• Specialty Provider Liaison- Children and Families…

    Elevance Health (Concord, NC)
    …_We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... working with providers and internal teams to ensure timely provider contracting , education on specialty topics, developing value-based payment strategies, and… more
    Elevance Health (07/22/25)
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  • Healthcare Data Specialist

    Staffing Solutions Organization (Albany, NY)
    …**Healthcare Data Specialist 1 - Albany, NY** **Division of Health Plan Contracting & Oversight** **Item 1045** **Summary:** The Healthcare Data Specialist will ... Bureau of Consumer Services (BCS) Intake Supervisor & Lead Manager with the day-to-day activities associated with the Intake...but not limited to the receipt and intake of Medicaid enrollee and provider complaints and inquiries. This position… more
    Staffing Solutions Organization (07/09/25)
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  • Operations Specialist, Health Systems Integration

    CareOregon (Portland, OR)
    …# 25048 Exemption Status Exempt Management Level Staff Direct Reports n/a Manager Title Manager , Operations, Health System Integration Department Health Share ... Health Share's strategic priorities and regulatory requirements. Reporting to the Manager of Operations, this position leverages working relationships with delivery… more
    CareOregon (07/10/25)
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  • Payment Strategist

    American Academy of Family Physicians (Leawood, KS)
    …update committee, the RUC. + Alternative payment models across Medicare, Medicaid , and Commercial markets Unique contracting strategies, including direct ... aspects include:** Provides subject matter expertise (SME) and collaborates with the Manager of Payment Strategies and others in the Practice Advancement division on… more
    American Academy of Family Physicians (07/18/25)
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  • Legal Counsel Sr

    Elevance Health (St. Louis, MO)
    …propose alternatives to minimize risk where applicable. + Proactively assist provider contracting staff with legal issues that arise during contract negotiations. + ... Assist with responding to regulatory inquiries or complaints. + Support value-based contracting and negotiation of shared savings or risk arrangements. + Utilize… more
    Elevance Health (07/10/25)
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  • Senior Managed Care Analyst

    Atrius Health (Newton, MA)
    …supervision on routine but productive assignments. Typically reports to a finance manager or director. *_Essential Functions_* * * Knowledge regarding current and ... from contract . Develop analysis in support of payer contracting efforts, including review and modeling of proposal during...matter expertise in public payer ACO models (Medicare and Medicaid ) and create analyses to assess ACO performance and… more
    Atrius Health (06/04/25)
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  • Provider Enrollment Coordinator (Hybrid - Dallas)

    Integrative Emergency Services (Dallas, TX)
    …the various government and insurance healthcare payors, network managed care contracting plans, and third-party billing entities that require provider enrollment. ... + Conveys issues and status of problems to Enrollment Manager . + Ensures Held A/R enrollments are submitted on...Florida, Texas, and Arizona + Florida plans include: Medicare, Medicaid , RR Medicare, Tricare, Florida Blue, United, Oscar, Cigna,… more
    Integrative Emergency Services (07/18/25)
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  • Program Administrator - Ohio MyCare

    Elevance Health (Toledo, OH)
    …with internal and external entities, including state partners. + Supporting Medicaid and MyCare lines of business. **Minimum Requirements:** + Requires a ... background. **Preferred Skills, Capabilities, and Experiences:** + Experience with contracting preferred. + Professional designation related to field or project… more
    Elevance Health (07/12/25)
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  • Specialist-Chargemaster

    Baptist Memorial (Memphis, TN)
    …charging practices are being followed correctly. . Understands Medicare, Medicaid , and managed care-billing requirements, reimbursement methodologies and applies ... charging, coding and billing through online websites and newsletters for Medicare, Medicaid and Payer website and communicates those findings to leadership. . Will… more
    Baptist Memorial (06/28/25)
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  • Insurance Denials Specialist

    Colorado State University (Fort Collins, CO)
    …as the liaison between student/parents and their insurance company to decipher contracting status and claim payment disputes. Our department follows the status of ... 5:00 PM, Monday - Friday, and reports directly to the Billing and Coding Manager . Required Job Qualifications Education + High School Diploma (or GED ) Experience +… more
    Colorado State University (06/24/25)
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