• Managed Care Payer /Operations Analyst

    University of Michigan (Ann Arbor, MI)
    …that directly relate to this position. **Job Summary** The Managed Care Contracting and Operations (MCCO) Department is responsible for the negotiation, ... often involving Out of State Payers. The Managed Care Payer Analyst will report to the Manager ,...**FLSA Status** Exempt **Organizational Group** Exec Vp Med Affairs ** Department ** MM Managed Care & Contracting **Posting… more
    University of Michigan (08/23/25)
    - Related Jobs
  • Manager Payor Contracting

    Novant Health (Charlotte, NC)
    …specialty providers. The Manager may be responsible for certain portfolio of payer relations and the contract language and rate negotiations for the system. The ... Manager works with team members within the ...internal operations management questions about managed care contracts. The manager fosters and maintains relationships with payer more
    Novant Health (08/13/25)
    - Related Jobs
  • Third Party Contracting Analytics…

    KPH Healthcare Services, Inc. (East Syracuse, NY)
    …With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/14515/third-party- contracting -analytics- manager ... required **Scope of Responsibilities:** Oversight responsibility for the managed care department of the company. Responsible for training, development and conducting… more
    KPH Healthcare Services, Inc. (08/01/25)
    - Related Jobs
  • Contracts Manager

    Aveanna Healthcare (Atlanta, GA)
    …in the communities we serve. Position Overview As a key member of Aveanna's contracting department , the Contracts Manager is responsible for the development, ... Contracts Manager ApplyRefer a FriendBack Job Details Requisition #:...payer relations team to support end to end contracting activities for managed care payers including review and… more
    Aveanna Healthcare (08/09/25)
    - Related Jobs
  • Manager , Hospital /Patient Billing…

    PeaceHealth (Vancouver, WA)
    …all regulatory agencies including JCAHO, CMS and are HIPAA compliant. + Collaborates with Payer Contracting to report payer lags and provide Payer ... supervisors and caregivers to ensure billing and follow-up activities coincide with department goals and lead to achievement of monthly KPIs. Continually review,… more
    PeaceHealth (07/23/25)
    - Related Jobs
  • Manager , Credentialing

    University of Rochester (Albany, NY)
    …Payers, and any other regulatory agency as needed. Collaborates with the UR Contracting Department and Commercial Payers regarding new and existing contracts as ... and adverse information regarding quality of care. In collaboration with the Payer Enrollment Manager , coordinates the functions related to Delegated… more
    University of Rochester (08/25/25)
    - Related Jobs
  • High Risk Nurse Care Manager

    Children's Mercy Kansas City (Kansas City, MO)
    …for the patient population, hospital, care delivery model, care management practices, and payer contracting . Supports facilitation and tracking of long length of ... expert at the roles of Clinical Review Nurse Care Manager and Care Coordination Case Manager and...appeal, and final appeal outcome to identify and resolve insurance/ payer issues; clinical care delivery concerns; Care Coordinator performance… more
    Children's Mercy Kansas City (06/18/25)
    - Related Jobs
  • Revenue Cycle Manager

    Select Medical (Tampa, FL)
    …reference tools for "top ten payors" for the market. Communicate regularly with the Contracting department to stay informed of any new changes or requirements ... Patient Care Behind the Scenes** As a **Revenue Cycle Manager ** , you'll play a vital role in ensuring...Management is mandatory. + Act as a gatekeeper of payer information, communicate updated payer information to… more
    Select Medical (07/27/25)
    - Related Jobs
  • Manager Heath Insurance & Prior Auth.…

    University of Rochester (Rochester, NY)
    …Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department : 500183 Health Insurance Counseling Work Shift: UR - Day (United States ... employee records, monitor supervisor's performance, stay up to date with payer regulations and compliance, and contribute to the program's overall performance… more
    University of Rochester (08/14/25)
    - Related Jobs
  • Quality Practice Manager (QPM) Las Cruces…

    LifePoint Health (Las Cruces, NM)
    *Job Title:*Quality Practice Manager (QPM) *Job Type:*Full-time *Your experience matters* At Memorial Medical Center, we are committed to empowering and supporting a ... visits, colonoscopies, cervical cancer screenings, and mammograms. The Quality Practice Manager (QPM) will collaborate with employed practices to achieve local… more
    LifePoint Health (08/09/25)
    - Related Jobs