- Mount Sinai Health System (NJ)
- …and contract compliance activities with the goal of optimizing and improving managed care reimbursement through efficient clinical delivery and aligned ... economical and effective healthcare + Completes in a timely manner all managed care applications, credentialing, and re-credentialing requests from the corporate… more
- Abbott (Alameda, CA)
- …to constantly shifting priorities. **What You'll Do** + Lead the negotiation of complex contract terms for Managed Care / Market Access contracts across ... managing contract development and negotiation for the Market Access / Managed Care Channel. The position will work cross-functionally with Account… 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
- Molina Healthcare (Long Beach, CA)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care field. **PREFERRED EDUCATION** ... equivalent combination of education and experience **PREFERRED EXPERIENCE** : 1-3 Years Managed Care experience \#PJCORP \#LI-AC1 To all current Molina… more
- ADM (Erlanger, KY)
- …works across internal and Service Provider leadership teams to assure the managed services contracts are being properly executed against outlined terms and ... and/or supporting one or more service towers of IT managed services contractual agreements with the Service Providers. ADM's...of these obligations, support issue resolution related to the contract , and assist in interpreting the contract … more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …: Incidental travel required **Scope of Responsibilities:** Oversight responsibility for the managed care department of the company. Responsible for training, ... + Monitor contract compliance, escalate disputes, and drive resolution of reimbursement issues. + Work closely with the Executive Team, Pharmacy Operations, and… more
- AmeriHealth Caritas (Manchester, NH)
- …business experience is preferred. + A minimum of 3 years of experience in managed care provider contracting and reimbursement is required, including in-depth ... Physician Practice Chief Executive Officers, Chief Financial Officers, Directors of Managed Care , and other high-level executives. **Work Location:** Manchester,… more
- Ascension Health (Pensacola, FL)
- …by tracking and managing performance against Service Level Agreements (SLAs) and other contract terms. + Collaborate with managed service providers and vendors ... disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit options and… 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
- Baylor Scott & White Health (Hartford, CT)
- …or correspondence. Collects inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts ... plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1Note: Benefits may...resolve payment issues and penalties owed to BSWH under Managed Care contracts. + Contacts insurance company… more