- AccentCare, Inc. (Dallas, TX)
- Overview Managed Care Contract Specialist Location: Dallas Corporate Office Position: Managed Care Contract Specialist Position Type: ... is necessary for success in this role. Find Your Passion and Purpose as a Managed Care Contract Specialist What You Need to Know Reimagining Your Career… more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring ... contract language for Commercial, Medicare and Medi-Cal managed care . + Acts as a liaison...and beyond. **Req ID** : 11981 **Working Title** : Managed Care Compliance Specialist -… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Contract Specialist II, reporting to the Network Operations/Contracting Manager, plays a critical role in managing ... contract management system for accurate record-keeping. The Contract Specialist II will act as a...pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to… more
- UPMC (Pittsburgh, PA)
- UPMC Community Care Behavioral Health is hiring a full-time Contract Specialist III. This role will work in a hybrid structure, reporting to the office a few ... Occasional travel may also be required at times. The Contract Specialist III is responsible for facilitating...and in a timely manner. + General knowledge of managed care functions and management techniques preferred.… more
- JPMorgan Chase (Columbus, OH)
- …center of high-impact collaboration with senior leaders and industry experts. As the Contract Specialist within JP Morgan's Asset Management you are an ... Take charge of the contract management process for JP Morgan's diverse investment...Mutual Funds, Global Liquidity, 529, Commingled, ETF, Alternatives and Managed Account businesses. This includes responsibility for the approval… more
- Huron Consulting Group (Chicago, IL)
- …pressure to improve clinical outcomes and reduce the cost of providing patient care . Investing in new partnerships, clinical services and technology is not enough to ... you are now and create your future. The Huron Managed Services Coding Operations Director oversees a portfolio of...experience with 5+ in coding managerial positions * Acute care hospital coding experience * Professional services coding experience… more
- Valor Health (Bowling Green, KY)
- Clinical Pharmacist Specialist - Primary Care Bowling Green,...patients utilizing rules set forth by the VA for co- managed care . + Completes any and all ... Healthcare is seeking a dynamic and passionate Clinical Pharmacist Specialist (CPS) to provide care at the...preferred. Specific requirements could vary based on individual VA contract . + Must be credentialed and remain in good… more
- LA Care Health Plan (Los Angeles, CA)
- …or credentialing related experience. At least 1 year of experience in a healthcare/ managed care environment. Skills Required: Ability to audit data and make ... Credentialing Specialist II Job Category: Provider Relations Department: Provider...$69,045.00 (Mid.) - $82,867.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- HCA Healthcare (Campbell, CA)
- …of health plan economics analyses, metrics and health plan reporting in a Managed Care environment relating to the financial, quality and operational performance ... Come join our team as a Health Plan Economics Specialist . We care for our community! Just...for Health plan Metrics, Analytics and Reporting for a Managed Care organization + Develop and maintain… more
- Oracle (San Antonio, TX)
- …**Location: San Antonio, TX. This is not a remote role.** **Customer Deal Desk Specialist III** An ideal candidate has a strong work ethic and is able to ... Proficient in Microsoft Office suite. **Responsibilities** The Customer Deal Desk Specialist III leads and manages the contracting process end-to-end for strategic,… more
- New York State Civil Service (Tupper Lake, NY)
- …People With Developmental Disabilities, Office for Title Human Resources Specialist 1 Labor Relations/Trainee 1/2 Occupational Category Administrative or General ... Description PRIMARY DUTIES AND RESPONSIBILITIES: Under the supervision of a Human Resources Specialist 2 (LR), the Human Resources Specialist 1 (LR) in this… more
- New York State Civil Service (Hauppauge, NY)
- …Agency People With Developmental Disabilities, Office for Title Program Operations Specialist 1 Occupational Category Other Professional Careers Salary Grade 18 ... Proceed with Program Certification (CPPC) form? Request the Regulatory Compliance Contract and Capital Component Security and Lien agreement? Coordinate pre-opening… more
- Robert Half Accountemps (Philadelphia, PA)
- …medical billing. * Strong understanding of Managed Care Collections and Managed Care contract requirements. * Proficiency in using electronic medical ... billing UB04 form and 1500 form. Highlights of Required Skills/Knowledge: Full understanding of Managed Care Collections and knowledge of Managed Care … more
- New York State Civil Service (Albany, NY)
- … 1 - Grade 18 position in the Division of Community Program Management & Managed Care , Bureau of Housing Development & Support. The Bureau oversees more than ... Yes Agency Mental Health, Office of Title Mental Health Program Specialist 1/Trainee, Central Office; Occupational Category Other Professional Careers Salary Grade… more
- New York State Civil Service (Batavia, NY)
- NY HELP Yes Agency Education Department, State Title Administrative Specialist 1, Administrative Specialist Trainee 1 (NY HELPS), Box BAT-542/00021 Occupational ... New York State Education Department's (NYSED) is seeking candidates for an Administrative Specialist 1 position at the School for the Blind (NYSSB). Under the… more
- Intermountain Health (Helena, MT)
- …in a complex invoice/billing/reconciliation environment, preferred- Extensive knowledge of managed care contract interpretation **Physical Requirements** ... payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. + Log findings and provides feedback… more
- Logan Health (Kalispell, MT)
- …Preferred Qualifications: + Associate's or Bachelor's degree. + Experience with managed care coverage, reimbursement, medical terminology, and medical coding. ... the world of healthcare insurance? As a Financial Clearance Specialist at Logan Health, you'll play a key role...working knowledge of applicable rules, regulations and guidelines governing managed care coverage and reimbursement preferred. +… more
- BayCare Health System (Clearwater, FL)
- …services. Maintain proper documentation in Soarian or GE systems. Work closely with Managed Care and understands health insurances rule sets, manuals, and ... + Preferred - 1 year of Healthcare Business Office and /or Managed Care experience Equal Opportunity Employer Veterans/Disabled **Position** Central… more
- Prime Healthcare (Garden City, MI)
- …Specialist , Billing is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. #LI-BM2 Qualifications 1. Minimum of four years… more
- Prime Healthcare (Garden City, MI)
- … Specialist , is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with health ... reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications EDUCATION, EXPERIENCE, TRAINING 1.… more