- Medtronic (IL)
- …commercial and governmental payer landscape, reimbursement systems, coding (HCPCS/CPT, ICD-10), and managed care contracting . + In-depth knowledge of ... therapies are established. This position supports engagement with commercial payers, managed care organizations, and Medicare Advantage plans. Additionally, this… more
- Saint Luke's (Kansas City, MO)
- …entire supply chain flow for designated areas within procedural unit(s) of the hospital , including the OR, CV Services Lab, and /or IR. Collaborate with physicians, ... suppliers, nursing, contracting and the entire Saint Luke's Health System supply...chain to ensure all supply related elements are proactively managed for procedures. + Can perform all functions of… more
- CareOregon (Portland, OR)
- …experience to include creating queries. + 2 years' experience working in health care /insurance + Experience with managed care and/or project participation ... validated. + Manage monthly provider rosters received from contracted hospital systems and IPAs by investigating changes and validating...databases + General understanding of or ability to learn managed care and Oregon Health Plan concepts… more
- Catholic Health (Buffalo, NY)
- …with managed care to ensure accurate managed care pricing and reimbursement, and stewards contracting to ensure compliance and consistency ... societies EXPERIENCE + Seven (7) years of experience managing health care financial enterprises + Experience managing financial reporting, accounting and… more
- AdventHealth (Altamonte Springs, FL)
- …and health system leaders to deliver growth and high-quality, high-valued patient care with responsibility for the strategic direction of the AdventHealth Medical ... Lines and external affiliates to maintain sound business relations with hospital business partners and influencers. Responsible for all practice operations within… more
- University of Michigan (Ann Arbor, MI)
- …coding questions, responding to billing inquiries, and assisting with insurance authorizations and managed care related issues. + Work in basket messages. + Send ... patients, populations and communities through excellence in education, patient care , community service, research and technology development, and through leadership… more
- Abbott (Alameda, CA)
- …and implementing pricing strategies across all ADC brands and customer channels, including Managed Care , Medicaid, Medicare, Retail, and Point of Care ... and risks for pricing strategy development + Collaborate with Contracting Teams to provide input into contract development, administration,...packages a plus + Knowledge of Retail Pharmacy, DME, hospital and postacute care channels Apply Now… more
- UHS (Binghamton, NY)
- …healthcare system, one connection at a time. Primary Department, Division, or Unit: UHS Managed Care Contracting Primary Work Shift: Day Regular Scheduled ... clinical staff to prevent future issues, and ensuring that care delivered is care reimbursed. Join us...that reduce future denials. + Work with providers and hospital departments to ensure services are billed under the… more
- University of Rochester (Rochester, NY)
- …for continuous coverage on all Medicaid, Out of State Medicaid, and Medicaid Managed Care cases for appropriate follow-up and timely referral to Medicaid ... Management, Utilization Management, Social Work, Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. +… more
- HCA Healthcare (Dallas, TX)
- …of Managers, as well as attendance at Physician Partnership meetings. + Provides input for managed care contracting to ensure market initiatives are met. + ... spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal… more