- Elevance Health (Atlanta, GA)
- …or related field; minimum of 5 years of experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract /Cost of Care Consultant** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and… more
- Elevance Health (Durham, NC)
- …or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... **Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and… more
- Fresenius Medical Center (Franklin, TN)
- …(HMO, PPO, POS, etc.) for Payor Relations. Oversees contractual relationships with managed care organizations and other third party payors regarding rate ... Plans, Government Payors and other large payors + Oversees contractual relationships with managed care organizations and other third party payors regarding rate… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Coordinator-2\_R-001894) to apply. + Assesses Managed Care Entity (MCE) compliance with contract deliverables. ... case documents, audit summaries, and reports. + Coordinates law enforcement requests, managed care investigations, external audit requests, referrals, tips, and… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... clinical, contracting, finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is responsible for… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for all Commercial,… more
- UHS (Binghamton, NY)
- …Health Services (UHS) is seeking a detail-oriented Contract Technician to join our Managed Care Contracting team. In this role, you will review and improve ... hospital, homecare, and physician contract management within the Epic system, validating HealthPlan payments... is delivered. Primary Department, Division, or Unit: UHS Managed Care Contracting Primary Work Shift: Day… more
- Henry Ford Health System (Detroit, MI)
- …effective communication and cooperation. Routinely collaborates with corporate departments including Managed Care Contracting/ Revenue Cycle. . Collaborates with ... GENERAL SUMMARY: Under minimal supervision, the Network Contract Manager oversees the tracking and management of...Three (3) years of healthcare industry experience, preferably in managed care , or Accounting, Finance, Payor Contracting,… more
- US Physical Therapy (Houston, TX)
- …a ** Contract Manager/Analyst.** This is a dual role that will support the ** Managed Care Operations Team** . The person in this role should have experience ... in Managed Care , WC, Replacements & Auto lines...care contracts and government reimbursement methodologies to create contract modeling calculation. + Prepare pre-negotiation analysis to support… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …This position is responsible for directing and coordinating the managed care policies, goals, and objectives related to contract language, pricing and ... Group leadership in working with Physician Organizations in the market regarding managed care contracts, strategies for improving market share and opportunities… more