- Guidehouse (New York, NY)
- …will be notified by **Friday, Oct. 24** **What You Will Do** **:** Guidehouse's Managed Care practice sits within the broader Payer Provider Advisory group. The ... Managed Care practice assists hospitals, health systems,...to work with our internal teams on the assigned project/ contract , meet with upper management to reflect on your… more
- Molina Healthcare (Albany, NY)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + ... materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.… 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
- UHS (Binghamton, NY)
- …Health Services (UHS) is seeking a detail-oriented Contract Technician to join our Managed Care Contracting team. In this role, you will review and improve ... hospital, homecare, and physician contract management within the Epic system, validating HealthPlan payments... is delivered. Primary Department, Division, or Unit: UHS Managed Care Contracting Primary Work Shift: Day… more
- Highmark Health (Albany, NY)
- …Healthcare, Healthcare Insurance, Consulting or related area + 3 years Value-based reimbursement , through managed care contracting, provider reimbursement ... This job supports the matrixed strategic design and analytical approach to reimbursement . To be successful, the incumbent will work closely with stakeholders across… more
- Centene Corporation (New York, NY)
- … reimbursement and analysis experience. Experience with Medicare and Medicaid reimbursement methodology. Managed care experience and provider billing ... as the key liaison between health plan network management, finance and contract implementation and configuration for reimbursement processes. + Research 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 ... clinical, contracting, finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is responsible for… more
- Molina Healthcare (Rochester, NY)
- …SKILLS & ABILITIES** : * 7+ years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including 2+ years ... that result in high quality, cost effective and marketable providers. Contract /Re-contracting with large scale entities involving custom reimbursement . Executes… more
- Catholic Health Services (Melville, NY)
- …the Catholic Health Physician Advisor when appropriate. + Reviews results from managed care payors and/or regulatory agencies determinations for further action. ... Acts as a resource for MCC/CM regarding regulatory or managed care requirements or regulations + Meets...health team members to understand and help comply with payer/ contract issues and appeal preparation. + Maintains strict standards… more
- FlexStaff (Bronx, NY)
- …and experience. Experience: + 1-2 years of experience in healthcare provider contracting, managed care , or a related role. + Vendor/ provider contracting ... care requirements. JOB DESCRIPTION + Track and manage contract terms and renewals to ensure timely execution. +...Working knowledge of Medicare and Medicaid is required. Health plan/ managed care setting, preferred. + Experience in… more
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