- Stony Brook University (East Setauket, NY)
- …and denied accounts. + Collaborates on denials prevention initiatives. + Liaises with Managed Care Contracting and Insurance Company Provider Representatives ... Care Hospital Revenue Cycle or Patient Accounting Department resolving hospital Managed Care payment variances and/or denials. **Job Responsibilities may… more
- Mount Sinai Health System (New York, NY)
- …+ Experience working in healthcare provider analytics related to revenue modeling, managed care contracting , population management, case management, clinical ... identify trends in performance to inform our clinical or contracting staff to improve contract outcomes. b. Care... contracting staff to improve contract outcomes. b. Care Management Helps to identify, understand and prioritize at-risk… more
- Mount Sinai Health System (New York, NY)
- …+ Experience working in healthcare provider analytics related to revenue modeling, managed care contracting , population management, case management, clinical ... identify trends in performance to inform our clinical or contracting staff to improve contract outcomes. 2. Care... contracting staff to improve contract outcomes. 2. Care Management - Helps to identify, understand and prioritize… more
- Hartford HealthCare (Farmington, CT)
- …to collaborate with Finance leadership in defining opportunities for revenue optimization through managed care contracting to ensure that we capture all ... registration, health insurance practices and benefit design, billing, accounts receivable, managed care contractual terms and requirements, industry regulatory… more
- AmeriHealth Caritas (Southfield, MI)
- …+ Master's Degree preferred. + 10 or more years of experience years of managed care provider contracting and reimbursement experience, including in-depth ... care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral… more
- UnityPoint Health (Fort Dodge, IA)
- … Care : Assume a support role, in collaborating with System leadership teams regarding managed care contracting and payer contracting issues. * Revenue ... opportunities of the finance function in either a hospital/group setting/health care system or an organization of similar complexity. Strong leadership, strategic… more
- Houston Methodist (Sugar Land, TX)
- …+ Maintains knowledge of Federal, State, and local billing regulations and partners with managed care contracting as needed. + Maintains knowledge of ... determinations and, denial reason and trending as appropriate, Monitors CMS, managed care and payor communications for updates/alerts/releases and functions… more
- Nuvance Health (Danbury, CT)
- …on a daily/regular basis with the Denials Management team. * Assists with informing Managed Care contracting team with necessary contractual language to ... * Current working knowledge of utilization management, performance improvement and managed care reimbursement. Working Conditions: Manual: Some manual… more
- Select Medical (Plano, TX)
- … Managed Care personnel. + Troubleshoot with internal business operations and Managed Care contracting to resolve accounts receivable delays due to ... *Are you an individual who enjoys working on the business side of health care ? * Do you have experience in provider credentialing or another related healthcare… more
- Organon & Co. (Dover, DE)
- …with analytical capabilities. + Highly developed Leadership Skills. + Working Knowledge: Managed Care Operations, Contracting Strategy, Healthcare Systems ... and Skills** + BA/BS. + Two plus years of managed care account manager or equivalent experience....MBA preferred. + Previous large/strategic account management role. + Contracting experience. + Health care trends and… more