- University of Michigan (Ann Arbor, MI)
- …long-range goals and objectives. The Administrative Director partners with U-MCHC physician leadership and the key stakeholders from other hospital-based supporting ... Network strategy. Partners with the CDAs and Pediatric Cardiology DA for contracting , personnel and clinical activity management and revenue assessment for all… more
- Amentum (Washington, DC)
- …of NIOSH disability evaluation requests, coordinating with NIOSH on private physician verifications, tracking of Congressional interest or other claims with unique ... preferred but relevant experience may be substituted with the approval of the Contracting Officer + Proficient with MS Excel ( _intermediate user or higher_ ),… more
- Humana (Louisville, KY)
- …patient safety, and peer review matters + wide variety of contracting matters, including payor, accountable care organization (ACO), independent physician ... association (IPA) and value-based care arrangements for primary care and home health services + Medicare billing, enrollment, and conditions of participation rules + coding/reimbursement and revenue cycle management + assisting in compliance reviews of… more
- Dana-Farber Cancer Institute (Boston, MA)
- …including utilization review, intake or discharge planning, and managed care contracting . This role ensures the delivery of high-quality patient care by ... We conduct groundbreaking research that advances treatment, we educate tomorrow's physician /researchers, and we work with amazing partners, including other Harvard… more
- Centene Corporation (Nashville, TN)
- …maintaining positive working relationships with participating physicians, participating physician groups (PPG's), multi-specialty groups, and/or ancillary providers ... in a managed health care environment with exposure to provider contracting , servicing benefits interpretation, and internal operations of provider relations.Pay… more
- CommonSpirit Health (Rancho Cordova, CA)
- …situations, as the work may have a direct impact on individual physician incomes, along with directly impacting the financial performance of CommonSpirit Health. ... associated language, between physicians/hospitals and payers/networks for managed care contracting initiatives. Develop and approve financial models and payer… more
- ChenMed (Miami, FL)
- …positive economic impacts & other strategic benefits + Accountable for scoping, contracting , and executing high-value vendor partnerships. + Performs other duties as ... for seniors and changing America's healthcare for the better. Family-owned and physician -led, our unique approach allows us to improve the health and well-being… more
- Providence (Spokane, WA)
- …and administrative leaders for enterprise capital planning, vendor selection, contracting , digital solutions, care pathways, and KPI development alongside Finance ... is preferred. + **Relationship Builder:** Proven track record of successful physician relationships and collaboration across large health systems or regions. +… more
- ChenMed (Atlanta, GA)
- …Familiarity with healthcare network strategy, including network development, value-based care contracting , provider relations and local operations + Must be driven ... for seniors and changing America's healthcare for the better. Family-owned and physician -led, our unique approach allows us to improve the health and well-being… more
- Providence (Irvine, CA)
- …Systems Expertise:** Experience within complex, matrixed healthcare systems, including physician groups, health plans, and long-term care. + **Business Acumen:** ... Knowledge:** Understanding of federal/commercial payor reporting requirements and third-party contracting , including expertise in Medi-Cal. + **Reimbursement Models:** Familiarity… more