- Elevance Health (Cerritos, CA)
- …or related field and a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as well as in depth experience ... **Provider Contract Cost of Care Consult Senior...**Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role...accommodation is granted as required by law. The **Provider Contract Cost of Care Consult Senior /… more
- 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
- Community Health Systems (Franklin, TN)
- …maximizing reimbursement by identifying variances between posted and expected revenue for managed care , government contracts, and other payers. This role ... analysis required **Knowledge, Skills and Abilities** + Strong understanding of managed care , government contracts, and reimbursement processes. + Proficiency… more