- Stony Brook University (Commack, NY)
- Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook Medicine, as a Managed Care Provider Enrollment Specialist , you ... Management Plan, Inc., and Meeting House Lane Medical Practice, PC._ **Duties of a Managed Care Provider Enrollment Specialist may include the following but… more
- Arkansas Children's (Little Rock, AR)
- …in a related field of study. **Required Work Experience:** Related Field - 3 years managed care , payer relations, payer contract , or physician or hospital ... 8:00 am - 5:00 pm - Hybrid The Payer Contract Specialist is responsible for managing payer... Experience** **Familiarity with insurance contracts, reimbursement terms, and managed care agreements.** **Data & Financial Analysis**… more
- Corewell Health (Grand Rapids, MI)
- …internal and external customers. The successful candidate will understand the nuances of managed care contracting, analytics, managed care payers, ... Operating Committee meetings. May be requested to present and represent Managed Care Contracting updates/initiatives at meeting with internal/external… more
- UPMC (Pittsburgh, PA)
- UPMC Community Care Behavioral Health is hiring a full-time Contract Specialist II. This role will predominantly work remotely but may require occasional ... given to candidates local to the Pittsburgh area. The Contract Specialist II is responsible for facilitating...and in a timely manner. + General knowledge of managed care functions and management techniques preferred.… more
- Gentiva (Atlanta, GA)
- **Overview** We're looking for a ** Contract Specialist ** to join our team.You will report directly to the VP of Regulatory Counsel andbe responsible for ... preparing, reviewing, analyzing, and responding to requests for managed care , provider, and other related healthcare agreements. + Prepares and negotiates… more
- WMCHealth (Valhalla, NY)
- …Performs other related work as required. Responsibilities: + Responsible for maintaining managed care contracts in contract management system including ... reimbursement formulas/calculations in accordance with payment methodology (DRG, Medicare/Medicaid, Managed Care - Commercial, etc,). Validates payment rate… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …collections of outstanding account balances for commercial, government, and managed care payors as assigned. The Reimbursement Specialist I is required to ... their leadership. It is a requirement for the Reimbursement Specialist I to read, interpret and apply complex payor... I to read, interpret and apply complex payor contract language to expected reimbursement calculations and pursue all… more
- Molina Healthcare (Traverse City, MI)
- …effective and efficient business results. * Trains and monitors newly hired Contract Specialist (s). * Participates in other contracting related special projects ... does not entail heavy negotiations. Minimal ongoing engagement after contract . Synchronizes data among multiple claims systems when applicable,... field including, but not limited to, provider's office, managed care , or other health care… more
- New York State Civil Service (Schenectady, NY)
- …People With Developmental Disabilities, Office for Title Human Resources Specialist 1/Trainee 1/2 Occupational Category Administrative or General Management Salary ... State NY Zip Code 12304 Duties Description Under the supervision of a Human Resources Specialist 2, the Human Resources Specialist 1 this position will perform a… more
- Logan Health (Bigfork, MT)
- …Preferred Qualifications: + Associate's or Bachelor's degree. + Experience with managed care coverage, reimbursement, medical terminology, and medical coding. ... + Strong working knowledge of applicable rules, regulations and guidelines governing managed care coverage and reimbursement preferred. + Background knowledge… more