- Stanford Health Care (Palo Alto, CA)
- …+ Knowledge of accounting, healthcare reimbursement, financial forecasting, operations analysis, managed care contracting , capitation management, general ... of expected and actual revenue and contractual allowances for all payors including managed care , Medicare, Medi-Cal, commercial, and self pay payors. Oversee the… more
- Molina Healthcare (TX)
- …different provider contract types, ie, physician, group and hospital contracting , etc. + Working familiarity with various managed healthcare provider ... customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience...negotiating different provider contract types, ie, physician, group and hospital contracting , etc. To all current Molina… more
- Molina Healthcare (West Valley City, UT)
- …different provider contract types, ie physician, group and hospital contracting , etc. * Working familiarity with various managed healthcare provider ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and... field including, but not limited to, provider's office, managed care organization, or other health … more
- AmeriHealth Caritas (Washington, DC)
- …setting. + 3 years of supervisory/ management/ leadership experience, preferably in a managed care setting. + Valid driver's license and automobile insurance. ... care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral… more
- The Cigna Group (Mclean, VA)
- …+ Experience in developing and managing relationships + Understanding and experience with hospital , managed care , and provider business models a plus ... of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare Hospital /Provider/Ancillary group...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- CommonSpirit Health (Phoenix, AZ)
- …appropriate reimbursement rates associated language, between physicians/hospitals and payers/networks for managed care contracting initiatives. + Review and ... for all aspects of our organization's payer relations and contracting , ensuring optimal financial performance and sustainable partnerships with...of experience in a supervisory role + Strongly prefer hospital or managed care experience… more
- Mount Sinai Health System (New York, NY)
- …transformation + Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
- BrightSpring Health Services (San Diego, CA)
- …communicating (verbally and in writing) with skilled nursing, assisted living, subacute and managed care organizations to assess market needs. + Works with RVP ... for products and service. Prior experience in B2B Long-Term Care Sales or Pharmacy Services Sales a plus. Remote...Accounts * Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance * 401(k) Retirement Plan * Company… more
- Stony Brook University (East Setauket, NY)
- … Care Hospital Revenue Cycle or Patient Accounting Department resolving hospital Managed Care payment variances and/or denials. **Job Responsibilities ... + Collaborates on denials prevention initiatives. + Liaises with Managed Care Contracting and Insurance...Degree 5 years of Healthcare Revenue Cycle experience resolving hospital Managed Care payment variances… more
- Health Care Service Corporation (Oklahoma City, OK)
- …least one year experience developing and negotiating provider contracts OR 5 years managed care operations experience handling independent work with at least one ... providers. This role will also provide support for complex hospital and physician contracting activities. Ability and...our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an… more