- Baystate Health (Springfield, MA)
- Summary Description: The Sr. Managed Care Contract Manager will act as the catalyst between the contract , contract parties and the data. ... Managed Care Contract Team at Baycare Health Partners. The Sr. Managed Care Contract Manager , will also perform research and collect data to… more
- AdventHealth (Maitland, FL)
- …adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... for the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred ...contract data elements which are populated into the Managed Care database including addition of new… more
- Option Care Health (Nashville, TN)
- …Education and Experience Requirements** High school diploma and 10yrs of experience in managed care account management or contract analysis and negotiation ... care services. Experience in working with managed care clients and familiarity with contract terms and conditions in the ancillary arena. Experience with… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- AdventHealth (Maitland, FL)
- …partners, vendors and leadership after identifying and quantifying the issue. Supports the Managed Care Contract Administration, AH Central Denials team, and ... non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical...issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst. Contributes to the… more
- Elevance Health (KS)
- ** Managed Care Coordinator** Location: Seeking candidates to work in Sedgwick, Cowley, Butler, or Reno County, Kansas. **_Please note that per our policy on ... responsiveness to client needs, and direct, hands-on engagement. The ** Managed Care Coordinator** is responsible for overall...of position, as required by applicable state law and contract . **How you will make an impact:** + Responsible… more
- Elevance Health (Durham, NC)
- **CFSP Managed Care Coordinator** **Sign-on Bonus: $2500** **We are currently seeking people in the following counties and look forward to speaking with you!** ... thrive in safe, stable, and nurturing homes._ The **CFSP Managed Care Coordinator** is responsible for the...CFSP Program, as required by applicable state law and contract . **How you will make an impact:** + Provide… more
- Atrius Health (Newton, MA)
- …welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Senior Managed Care Analyst* **Location:** *Newton MA - ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical… more
- Elevance Health (Roanoke, VA)
- …for employment, unless an accommodation is granted as required by law. The ** Managed Care Coordinator - Southwest Virginia** is responsible for performing ... and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review ... * Identify and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). *… more
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