- Trinity Health (Chelsea, MI)
- …for each patient while adhering to ethical practices per insurance guidelines for each payer . Works with site leader, director and/or secretarial staff to ensure ... adhering to ethical practices per insurance guidelines for each payer . + Works with site leader, director ...director and/or secretarial staff to ensure schedules are managed well to achieve targeted productivity and clinic budget.… more
- Takeda Pharmaceuticals (Dallas, TX)
- …tools for Territory and Data Analytics to monitor and evaluate accounts, industry/ managed care trends and communicate relevant information to Accounts and ... selling opportunities and adaptability to changing market conditions + Understanding of managed care landscape and how it influences/impacts business + Strong… more
- Mount Sinai Health System (New York, NY)
- …timely charge capture. + Organizes routine meetings with health system business leaders and managed care to review charge and revenue capture and performance. + ... Senior Revenue Analytics Associate will report to the Senior Director of Revenue Analysis and Reporting of the MSHS....with key stakeholders across departments (eg, DTP, Human Performance, Managed Care , Finance, and clinical departments) +… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …identifying contractual variances between posted and expected reimbursement for Article 28, Managed Care , Commercial Insurance and other payers. Analyze, audit ... and experience Required Skills, Knowledge and Abilities: Knowledge of guidelines of managed care and claims guidelines and ability to identify trends/issues… more
- CommonSpirit Health (Phoenix, AZ)
- …for a health system, required. + Minimum 5 years of experience performing government, managed care , and commercial appeals required. + Minimum 7 years of ... of resources, medical necessity, levels of care , care progression, compliance with governmental and private payer...experience in a director level, or equivalent leadership role, required. + Prior… more
- Bon Secours Mercy Health (Sheffield Village, OH)
- …Departmental BSMH regulatory (eg licensure, certifications, accreditations, legal), and third-party payer ( managed care , HMO, Medicare, commercial insurance, ... with Certificate of Authority in psychiatric nursing/mental health practice. **EXPERIENCE:** + Managed Care and HMO/Capitated Treatment Planning. + Use of brief… more
- Mount Sinai Health System (New York, NY)
- …and governmental programs, regulations, and billing processes (eg, Medicare, Medicaid, etc.), managed care contracts and coordination of benefits is required. ... and reimbursement. This position will report to the Senior Director CDM of the Mount Sinai Health System This...payers, applicable federal and state regulations, healthcare financing and managed care . ? Expected to stay updated… more
- CommonSpirit Health (Englewood, CO)
- …by Utilization Management or Managed Care : Works with the Care Management Director and staff to facilitate client profiles, clinical service utilization ... across all levels (1-5), including IRO and ALJ reviews, utilizing payer -specific tracking tools. The successful candidate will also collaborate cross-functionally… more
- UnityPoint Health (Fort Dodge, IA)
- …Care : Assume a support role, in collaborating with System leadership teams regarding managed care contracting and payer contracting issues. * Revenue ... collaborative member of the market leadership team, the Executive Director of Finance is responsible for a market with...of the finance function in either a hospital/group setting/health care system or an organization of similar complexity. Strong… more
- Community Health Systems (Franklin, TN)
- …claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. This role requires effective communication with ... required + Experience working with insurance follow-up, claim resolution, and payer communication in a healthcare setting preferred **Knowledge, Skills and… more