- Molina Healthcare (Mesa, AZ)
- …diploma or equivalent **Required Experience** + 3 years' experience in a managed care environment. + Experience demonstrating strong: communication and ... Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations.… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care , VUMC is a community of individuals who come to work each day ... to advance health and wellness through preeminent programs in patient care , education, and research. **Organization:** VPH Admissions/Reception **Job Summary:** JOB… more
- Centene Corporation (Columbus, OH)
- …5+ years of provider services experience required, including experience in a managed health care environment with exposure to provider contracting, servicing ... to providers. + Research, analyze and resolve complex problems dealing with contract loading, division of financial responsibility interpretation, contract rate… more
- RTX Corporation (Mckinney, TX)
- …a security clearance **Security Clearance:** DoD Clearance: Secret **Raytheon Company, Managed by Collins Aerospace** We are currently seeking an experienced ... earned value / project management purposes + Establish a Contract Work Breakdown Structure (CWBS) and CWBS Dictionary +...virtual doctor visits + Bright Horizons, child and elder care services + Teladoc Medical Experts, second opinion program… 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
- Pfizer (Little Rock, AR)
- …leaders or high influence customers in large group practices, hospitals, or managed care organizations preferred. * Strong organizational and analytical skills ... * Present terms of sale of product or existing contract terms where appropriate and with approved language; proactively...reports payments and other transfers of value to health care providers as required by federal and state transparency… more
- Trinity Health (Springfield, MA)
- …including: clinic administered medications in eligible locations, mixed use areas managed by split billing software, and outpatient prescriptions fulfilled by ... contract 340B pharmacies. The 340B Analyst will have responsibility...itself as one of the leading providers of health care services in Western Massachusetts. Mercy Medical Center is… more
- Highmark Health (Pittsburgh, PA)
- …LPC, or other related clinical license + 3-5 years' experience in case management/ managed care with specific knowledge of quality monitoring, compliance and/or ... Provides consultation to the department. Monitors regulatory changes, industry trends, and contract changes on an ongoing basis. Educates staff and management as… more
- Comcast (Philadelphia, PA)
- …offers a suite of Connectivity, Communications, Networking, Cybersecurity, Wireless, and Managed Solutions to help global organizations of all sizes prepare for ... conditional offer of employment. **Skills:** Business Contracts; Price Modeling; Contract Pricing; Microsoft Excel; Pricing Processes; Pricing Analysis **Salary:**… 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 ... account balances to specific account needs. 7. Maintains Contract Management reporting (ie, payment errors, carve out billings) and updates any information as needed… more