- Catholic Health Services (Rockville Centre, NY)
- …The ideal candidate possesses in-depth knowledge of Medicare/Medicaid reimbursement, managed care contracts, and healthcare finance. Key Responsibilities: ... related to changes in volume, case mix, or payer mix. + Partner with managed care , revenue accounting/reporting, and revenue cycle teams to evaluate payer… 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 or ... performance to inform our clinical or contracting staff to improve contract outcomes. 2. Care Management - Helps to identify, understand and prioritize at-risk… more
- Highmark Health (Pittsburgh, PA)
- …thorough understanding of clinical reimbursement, federal and state regulations, and managed care issues. Identifies opportunities to optimize clinical ... trends, policies, and issues affecting physician practices. + Familiarity with risk, managed care , capitation, ACO development, and population health management.… more
- CVS Health (Nashville, TN)
- …work experience in healthcare. + Minimum of 3 years' experience in Medicaid Managed Care business segment environment servicing providers with exposure to ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Compass Group, North America (Dallas, TX)
- …include inventory, ordering and receiving + Knowledge of P&L accountability and contract - managed service experience is desirable + Proficient in menu ... daily culinary and food service operations within an acute care setting in **Dallas, TX.** This is a _Great...exposition cooking needed + Knowledge of P&L accountability and contract - managed service experience is desirable + ServSafe… more
- Walmart (Bentonville, AR)
- …accounting, economics, or related area with 7 years' experience in managed care contracting/negotiations, healthcare billing, healthcare finance, or healthcare ... compliance/legal; or Ten years of relevant experience in managed care contracting/negotiations, healthcare billing, healthcare finance, or healthcare… more
- HCA Healthcare (Nashville, TN)
- …review activities based on policy and procedure. + Demonstrates a working knowledge of managed care agreements based on available resources which may include and ... experience in an acute care hospital. Utilization Review, appeals, denials, managed care contracting, experienced preferred. + Currently licensed as a… more
- Trinity Health (New Hampton, IA)
- …least one year within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing financial ... Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc.), managed care contracts and coordination of benefits is required.… more
- AmeriHealth Caritas (Raleigh, NC)
- …position working with providers. + 3 to 5 years experience in the managed care /health insurance industry. + Medicaid experience preferred. + Demonstrated ... assuring financial integrity of the Plan is maintained and contract management requirements are adhered to, including language, terms...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more
- Point32Health (Canton, MA)
- …industry **Experience** + Required (minimum): A minimum of 5-7 years' experience Managed Care , preferably at a Health Plan, in a ... Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to.... **Job Summary** The Provider Vendor Manager supports sourcing, contract execution, and performance management for key vendor partners,… more