- 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. Supporting ... to the contract language, evaluate validity in the data and support the Managed Care Contract Team at Baycare Health Partners. The Sr. Managed … more
- Publix (Lakeland, FL)
- **34227BR** **Position Title:** Managed Care Contract Support Specialist **Department:** Pharmacy **Location:** Lakeland, FL **Description:** If you want to ... that plays a pivotal role in the success of Publix Pharmacy and the Managed Care Contract Support Specialist serves as the subject-matter expert in the… 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; ... key contract data elements which are populated into the Managed Care database including addition of new payers, auto increases, renewals and termination.… 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. + ... leads financial and data analysis to evaluate rate proposals, contract terms, and health plan reimbursement. This position will...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- Stony Brook University (Commack, NY)
- …physician, and ancillary Managed Care contracts. + Maintain accurate, up-to-date Managed Care contract databases and tracking tools. + Timely review ... payer policy interpretation as it relates to Managed Care contracts. + Proficiency with contract management systems and analytics tools used for contract … 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 ... government and non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical system and application… more
- Houston Methodist (Houston, TX)
- …+ Knowledge of acute care contracts, financial modeling techniques and managed care contracting, contract pricing, language requirements, rates and ... At Houston Methodist, the Director Managed Care Contracting position is responsible...timely termination submission, timely timecard approval, etc.). + Analyzes contract proposals including but not limited to analysis of… 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
- AdventHealth (Maitland, FL)
- …managed care contracting initiatives as directed by AdventHealth leadership; managed care contract review, interpretation and analysis, negotiation, ... etc.) to preserve the integrity of those contracts. Shows full comprehension of managed care contract language for the betterment of the AdventHealth … more
- CommonSpirit Health (Phoenix, AZ)
- …+ Knowledge and experience in reimbursement, the financial aspects of contracting and managed care operations + Contract language + Effective project ... **Job Summary and Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR)...compliance on a regional and market level; ensuring that managed care contracts are correctly negotiated and… more
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