- AdventHealth (Maitland, FL)
- …revenue. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... labor performance is not compromised. * Responsible for timely entry of contract data into the Managed Care database which includes addition of new payors,… more
- AdventHealth (Maitland, FL)
- …department leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the ... Enterprise leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues. Ensures key stakeholders are… more
- AdventHealth (Maitland, FL)
- …or equivalent + The Senior Compliance Analyst role requires extensive knowledge in Managed Care contract interpretation and payment methodologies, billing, ... customer service and maintain relationships with clients who include AH Managed Care Directors, Contract Denial Specialists, other AdventHealth departments,… more
- Baylor Scott & White Health (Dallas, TX)
- …Cycle's interests in contract negotiations; maintain a strong working knowledge of managed care contract language and operational implications * Provide ... as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline...with the Revenue Analytics team and Managed Care to assess financial impacts of commercial contract… more
- Gilead Sciences, Inc. (Foster City, CA)
- …to take the lead in managing Gilead's day-to-day administration and processing of all Managed Care Commercial/Medicare Part D contract payments, in support ... of the contract development activities of the Managed Markets Strategy & Operations group. This group is...managing and supporting Gilead's strategies with national and regional Managed Markets accounts in order to provide appropriate patient… more
- Huron Consulting Group (Van Buren, AR)
- …+ 6 + years project leadership and workplan management experience with a focus on managed care with fee-for-service contract modeling skills. + 1 + years ... path forward. Create your future at Huron. As the Healthcare Consulting Manager in Managed Care , you will: + Manage complex multi-workstream projects and oversee… more
- Intermountain Health (Atlanta, GA)
- …in a complex invoice/billing/reconciliation environment, preferred- Extensive knowledge of managed care contract interpretation **Physical Requirements** ... payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. + Log findings and provides feedback… more
- Alameda Health System (Oakland, CA)
- …Commission, Title 22 and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case Management ... Director, Inpatient System Care Management + Oakland, CA + Highland General Hospital + SYS Care Coordination + Full Time - Varies + Management + Req… more
- MyFlorida (Tallahassee, FL)
- …the medical or insurance field. Preference will be given to applicants with managed care and/or contract experience. LICENSURE, CERTIFICATION, OR ... a highly responsible professional position in the Certificate of Need & Commercial Managed Care Unit requiring the ability to function independently as well as a… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …(PDL) to validate product placement complies with all terms and conditions of the managed care contract . Using critical thinking skills and data analytics, ... the position is to identify and resolve compliance and eligibility issues with contracted managed care customers. This position works with the Teva Market Access… more
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