- 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
- Ventura County (Ventura, CA)
- …The incumbent also administers grant funding through activities including contract development, reimbursement processing, compliance monitoring, and related ... their spending power by reimbursing them with pre-tax dollars for IRS-approved dependent care and health care expenses. + Pension Plan - Participation in… more
- Novant Health (Charlotte, NC)
- …health system in negotiations with suppliers and other organizationsPayer Strategy & Reimbursement PerformanceCollaborate with Managed Care and Revenue ... appeals, defense audits, partner for payer strategy with our Managed Care team, and lead our Institute...also leads payer strategy as it relates to postservice reimbursement , denial trends, and contract performance. This… more
- The County of Los Angeles (Los Angeles, CA)
- …service operations, clinic, or programs overseen; ensures that budget and contract allocations reflect program priorities; and takes corrective action where ... ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum recovery costs for directly billable services. +… more
- US Anesthesia Partners (Dallas, TX)
- …Drafts, reviews, and negotiates in-network contracts with commercial health insurers, managed care organizations (MCOs), and third-party administrators (TPAs). + ... toward a common vision: Empowering people to advance exceptional care . POSITION SUMMARY:This position provides advice and counsel in...Analyzes contract language for reimbursement terms, rate schedules,… more