- Guthrie (Troy, PA)
- …b) Maintains a positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary objectives of ... in an acute care setting with strong care management, utilization review, and payer knowledge....and community providers. a) Works closely with the Medical Director and other members of the healthcare team to… more
- Covenant Health Inc. (Knoxville, TN)
- …(3) of business office or related experience with knowledge of Medicare and managed care billing guidelines. Strong computer skills required. Knowledge and/or ... Pay Period, Day Shift Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top Physicians and providers… more
- Amgen (Boston, MA)
- …order to advance the value and clinical knowledge of our products to the payer community. This is a field-based position within the Medical Value & Population Health ... Liaisons (MVAL) group in Scientific Affairs, reporting to a Director . Geographic region for this position is within the...the US business and majority regional accounts and select payer integrated IDNs as assigned. **Responsibilities:** + Provide … more
- Community Health Systems (Franklin, TN)
- … care and patient care delivery. + Collaborate with the CHS Managed Care department to engage and negotiate with payers, health plans, and other ... performance monitoring to ensure maximum capture of Value Based Care incentives + Monitor changes in payer ...the MD VP for PPS and the VP of Managed Care Equal Employment Opportunity This organization… more
- Covenant Health Inc. (Knoxville, TN)
- …& Regulatory Oversight + Ensures compliance with Medicare, Medicaid, TennCare, managed care , and other regulatory requirements. + Communicates regulatory ... Overview Patient Accounting Director , Business Office Full Time, 80 Hours Per...cash collections, and ensure compliance with federal, state, and payer regulations. This position collaborates closely with hospital units,… more
- AdventHealth (Maitland, FL)
- …the analysis and evaluation of financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on ... able to complete extensive and complex financial, operational, and analysis of managed care contracts, proposals, analyze fee schedules, and determine contract… more
- Trinity Health (Caldwell, ID)
- …practices in the Saint Alphonsus Health Alliance under the supervision of the Executive Medical Director Value Care . Is an integral member of the health care ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **AMBULATORY CARE ** **CLINICAL PHARMACIST** **VALUE BASED CARE ** Responsible for providing… more
- Houston Methodist (Katy, TX)
- …competency and professional pathway progression. + Communicates updates/changes to processes, managed care information, throughput, etc., in a timely manner. ... special projects after ongoing revenue cycle analysis. Meets with payors and/or Managed Care to discuss aged accounts, adjudications timeframes, and erroneous… more
- First Atlantic Health Care (South Portland, ME)
- …for various payer sources including, but not limited to, Medicare, MaineCare and Managed Care * Maintain daily census and mix goals per facility budget. * ... timely collection of clinical data relevant to the patient/resident's care , MDS completion and care plan development....the performance of all duties. * Report to the Director of Plant Operations or Supervisor any hazardous condition… more
- ChenMed (Houston, TX)
- …and linguistically diverse setting is essential + Experience working within a managed care environment strongly preferred **PAY RANGE:** $270,461 - $386,372 ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...the scope and member volume. + Assists the Medical Director , Cardiology in managing the day-to-day clinical and business… more