- State of Indiana (Indianapolis, IN)
- Contract Compliance Officer Date Posted: Dec 4, 2025...a wide range of health services through a risk-based managed care delivery system established with ... percent of the state's budget to ensure vital health care coverage to approximately 1 in 4 Hoosiers. OMPP...12 paid holidays, 14 on election years + Education Reimbursement Program + Group life insurance + Referral Bonus… more
- Hawaii Pacific Health (Honolulu, HI)
- … Analysis department provides financial analysis and planning in the review of managed care contracts. This dedicated team of professionals audits and monitors ... Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including...the contract reimbursement system and measures payor performance… more
- Hawaii Pacific Health (Honolulu, HI)
- … Analysis department provides financial analysis and planning in the review of managed care contracts. This dedicated team of professionals audits and monitors ... Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including...the contract reimbursement system and measures payor performance… more
- Omaha Children's Hospital (Omaha, NE)
- …to understand impact to the organization + Work with Director of Managed Care to aid in understanding of reimbursement issues and analyze payor contract ... to improve the life of every child through exceptional care , advocacy, research and education. As the state's only...and other agency reporting over net patient revenue and reimbursement . Oversees general ledger accounts and ensures accuracy of… more
- Hawaii Pacific Health (Honolulu, HI)
- … Analysis department provides financial analysis and planning in the review of managed care contracts. This dedicated team of professionals audits and monitors ... Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including...the contract reimbursement system and measures payor performance… more
- Centene Corporation (Montpelier, VT)
- …provider relations or other related experience preferably in a healthcare, managed care , or insurance related environment. **License/Certification:** Valid ... expected and meet the objectives of the company and approximate the State's reimbursement to the provider + Facilitate and provide oversight to the provider set-up… more
- Nuvance Health (Danbury, CT)
- …ie, registration. 5. Follows through with education of rules and regulations in the managed care system, as well as State & Federal guidelines. 6. Adjusts ... application, denial management, and account follow-up to ensure optimal reimbursement . Responsibilities: 1. Accurately processes claims, payments, rejections, refunds,… more
- CommonSpirit Health (Englewood, CO)
- …and support all stakeholders through ongoing educational and problem-solving support for managed care payer reimbursement models. This position requires ... daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract modeling strategy and… more
- CommonSpirit Health (Rancho Cordova, CA)
- …position. The Senior Analyst, Payer Analytics & Economics performs managed care financial analysis, strategic pricing and payer contract modeling activities ... Recommends strategies for maximizing reimbursement and market share. Develops new managed care products with external payers that are consistent with… more
- Nuvance Health (Danbury, CT)
- …ie, registration. 6. Follows through with education of rules and regulations in the managed care system, as well as, State & Federal guidelines. 7. Adjusts ... inquiries, denials, correspondence & telephone inquires. 4. Maintains all reports ( contract management) files and records as needed; ie, medical records, referrals,… more