- Snooze (Nashville, TN)
- …great work you do each and every day, but we also want to help you take care of yourself and your family. Below is a breakdown of a few benefits Snooze offers for ... home by dinner time every night! Weekly pay and competitive hourly rates Competitive Basic Health, Dental, Visions, Pet, and Accident Insurance Plans Employer-paid… more
- State of Colorado (Denver, CO)
- Managed Care Rates & Reconciliation Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5162656) Apply Managed Care ... a Managed Care Rate & Reconciliation Analyst to join our Managed Care Rates HMO Rates Unit ! As part of the State of Colorado, HCPF offers a… more
- Cardinal Health (Sacramento, CA)
- …+ Oversee the ongoing training needs of the customer, the ISF, and the Managed Care Support Team including conducting regular webinar trainings. + Analyze ... efforts in assigned region. + Own managing the sales pipeline for Reconciliation from lead generation, qualification, to close.. + Report out regionally t… more
- Molina Healthcare (WA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Prior experience… more
- Corewell Health (Grand Rapids, MI)
- …Ludington Hospital) + 5 years of relevant experience clinical nursing and or case management/ managed care or related field Required + Registered Nurse (RN) - ... clinic as well as arrive at next level of care . Assists with the medication reconciliation process...day of discharge. + Impact on LOS and Readmission Rates + Patient Education regarding dialysis + Working with… more
- Mount Sinai Health System (New York, NY)
- …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- Mount Sinai Health System (New York, NY)
- …and EHR systems. + Organizes routine meetings with health system business leaders and managed care to review payer issues and denials. + Builds effective, ... relationships with key stakeholders across departments (eg, DTP, Human Resources, Managed Care , Finance, and clinical departments) + Collaborates with… more
- Palo Alto Networks (Santa Clara, CA)
- …Integrators (GSIs), Service Providers (SPs), Independent Software Vendors (ISVs), Managed Security Service Providers (MSSPs) and Cloud Service Providers (CSPs). ... roadmap for operationalizing new GTM motions (eg, consumption models, managed services, platform selling) within the channel ecosystem, translating high-level… more
- Catholic Health Services (Roslyn, NY)
- …in on-going educational activities related to clinical knowledge, professional issues and the managed care environment. + Salary Range USD $74.67 - USD $98.00 ... & Heart Surgery, as well as for Gastroenterology & GI surgery, US News rates St. Francis as high performing in Geriatrics, Neurology & Neurosurgery, Orthopedics, and… more
- Guthrie (Sayre, PA)
- …workflows/processes that impact the Revenue Integrity functions: chargemaster, Federal, State & managed care contract rule development and charge capture and ... Oversee the loading, validation, and maintenance of payer reimbursement rates in the hospital electronic health record System (EPIC...a part of a tradition of excellence in health care . In all areas and at all levels of… more
- Westchester Jewish Community Services (White Plains, NY)
- …as Microsoft Word and Excel. + Comprehensive knowledge of Medicaid, Commercial and Managed Care billing and collections processes. + Excellent verbal and written ... County. We provide state-of-the-art programs and services and compassionate care to more than 20,000 people of all ages...activities. + Overseeing rate update projects, enter new carrier rates into the billing system. + Supervising the creation… more
- Ellis Medicine (Schenectady, NY)
- …Soarian systems and Allscripts electronic health records preferred. + Must understand managed care concepts and healthcare regulations. + Excellent communication ... to assist patient and family financial issues (ie Medicaid Program, Uncompensated Care ). + Facilitates in gathering accurate patient billing information. + Performs… more
- Rochester Regional Health (Rochester, NY)
- …in class organizations to establish remarkable benefits programs that are managed flawlessly. Crafts innovative benefit solutions that balance cost-containment and ... with insurance carriers and outsources providers regarding contractual obligations and rates by reviewing all contracts against needs and performance standards of… more
- Molina Healthcare (TX)
- …scrubbing, scrapping, and cleaning of data. * 5+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing ... in working with HEDIS Domain - such as Measure analysis/ reconciliation on data wrt measure specifications. * 5+ Years...in Statistical Analysis and forecasting of trends in HEDIS rates to provide analytic support for quality, finance, and… more
- BronxCare Health System (Bronx, NY)
- …system and operational changes regarding insurance, eligibility and reporting, ie Managed Care Payers, Medicare. Keeps front-end administrators up-to-date with ... and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff on Insurance identification/verification… more
