- Molina Healthcare (NY)
- …Degree in Healthcare Administration **Preferred Experience** + 10 years of managed care experience ( Regulatory and Compliance ) + Previous management ... Administration such as oversight, audit, etc. **Required Experience** * 7 years of managed care experience ( Regulatory and Compliance ) * Previous management… more
- Molina Healthcare (NE)
- …network development and management, or project management experience in a managed healthcare setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : ... in a managed care setting. * Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare… more
- Molina Healthcare (Omaha, NE)
- …Participate in process improvement initiatives to improve operations + Understands the compliance and regulatory guidelines for each state + Maintains ... coaching, production and appropriate terminations. + Ensures staff is compliant with regulatory and company guidelines, including HIPAA compliance . + Responsible… more
- Molina Healthcare (Riverside, CA)
- …position * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ... group and hospital contracting, etc. * Working experience with various managed healthcare provider compensation methodologies, primarily across Medicaid and… more
- Molina Healthcare (Houston, TX)
- …ancillary providers with Medicaid and/or Medicare products * 5+ years previous managed healthcare experience. * Previous experience with community agencies and ... providers. * Experience demonstrating working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicare or… more
- Molina Healthcare (Nampa, ID)
- …dynamics, and the latest Medicaid trends, positioning Molina as a leader in Medicaid managed care + Track regulatory compliance and address any operational ... and experience + 7 years in market strategy, business development, or healthcare consulting, specifically within Medicaid managed care or equivalent related… more
- Molina Healthcare (Syracuse, NY)
- …in resolving complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional ... trends, payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement… more
- Molina Healthcare (Cincinnati, OH)
- …in resolving complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional ... trends, payment integrity issues, and process gaps. + Apply understanding of healthcare regulations, managed care claims workflows, and provider reimbursement… more
- NTT America, Inc. (Philadelphia, PA)
- …services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational ... DATA is seeking has 12+ years of **IT Sales** experience in the ** Managed Services/Professional Services** space and strong relationships in the ** Healthcare … more
- Community Health Systems (Franklin, TN)
- …preferred + 2-4 years of experience in revenue cycle management, contract compliance , or healthcare reimbursement analysis required **Knowledge, Skills and ... **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst is responsible...by identifying variances between posted and expected revenue for managed care, government contracts, and other payers. This role… more