- Sharp HealthCare (San Diego, CA)
- …and compliance through an integrated effort with the Business Services Department and Managed Care Finance through contract monitoring and information ... as a result of legislation, regulated or health plan directed. Incorporate managed care contracting priorities with organizational strategic direction and… more
- University of Southern California (Alhambra, CA)
- …prevent ER Visits, Hospital admissions, or Re-admissions. 4. Maintains awareness of current managed care contract requirements. 5. Coordinate the management ... are completed within 24 hours of admission; Observation patients are effectively care managed on a daily basis; and Facilitate throughput and timely discharges… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …include revenue cycle management and supervisory experience. Preferred Experience Involvement with managed care contract negotiation and payer relations. ... financial planning, revenue cycle management, budgeting, financial reporting, oversight of managed care contracts, and to ensure compliance with regulatory… more
- University of Southern California (Los Angeles, CA)
- …Institute through collaborative management of fiscal operations, (budget, Medicare Cost Reporting, and managed care contract terms) and leads the strategic ... Responsible for patient flow, scheduling, patient assessment and action, service to managed care organizations, and coordination of clinical research across the… more
- Rush University Medical Center (Chicago, IL)
- …for facilitating weekly Revenue and Receivable meetings between Revenue Cycle Leadership and Managed Care Contract Managers. Directs the creation and ... design, and implement a process to produce monthly payer scorecards for all major managed care payers. Provides feedback and statistical analysis to Rush Health… more
- CVS Health (Springfield, IL)
- …skills while executing national, regional, and market-level strategies + Experience in negotiating managed care (including vbc) contract terms across the ... and execution of Contracts with providers and delivery systems to participate in Aetna managed care networks. Work will include, but not be limited to active… more
- University of Southern California (Los Angeles, CA)
- …and documents avoidable delays in the M drive. * Maintains awareness of current managed care contract requirements. * Participates in appeal process. * ... In collaboration with the interdisciplinary team, provides care coordination services evaluating options and services required to meet an individual's health care… more
- Providence (Mission Hills, CA)
- …screens phones. Schedules and coordinates all meetings attended by Administrative Director of Managed Care , Contract Manager, Case Managers and UM ... Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters… more
- MyFlorida (Fort Lauderdale, FL)
- …Medicaid managed care claim complaints and determining managed care compliance with the SMMC contract as it relates to claims processing. Examples ... Analyzes programmatic reports of claims and provider reimbursement issues/complaints to determine managed care plan compliance with contract provisions.… more
- Guthrie (Sayre, PA)
- …workflows/processes that impact the Revenue Integrity functions: chargemaster, Federal, State & managed care contract rule development and charge capture ... a part of a tradition of excellence in health care . In all areas and at all levels of...through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include… more