- Harbor Health Services, Inc. (Mattapan, MA)
- …of health care resources, with attention to the quality and appropriateness of care within a managed care environment. Additionally, the Director of UM ... Ensures controls are established to maintain compliance with all contract requirements, as well as state and federal regulatory...years of management experience in a health plan and/or managed care environment required 3 or more… more
- AccentCare, Inc. (Dallas, TX)
- Overview Managed Care Contract Specialist Location: Dallas Corporate Office Position: Managed Care Contract Specialist Position Type: ... is necessary for success in this role. Find Your Passion and Purpose as a Managed Care Contract Specialist What You Need to Know Reimagining Your Career… more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring ... contract language for Commercial, Medicare and Medi-Cal managed care . + Acts as a liaison...and beyond. **Req ID** : 11981 **Working Title** : Managed Care Compliance Specialist -… more
- State of Colorado (Denver, CO)
- …drafting, negotiating, processing, and implementing contracts, amendments, and waivers in addition to contract management for Medicaid managed care and DSNP ... Managed Care Unit Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5161687) Apply Managed Care Unit Supervisor Salary… more
- JPMorgan Chase (Columbus, OH)
- …center of high-impact collaboration with senior leaders and industry experts. As the Contract Specialist within JP Morgan's Asset Management you are an ... Take charge of the contract management process for JP Morgan's diverse investment...Mutual Funds, Global Liquidity, 529, Commingled, ETF, Alternatives and Managed Account businesses. This includes responsibility for the approval… more
- Intermountain Health (Frankfort, KY)
- …revenue cycle insurance follow up or denial management, required- Extensive knowledge of managed care contract interpretation, required - Associate's Degree, ... complex duties, including working insurance claims follow-up and escalations, interpreting contract language, and tracking trends. This specialist works facility… more
- Valor Health (Bowling Green, KY)
- Clinical Pharmacist Specialist - Primary Care Bowling Green,...patients utilizing rules set forth by the VA for co- managed care . + Completes any and all ... Healthcare is seeking a dynamic and passionate Clinical Pharmacist Specialist (CPS) to provide care at the...preferred. Specific requirements could vary based on individual VA contract . + Must be credentialed and remain in good… more
- Guidehouse (San Antonio, TX)
- **Job Family** **:** Financial Account Specialist **Travel Required** **:** None **Clearance Required** **:** Ability to Obtain Public Trust **What You Will Do** ... components. * Provides oversight and executive level management to overcall contract operations often involving multiple projects/tasks and groups of personnel at… more
- Stony Brook University (East Setauket, NY)
- …Care Hospital Revenue Cycle or Patient Accounting Department resolving hospital Managed Care payment variances and/or denials. **Job Responsibilities may ... Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the...trains new staff regarding departmental/unit policy and procedure, including Managed Care Contracts. + Monitors work queues… more
- HCA Healthcare (Campbell, CA)
- …of health plan economics analyses, metrics and health plan reporting in a Managed Care environment relating to the financial, quality and operational performance ... Come join our team as a Health Plan Economics Specialist . We care for our community! Just...for Health plan Metrics, Analytics and Reporting for a Managed Care organization + Develop and maintain… more
