- Molina Healthcare (Seattle, WA)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... to meet Molina's network adequacy standards. * Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician,… more
- Tenet Healthcare (Commerce Township, MI)
- …charges (eg, ABN not signed, denials, disputes, bad debt). 4. Reviews proposed managed care contracts and identify any issues or concerns with implementation ... loaded correctly into IMaCs and claims properly adjudicated during and after managed care negotiations. 6. Monitors/reviews billing, A/R and reconciliation for… more
- Catholic Health Services (Rockville Centre, NY)
- …complex data analysis. The ideal candidate possesses in-depth knowledge of Medicare/Medicaid reimbursement , managed care contracts, and healthcare finance. ... Job Details The Senior Financial Analyst reports to the Reimbursement team within the Corporate Finance department, and is...volume, case mix, or payer mix. + Partner with managed care , revenue accounting/reporting, and revenue cycle… more
- United Therapeutics (CA)
- …Access. You love to cultivate and manage key payer relationships with identified Managed Care Organizations (MCOs), Pharmacy Benefit Managers (PBMs), GPOs, and ... partnering with field sales and educating them on key managed care concepts + Strategic Planning and...the clinical and economic benefits of UT products + Contract Negotiation and Compliance: Negotiate and implement contracts within… more
- Bausch + Lomb (Atlanta, GA)
- …have worked with a pharmaceutical, biotech, or device manufacturer sales team in a reimbursement capacity or as a contract position through a reimbursement ... to Bausch + Lomb products across relevant sites of care . + Educate office staff and Providers on the...reimbursement activities are required to be conducted and managed within all appropriate legal and regulatory guidelines and… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …contract strategy, and represent needs of the customer. *Remain cognizant of managed care coverage throughout the business territory including major accounts ... approach to respond to business customers. The SSR will liaise with Marketing, Managed Markets, Operations, CL&D, Medical Affairs and Telesales to achieve the goals… more
- Molina Healthcare (San Antonio, TX)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated… more
- AmeriHealth Caritas (Southfield, MI)
- …+ Master's Degree preferred. + 10 or more years of experience years of managed care provider contracting and reimbursement experience, including in-depth ... care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral… more
- Walmart (Bentonville, AR)
- …accounting, economics, or related area with 7 years' experience in managed care contracting/negotiations, healthcare billing, healthcare finance, or healthcare ... compliance/legal; or Ten years of relevant experience in managed care contracting/negotiations, healthcare billing, healthcare finance, or healthcare… more
- Abbott (Abbott Park, IL)
- …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