- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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