- AdventHealth (Maitland, FL)
- …contractual payment term changes that achieve net revenue targets developed by the Regional Managed Care Directors and Contract negotiators Oversees the both ... payment term changes that achieve net revenue targets developed by the Regional Managed Care Directors and Contract negotiators + Oversees the both standard… more
- Novant Health (Charlotte, NC)
- …healthcare economic trends. **This is a Remote Position Responsibilities + Commercial Managed Care Payor Contract Negotiations + Specialty Contracting ... Manager, Payor Strategy and Relationship Management is a professional advisor supporting managed care contracts with health plans, payors, employer groups and… more
- WMCHealth (Valhalla, NY)
- …systems applications and maintenance support to end users in Managed Care and Patient Accounts department for Siemens Contract Management system (SCM). ... Sr. Director to develop form. + Responsible for maintaining managed care contracts in contract management system including reimbursement… more
- Cedars-Sinai (Los Angeles, CA)
- …Director of Managed Care develops and implements managed care and payer relations strategies including contract negotiation and management of payer ... industry groups (eg, CHA, HASC, APG) to shape and align Cedars-Sinai's managed care strategy. **Qualifications** Education: + **Bachelor's Degree Required** -… more
- Cedars-Sinai (Los Angeles, CA)
- …diagnosis and revenue codes) preferred. *Minimum of 2 years of experience with Managed care contract interpretation and reimbursement analysis preferred. ... ensure payment and resolution. + Monitors, evaluates, and reviews Cedars-Sinai Managed Care contracts and reconcile to payments received. + Ensures appropriate… 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
- Houston Methodist (Katy, TX)
- …Medicaid, Workers Comp, Commercial plans, etc.; knowledge of how to interpret a managed care contract , Medicare and Medicaid and Workers Compensation ... collection dollars from insurance companies in accordance with the respective contract and/or Houston Methodist financial arrangement. + Analyzes accounts for… more
- Houston Methodist (Houston, TX)
- …with third party recovery vendors to ensure their understanding and interpretation of the managed care contract terms and intent. Reviews and approves any ... or related field preferred **WORK EXPERIENCE** + Three years of experience in managed care and/or contract modeling + Three years of experience working with… more
- Emanate Health (Covina, CA)
- …preferred. Experience within an acute hospital setting, with strong emphasis on managed care contract and appeals/underpayment collection activities. ... at Emanate Health plays a vital role in the care we deliver. No matter what department you belong...Knowledge of networks, IPA's, HMO's, PPO's and PCP's and contract affiliations. Strong analytical skills, proficient with spreadsheets. c.… 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
Recent Jobs
-
Respiratory Therapist PRN - Nights
- HCA Healthcare (Dickson, TN)
-
Recruiting Specialist-Bilingual Spanish Speaking
- Help at Home (Joliet, IL)
-
PA or CRNP, Department of Medicine - Lung Transplant (Flex Full-Time)
- UPMC (Pittsburgh, PA)
-
OB/GYN Hospitalist at Vassar Brothers Medical Center in Poughkeepsie, NY (75 minutes North of New York City)
- Nuvance Health (Poughkeepsie, NY)