- Health Care Service Corporation (Tulsa, 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
- 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
- Texas Health Resources (Bedford, TX)
- …and techniques such as Six Sigma, Lean, and Clinical Microsystems. Knowledge of managed care contracting and standards, medical necessity, and ... of care in the DFW mid-cities. As a 322-bed, acute- care , full-service hospital , we provide high-quality, convenient care to residents of Hurst,… more
- CommonSpirit Health (Rancho Cordova, CA)
- …reimbursement rates and associated language, between physicians/hospitals and payers/networks for managed care contracting initiatives. Develop and approve ... This position requires daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. The position must handle… more
- HCA Healthcare (Austin, TX)
- …+ Provides medical consultation on contracting , pricing, and analysis of managed care issues. Offers clinical support for appeals and denials process, ... regarding delegated utilization management and disease management operations under managed care contracts. Meets all regulatory/contractual/accreditation requirements… 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
- AmeriHealth Caritas (Southfield, MI)
- …+ Master's Degree preferred. + 10 or more years of experience years of managed care provider contracting and reimbursement experience, including in-depth ... care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral… more
- HCA Healthcare (Overland Park, KS)
- …as needed and performs medical record reviews for payor projects **Transitions of Care ** + Contacts patients after hospital discharge to identify the need ... Care Coordinators + Facilitates specialty referrals, as appropriate, for conditions/needs managed outside the primary care realm + Documents efforts in… more
- Scotland Health Care System (Laurinburg, NC)
- …hospital including but not limited to physician employment, physician call, managed care , agency, maintenance, compliance, leases, This includes maintenance ... required, or 2-3 years of relevant experience in health care legal office + Contracting + Develops...deadlines, terms or + Coordinates and works with each hospital director and administrator to review their contracts and… more
- UHS (Binghamton, NY)
- …OverviewUnited 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... is delivered. Primary Department, Division, or Unit: UHS Managed Care Contracting Primary Work… more