- Penn State Health (Hershey, PA)
- …care of a select patient population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts. Mobilizes ... patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community. Penn State Health offers an exceptional… more
- SSM Health (St. Louis, MO)
- …receivable valuation and net revenue analytics. + Collaborates with the revenue cycle, managed care finance, and government reimbursement teams to address ... the Midwest through a robust and fully integrated health care delivery system. The organization's 40,000 team members and...budgeting process. + Serves as the Epic contact for contract and pricing schedules updates, revenue, adjustments, and bad… more
- Molina Healthcare (Bowling Green, KY)
- …SKILLS & ABILITIES** : * 7+ years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including 2+ years ... that result in high quality, cost effective and marketable providers. Contract /Re-contracting with large scale entities involving custom reimbursement . Executes… more
- Penn State Health (Hershey, PA)
- …care of a select patient population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts. Mobilizes ... patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community. **For more information:** About Us |… more
- Catholic Health Services (Melville, NY)
- …the Catholic Health Physician Advisor when appropriate. + Reviews results from managed care payors and/or regulatory agencies determinations for further action. ... Acts as a resource for MCC/CM regarding regulatory or managed care requirements or regulations + Meets...health team members to understand and help comply with payer/ contract issues and appeal preparation. + Maintains strict standards… more
- CVS Health (Springfield, IL)
- …skills while executing national, regional, and market-level strategies + Experience in negotiating managed care (including vbc) contract terms across the ... and execution of Contracts with providers and delivery systems to participate in Aetna managed care networks. Work will include, but not be limited to active… more
- FlexStaff (Bronx, NY)
- …and experience. Experience: + 1-2 years of experience in healthcare provider contracting, managed care , or a related role. + Vendor/ provider contracting ... care requirements. JOB DESCRIPTION + Track and manage contract terms and renewals to ensure timely execution. +...Working knowledge of Medicare and Medicaid is required. Health plan/ managed care setting, preferred. + Experience in… more
- Grifols Shared Services North America, Inc (Rockford, IL)
- …or local system/institution/account vs Grifols responsibilities/expectations. Assess needs for potential contract opportunities. Know Managed Care throughout ... respond to customers, business and environmental needs like connection to Marketing, Managed Markets, Operations, CL&D, and Medical Affairs. They are also tasked at… more
- Point32Health (Canton, MA)
- …implementation of contract terms + Detailed understanding of health care reimbursement methodologies including Ancillary Value Based Contracting and Medicare ... and providing ongoing management of the operational aspects of contract reimbursement for approximately 30 different ancillary...required) **:** + 10+ years related experience in a managed health care environment, with a thorough… more
- CommonSpirit Health (Phoenix, AZ)
- …Strategic Initiatives Analyst plays a critical role in advancing CommonSpirit Health's managed care strategy through a blend of financial analysis, payer ... and manages their integration with internal Core Analytics Tools, to inform contract strategy, optimize reimbursement , and identify risks and opportunities in… more