- Children's Hospital Los Angeles (Los Angeles, CA)
- …Statement/Position Summary:** This position is responsible for directing and coordinating the managed care policies, goals, and objectives related to contract ... the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care...in working with Physician Organizations in the market regarding managed care contracts, strategies for improving market… more
- Commonwealth Care Alliance (Boston, MA)
- …experience in provider relations, network management, or healthcare operations within a managed care organization, health plan, or integrated delivery system. - ... performance-based contracting , or population health initiatives. - Prior work with hospital systems, large medical groups, and specialty care networks. -… more
- Stanford Health Care (Palo Alto, CA)
- …+ Knowledge of accounting, healthcare reimbursement, financial forecasting, operations analysis, managed care contracting , capitation management, general ... of expected and actual revenue and contractual allowances for all payors including managed care , Medicare, Medi-Cal, commercial, and self pay payors. Oversee the… more
- Stony Brook University (East Setauket, NY)
- … Care Hospital Revenue Cycle or Patient Accounting Department resolving hospital Managed Care payment variances and/or denials. **Job Responsibilities ... + Collaborates on denials prevention initiatives. + Liaises with Managed Care Contracting and Insurance...Degree 5 years of Healthcare Revenue Cycle experience resolving hospital Managed Care payment variances… more
- Commonwealth Care Alliance (Boston, MA)
- …Strong claims experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/Medicaid) + Experience in health plan ... responsible for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, … more
- Teleflex (Houston, TX)
- …anesthesiologists, nurse anesthesiologists, members of the surgical team and various health care professionals in operating rooms, surgical centers, as well as ... hospital administration and procurement teams. The work involves driving...serving as the key point of contact in acute care accounts from initial lead outreach to order fulfilment… more
- Defense Health Agency (San Antonio, TX)
- …care of all patients and insures return from consultant. Admits patients to the hospital when appropriate. Monitors and manages care for patients as they move ... robust job market that seems partial to government and defense/security contracting ensures employment opportunities for spouses or transitioning service members.… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting * **Location:** *Connecticut-Hartford-100 Pearl ... Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital ...Minimum: BA/BS degree . Preferred: BA/BS degree in Health Care , MIS, Finance, Statistics or Mathematics *Experience* . Minimum:… more
- RWJBarnabas Health (Jersey City, NJ)
- …on business and clinical operations, nursing, social work, hospital networks and managed care contracting + Works collaboratively with local executive ... processes. + Maintains a thorough understanding of clinical reimbursement and managed care issues specific to an oncology service line. Identifies opportunities… more
- The Cigna Group (Hartford, CT)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... **WORK LOCATION: Hartford, CT** The **Provider/ Hospital Contracting Manager** serves as an...with provider partners. + Intimate understanding and experience with hospital , managed care , and provider… more
