- University of Miami (Medley, FL)
- …other outside accrediting bodies including JCAHO, AHCA, CMS, etc. Reporting to the UHealth Associate Vice President of Managed Care , the incumbent leads and ... in managed care . + Leads and manages care staff, including network contracting, contract implementation/operations, non-participation agreements,… more
- Highmark Health (Harrisburg, PA)
- …accounts. (25%) + Collaborates with Revenue Cycle and Finance Teams on contract building and analysis requests. (25%) + Provides assistance in performing analyses ... other duties as assigned or required. **QUALIFICATIONS:** Minimum + Associate 's degree in Finance, Accounting, Business Administration, Economics, Statistics, or… more
- UPMC (Pittsburgh, PA)
- …physical, and psychosocial well-being of those being served. No license is required. + Managed care experience preferred. + Ability to interact with other health ... by assisting in their transition home following a hospital stay. This care management associate position is a great opportunity for someone who wants to get… more
- US Tech Solutions (Columbia, SC)
- …both health care providers and members. **Experience:** + Required Education: Associate degree - Nursing, OR, Graduate of Accredited School of Nursing, OR, ... Nurse UM II** **Location: Columbia SC 29229** **Duration: 3+ month's Contract ** **Job Description:** + Reviews and evaluates medical or behavioural eligibility… more
- US Tech Solutions (Columbia, SC)
- **Job Description:** + Hours/Schedule - Monday-Friday, 8:30AM - 5:00PM + Contract to hire - no timeframe on when that will happen. + Will be required to be onsite ... plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in… more
- Point32Health (MA)
- …day in service to our members, partners, colleagues and communities. **Job Summary** The Associate Contract Manager serves as the primary point of contact for ... a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are… more
- Parkview Health (Fort Wayne, IN)
- …license. Experience Must have three to five years of comprehensive experience in managed health care field with experience that involves negotiating and writing ... contracts. Must be familiar with reading and understanding contract language Other Qualifications Must have excellent verbal and written communication skills; Must… more
- Henry Ford Health System (Detroit, MI)
- …+ Microsoft Excel required. Additional Information + Organization: Corporate Services + Department: Managed Care Contracting + Shift: Day Job + Union Code: Not ... 6. Escalate payer contract non-compliance issues to contract administrators/consultants EDUCATION/EXPERIENCE REQUIRED: + Associate degree required… more
- ConvaTec (Greensboro, NC)
- …on solutions for the management of chronic conditions, with leading positions in advanced wound care , ostomy care , continence care , and infusion care . ... of at-risk skin, to improved patient outcomes and reduced care costs. Convatec's revenues in 2023 were over $2...do the same. This role is a fixed term contract position with the expectations of lasting approximately 2… more
- Mount Sinai Health System (NJ)
- … contract compliance activities with the goal of optimizing and improving managed care reimbursement through efficient clinical delivery and aligned clinical ... economical and effective healthcare + Completes in a timely manner all managed care applications, credentialing, and re-credentialing requests from the corporate… more
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