- 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
- 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
- Elevance Health (Boston, MA)
- …impact:** + Develops, deploys and measures behavioral health strategic quality plan for statewide managed care contract and crisis line services. + Acts as ... for Quality Assurance (NCQA) behavioral health and health equity standards for managed care contract and compliance with American Association of Suicidology… 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
- AdventHealth (Altamonte Springs, FL)
- …audit requests and monitors adherence to contractual terms, communicating violations to the managed care contract team. + Leads denials management prevention ... and provides updates for key denials prevention program documentation. + Reviews managed care contracts and compares them against patient claims to identify and… more
- Cardinal Health (Albany, NY)
- …research and problem/dispute resolution **_Responsibilities_** + Analyzes and monitors payer trends, managed care contract compliance, contract and ... policies and procedures + Works closely with all Revenue Cycle Departments and Managed Care + Coordinates with departments and insurance companies to correct… more
- Albany Medical Center (Albany, NY)
- …be primarily responsible for supporting system-wide service line reporting, financial analysis and managed care contract valuation and analysis for Albany ... will also be responsible for building and maintaining the contract analysis module within the Strata system. This will...gathering all the contractual terms and rates for our managed care contracts in addition to government… 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
- 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