- University of Utah Health (Salt Lake City, UT)
- …related field, or the equivalency. + Four (4) years of progressively more responsible contract negotiating, processing, and managed care and contract ... Health exists to enhance the health and well-being of people through patient care , research and education. Success in this mission requires a culture of… more
- UTMB Health (Galveston, TX)
- …third-party pay or regulatory requirements. + Thorough knowledge of Hospital reimbursement and managed care contract issues. + Knowledge of automated systems ... and operational staff. + Works closely with contracting to ensure optimal payer contract terms and is responsible for ensuring the appropriate collection of all… more
- Guthrie (Binghamton, NY)
- …the following areas, in collaboration with other subject matter leaders: Reimbursement, Managed Care Contract Negotiation, Hospital Financial Accounting, ... understanding of financial and operational leadership issues in acute care hospitals. Senior management level experience with budgetary/forecasting preparation...a part of a tradition of excellence in health care . In all areas and at all levels of… more
- Community Health Systems (Franklin, TN)
- …identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. This role requires effective ... people get well and live healthier. CHS operates 71 acute- care hospitals and more than 1,000 other sites of... hospitals and more than 1,000 other sites of care , including physician practices, urgent care centers,… more
- Catholic Health Services (Rockville Centre, NY)
- …new entities on the Strata Decision Support system. Provides accurate cost data for managed care contract negotiations. Assists in the preparation of ... and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network… more
- Zions Bancorporation (Midvale, UT)
- …business areas. The successful candidate will have experience with handling pharmacy contracts, managed care contracts, or other contract background; be able ... UT. This position will assist with management of the contract lifecycle for our clients, including template setup, ...+ Health Savings (HSA), Flexible Spending (FSA) and dependent care accounts + Paid Training, 15 days of Paid… more
- Prime Healthcare (Sherman Oaks, CA)
- …of contract interpretation 4. Familiar with hospital billing requirements 5. Understanding of managed care payor contract and contract language 6. ... Overview Sherman Oaks Hospitalis a 153-bed, not-for-profit, acute- care community hospital located in Sherman Oaks, California....the hospital is recognized for advanced technology and compassionate care and provides 24/7 emergency care in… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …treatment capabilities and capacity for Product Lines/Specialties assigned. Proactively collaborates with Managed Care Support Contract (MCSC), Product Line ... currently seeking to hire a Registered Nurse (Non-Practicing) to support its contract with the Integrated Referral Management and Appointing Center (IRMAC), the… more
- State of Michigan (Lansing, MI)
- …+ No 07 Describe your experience monitoring the program integrity activities of Medicaid managed care entities and/or monitoring contract compliance. If you ... (https://www.michigan.gov/documents/mdhhs/OIG\_Career\_Brochure4\_668607\_7.pdf) The incumbent in this position functions as a Managed Care Oversight Analyst within the Michigan… more
- Humana (Springfield, IL)
- …to manage multiple priorities in a fast-paced environment. + Thorough understanding of managed care contracts, including contract language and reimbursement. ... trainings. + Attend Network Meetings/Conferences. + Ensure compliance with all Virginia managed care contractual requirements for provider relations, such as… more