- Baylor Scott & White Health (Dallas, TX)
- …+ Makes decisions and recommendations on critical initiatives related to managed care analytics and contract management , and is able to communicate ... and operating/net income by entity and line of business. ** MANAGED CARE ANALYTICS & CONTRACT ...applications, SQL, Power Query, Power BI. + Proven leadership, management , data and communication abilities. + Ensures that services… more
- Option Care Health (Carmel, IN)
- …Experience Requirements** High school diploma and 10yrs of experience in managed care account management or contract analysis and negotiation within the ... services. Experience in working with managed care clients and familiarity with contract terms...degree and 5-8yrs of experience in contract management and negotiation within the health care … more
- UCLA Health (Los Angeles, CA)
- …system-wide and local managed care agreements. * Oversee contract lifecycle management , ensuring compliance with financial, legal, and regulatory ... the Chief Contracting Officer (CCO), overseeing all aspects of managed care strategy and contracting across our... impact. * Ensure the development and maintenance of contract management systems, validating actual payments against… more
- e CancerCare (Nashville, TN)
- …data to provide in reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance, along with ... role includes loading and maintaining reimbursement rates in ION contract management system. Additional responsibilities include collaborating...skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating… more
- BayCare Health System (Clearwater, FL)
- …on a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Managed Care Contract Configuration Specialist:** + Maintains in ... Exempt: Yes **Shift Hours:** 8am-5pm Equal Opportunity Employer Veterans/Disabled **Position** Managed Care Contract Configuration Specialist **Location**… more
- Nuvance Health (Norwalk, CT)
- …effort to maximize reimbursement. Reviews and edits Managed Care Contract Language relating to Utilization Management Issues. Ensures severity of illness ... and/or programs. Interfaces and coordinates services with Admission, Finance, Managed Care , Medical Records, Home Care... Managed Care , Medical Records, Home Care , Rehabilitative and Risk Management . Ensures provisions… more
- University of Miami (Medley, FL)
- … Care /Business development areas and functions, including Managed Care Strategic Planning, Contracting and Negotiations Management , Operations and ... in managed care . + Leads and manages care staff, including network contracting, contract implementation/operations, non-participation agreements,… more
- Houston Methodist (Houston, TX)
- …of individual payer contract performance. + Ensures the dissemination of managed care financial information to internal finance departments and partners to ... At Houston Methodist, the Vice President Managed Care position is responsible for...in the organization and has responsibilities which include providing management and oversight of multiple areas and entities, as… more
- Alameda Health System (Oakland, CA)
- …regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case Management functions. + Works closely with ... Director, Inpatient System Care Management + Oakland, CA + Highland General Hospital + SYS Care Coordination + Full Time - Varies + Management + Req… more
- CommonSpirit Health (Omaha, NE)
- …with senior management , physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract modeling strategy and consolidation ... analysis. + Monitor contract financial performance. + Analyze and publish managed care performance statements and determine profitability. + Review and… more
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