- Kaleida Health (Buffalo, NY)
- …, with knowledge of revenue cycle operations, financial operations, healthcare IT systems, hospital CDM management, managed care , federal and industry ... performance improvement through active participation as a member of the Hospital /Systems Leadership Team. Provides guidance, mentoring and management support to… more
- University of Southern California (Los Angeles, CA)
- …sound, reasonable business judgment throughout the Transplant Institute. In collaboration with Managed Care Contracting team, provides contract oversight, ... consistent process and controls. Serves as the primary liaison with the hospital system revenue cycle and finance departments and maintains relationships with those… more
- Prime Healthcare (Ontario, CA)
- …(10) years prior work experience in Claims Operations and Health Plan Strategy, in a Managed Care , Self-Funded or hospital setting is required. + Analytical ... as collaborate with Network Development, Provider Affiliation and Member Relations, Contracting , and Benefits Administration to ensure data integrity and to drive… more
- Cedars-Sinai (Beverly Hills, CA)
- …and designated Research Grant Specialist to ensure all grant awards are appropriately managed and maintained for Faculty holding a primary appointment in the area. + ... Responsible for facilitating the Faculty contracting process in coordination with Academic Human Resources. +...voucher distribution and use, and all expenditures for patient care expenses and equipment purchases. + Responsible for yearly… more
- Humana (Baton Rouge, LA)
- …*Oversee regional utilization management and case management for inpatient cases (acute care hospital , LTAC, Acute rehab, SNF) according to the Humana ... skills + 5 years of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products +… more
- Novant Health (Charlotte, NC)
- …ventures, strategic partnerships and foundational knowledge of healthcare operations. + Managed care , value based arrangements and physician network experience ... This role supports facilities and physician network operations, including physician contracting , employment law, and patient care related legal matters.… more
- Centene Corporation (Montpelier, VT)
- …provider relations or other related experience preferably in a healthcare, managed care , or insurance related environment. **License/Certification:** Valid ... perspective on workplace flexibility. **Position Purpose:** Coordinate and negotiate hospital , physician (IPAs, PPMs, individual providers, multi specialty groups)… more
- Corewell Health (Grand Rapids, MI)
- …insurance environment relevant to benefits, provider contracting , claims processing, and/or managed health care . + 1 year of relevant experience Revenue ... will play an essential role in delivering personalized health care to our patients, members and our communities. We...employment type and status Primary Location SITE - Blodgett Hospital - 1840 Wealthy St SE- Grand Rapids Department… more
- University of Rochester (Rochester, NY)
- …provides administrative oversight of financial activities for all clinical research studies managed within the CTO of the WCI. Responsible for all aspects of ... teams, industry representatives, ORPA, ORACS, and all other University and/or hospital departments to ensure all items/procedures required by protocol are accounted… more
- Ascendis Pharma (Princeton, NJ)
- …FSS, PHS340B) and related regulations. + Deep experience working in therapeutic areas with managed care contracting and rebates + Demonstrated ability to ... Accounts + Various incentive compensation plans + Accident, Critical Illness, and Hospital Indemnity Insurance + Mental Health resources + Paid leave benefits for… more