- WMCHealth (Valhalla, NY)
- Managed Care Specialist Company:...in a Healthcare setting, required.Minimum one year in a managed care contracting setting, required. ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/29996) Internal Applicant link Job Details: Job Summary: The Managed Care Specialist under the direction… more
- Corewell Health (Grand Rapids, MI)
- …complex internal and external customers. The successful candidate will understand the nuances of managed care contracting , analytics, managed care ... Committee meetings. May be requested to present and represent Managed Care Contracting updates/initiatives at meeting with internal/external constituencies.… more
- Molina Healthcare (Long Beach, CA)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care field. **PREFERRED EDUCATION** ... equivalent combination of education and experience **PREFERRED EXPERIENCE** : 1-3 Years Managed Care experience \#PJCORP \#LI-AC1 To all current Molina… more
- Stony Brook University (East Setauket, NY)
- …and denied accounts. + Collaborates on denials prevention initiatives. + Liaises with Managed Care Contracting and Insurance Company Provider Representatives ... Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the...Hospital Revenue Cycle or Patient Accounting Department resolving hospital Managed Care payment variances and/or denials. **Job… 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
- BayCare Health System (Tampa, FL)
- …will resolve errors and issues by coordinating with the plans, the CBO and the Managed Care contracting department. Why BayCare? Our network consists of 16 ... in Florida. Responsibilities + Responsible for initiating and maintaining credentialing, managed care provider enrollment and hospital privileges for BayCare… more
- Sharp HealthCare (San Diego, CA)
- …in Healthcare Management, Business, or other degree acceptable with combination of education and managed care experience. + 3 Years experience in a managed ... apply knowledge as part of day-to-day job responsibilities. + Knowledge of managed care principles, reimbursement methodologies, and healthcare delivery systems.… more
- Penn Medicine (Plainsboro, NJ)
- …significant knowledge of all types in-network and out-of-network health insurance, managed care companies, benefits and policies for commercial, Medicare ... you living your life's work? **Job:** Full Time Verification Specialist **Location:** PMPH Specialist Staff - Medical...+ Ability to develop a good working relationship with managed care organizations, and provide excellent customer… more
- Waystar (Atlanta, GA)
- …Develop and maintain strong relationships with payers, including health insurance companies, managed care organizations, and government agencies. + Create new, ... **ABOUT THIS POSITION** The Payer Relations Specialist is responsible for initiatives to identify and...performance. + Track and communicate the status of payer contracting and connections activities **OPTIONAL DETAILS --Looking for… more
- Carnival Cruise Line (Miami, FL)
- …Effectively coordinate and collaborate with stakeholders to ensure ownership and contracting is deliberately/consciously managed and applied. + Measuring and ... something for everyone. We are looking for an amazing Specialist , Training Governance to fill this role, which is...targets are met and that corporate reporting requirements are managed . + Responsible for all governance group preparation and… more