordinate CAPEX project purchases from bid to delivery. The ... acceptance tests (SATs), etc., are delivered per the agreed contract terms and payments are made in accordance with...accordance with terms. Risk related to purchases will be managed , and any defined threats to the project will… more
