- UHS (Binghamton, NY)
- …OverviewUnited Health Services (UHS) is seeking a detail-oriented Contract Technician to join our Managed Care Contracting team. In this role, you will ... the way care is delivered. Primary Department, Division, or Unit: UHS Managed Care Contracting Primary Work Shift: Day Regular Scheduled Weekly Hours: 40… more
- Dana-Farber Cancer Institute (Boston, MA)
- …patient care coordination, including utilization review, intake or discharge planning, and managed care contracting . This role ensures the delivery of ... The Nurse Director for Care Coordination directs and oversees a team responsible...high-quality patient care by developing and implementing nursing policies, procedures, and… more
- Texas Health Resources (Bedford, TX)
- …and techniques such as Six Sigma, Lean, and Clinical Microsystems. Knowledge of managed care contracting and standards, medical necessity, and ... Director Care Transition _Are you looking for a rewarding...1973, Texas Health HEB has been a cornerstone of care in the DFW mid-cities. As a 322-bed, acute-… more
- Intermountain Health (Billings, MT)
- …. + Assist Practice Administrators and Intermountain Health (Coding and Payer Relations, Managed Care Contracting , Finance and Accounting, and Patient ... **Job Description:** Medical Group Medical Director of Specialty Care in Montana Market, Billings is a leadership...enhance open and effective communication among providers, management teams, Care Site, and Intermountain Health + Ensure that all… more
- Baylor Scott & White Health (Dallas, TX)
- …of 5 years of progressive experience in healthcare revenue cycle, payer relations, or managed care contracting . Experience in a matrixed or integrated ... role serves as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline payer communications. The Director will… more
- Sutter Health (Sacramento, CA)
- …legal risk, and supporting key negotiations and regulatory initiatives. Key Responsibilities Managed Care Contracting Support Serve as primary legal ... partner to the Managed Care Contracting department. Advise on negotiation strategy and draft, review, and negotiate complex payer agreements, amendments, and… more
- Henry Ford Health System (Detroit, MI)
- …to ensure value-based revenues are accurately modeled and recorded. + Partner with Managed Care Contracting to ensure contract terms, reimbursement ... team structures, improve upstream processes in collaboration with Revenue Cycle, Finance, Managed Care , System Analytics, and the Mosaic CIN. This leader… more
- Mount Sinai Health System (New York, NY)
- …transformation + Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- Highmark Health (Oklahoma City, OK)
- …Insurance, Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population ... drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark Health… more
- IQVIA (Parsippany, NJ)
- …+ Familiarity with revenue management systems (eg, Model N, Vistex), government pricing, managed care contracting , and the Inflation Reduction Act. + ... in Market Access areas such as Master Data Management, Chargebacks, Government Pricing, Managed Care Contracting , Medicaid, Commercial Contracting , 340B… more