- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street ... analytics with a focus on hospital and ancillary. Reviews and monitors contract /payer performance including payer parity. Compares expected reimbursement data to… more
- PVH Corp. (Bridgewater, NJ)
- ….com Services:** Access to services for childcare, elder care , adoption preparation, pet care , plus reimbursement for backup care when your regular plans ... Operations department. Operations & Service Management is responsible for **Application Managed Services (L2)** , Enterprise Operations Center including L2 for… more
- Guidehouse (San Antonio, TX)
- …components. * Provides oversight and executive level management to overcall contract operations often involving multiple projects/tasks and groups of personnel at ... leading teams **Experience with oversight and executive level management for overall contract operations** **What Would Be Nice to Have** **:** + Experience with… more
- Intermountain Health (Salem, OR)
- …revenue cycle insurance follow up or denial management, required- Extensive knowledge of managed care contract interpretation, required - Associate's Degree, ... **Job Description:** The Reimbursement Specialist is responsible for performing a variety...duties, including working insurance claims follow-up and escalations, interpreting contract language, and tracking trends. This specialist works facility… more
- Humana (Springfield, IL)
- …+ Thorough understanding of managed care contracts, including contract language and reimbursement . + Exceptional written and verbal communication skills, ... trainings. + Attend Network Meetings/Conferences. Ensure compliance with all Virginia managed care contractual requirements for provider relations, such as… more
- Humana (Oklahoma City, OK)
- …desired + Understanding of managed care contracts, including contract language and reimbursement **Additional Information** WAH Internet Statement To ... interactions with Humana's Oklahoma Medicaid plan + Ensure compliance with Oklahoma's managed care contractual requirements for provider relations, such as… 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...Health System. This individual will ensure the accuracy of contract terms, reimbursement structures, and facilitate the… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key leadership role within the Controller's Office, responsible for ... and reporting processes to increase efficiency, accuracy, and scalability. + Non-Patient Care Services Receivable + Oversee invoicing, contract compliance, and… more
- UTMB Health (Galveston, TX)
- …UTMB Health Requisition # 2504255 **JOB SUMMARY** The primary responsibility of the Managed Care , Senior Contract Administrator position is leading, ... developing, and negotiating managed care agreements to ensure favorable reimbursement , alignment...HMOs, PPOs, ACOs, and Medicaid/Medicare Advantage plans. * Analyze reimbursement methodologies and contract performance to ensure… 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