- Molina Healthcare (GA)
- …for end-to-end relationship and management. They are responsible for provider contracting , provider training, network management and ensuring knowledge of and ... lead or support various Provider Network functions with an emphasis on contracting , education, outreach and resolving provider inquiries. + In conjunction with the… more
- HCA Healthcare (Nashville, TN)
- …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... counseling, long-term care coverage, moving assistance, pet insurance and more. +...compensation packages, presenting their profiles to the facilities and contracting them to work at the HCA and Non… more
- Nuvance Health (Danbury, CT)
- …on a daily/regular basis with the Denials Management team. * Assists with informing Managed Care contracting team with necessary contractual language to ... team Current working knowledge of utilization management, performance improvement and managed care reimbursement. Working Conditions: Manual: Some manual… more
- BJC HealthCare (St. Louis, MO)
- …The **_BJC Managed Care_** department includes multiple functions such as managed care contracting , financial analysis, systems and operations, ... **Overview** **_BJC HealthCare_** is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily… more
- University of Michigan (Ann Arbor, MI)
- …management (Associate CFOs, Vice Presidents of Finance, Chief of Revenue Cycle, Chief of Contracting and Managed Care , Senior Director of Reimbursement, and ... patients, populations and communities through excellence in education, patient care , community service, research and technology development, and through leadership… more
- Houston Methodist (Houston, TX)
- …for our center. **FINANCE ESSENTIAL FUNCTIONS** + Supports leadership by working with Managed Care Contracting on insurance requests for information (RFI), ... in Texas and one of America's "Best Hospitals." As a full-service, acute- care hospital located in the Texas Medical Center and the flagship hospital … more
- Mount Sinai Health System (New York, NY)
- …+ Experience working in healthcare provider analytics related to revenue modeling, managed care contracting , population management, case management, clinical ... years minimum in analytics development expertise, preferably in health care , or for a health provider, health plan or...claims system such as Facets, Amisys, etc.; or a hospital /provider system such as IDX, Soarian, etc. + Knowledge… more
- Centene Corporation (Tallahassee, FL)
- …contracting , provider relations or other related experience preferably in a healthcare, managed care , or insurance related environment. It is preferred that ... perspective on workplace flexibility. **Position Purpose:** Coordinate and negotiate hospital , physician (IPAs, PPMs, individual providers, multi specialty groups)… more
- UCLA Health (Los Angeles, CA)
- …Budget teams. + Manage Medi-Cal Waiver reimbursement, including FFS estimates and Managed Care entitlements. + Track regulatory changes, attend industry ... reimbursement activities that directly support the financial sustainability of the hospital system. Reporting to the Director of Reimbursement, you will ensure… more
- Kaleida Health (Buffalo, NY)
- …required. 8 years of experience in multi- hospital system and / or managed care required. 10 years of experience in Federal, state and accreditation ... reimbursement methodologies, coverage issues, documentation, coding conventions and insurance / managed care practices including but not limited to: utilization… more