- Henry Ford Health System (Troy, MI)
- …skills. + Strong organizational and interpersonal skills. + Strong Understanding of Managed Care Reimbursement methodologies, coding, and terminology. ... EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement , or related… more
- Omaha Children's Hospital (Omaha, NE)
- …+ Minimum 2 years' experience in analysis of financial, reimbursement , or managed care contract modeling. Required **Skills and Abilities** + Knowledge ... and people with disabilities. **A Brief Overview** The Sr. Managed Care Contract and Revenue...annual fee schedule analysis to identify opportunities to maximize reimbursement . + Promote a culture of collaborative, customer-focused service… more
- AdventHealth (Altamonte Springs, FL)
- …leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues. Ensures key stakeholders are ... within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the implementation… 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; ... by providing direction to external vendor or through internal reimbursement calculations. * Responsible for summarizing key contract...contract data elements which are populated into the Managed Care database including addition of new… more
- Saint Francis Health System (Tulsa, OK)
- …performs on going analysis, which maintains the integrity of financial expectations of managed care contracts within the Epic system. Resolves programming issues ... - 5:00pm Job Summary: Responsible for analysis of contracts and performing contract negotiations to include monitoring and reviewing existing contracts to ensure… 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 ... Care and role related functions such as new government regulations and reimbursement methodologies. Supports AH Managed Care and AH Regional PFS… more
- Cardinal Health (Helena, MT)
- …when there are specific managed care operations questions including contract questions and analysis related to reimbursement . + Support sales including ... lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the relationship… more
- Guidehouse (Chicago, IL)
- …healthcare data into measurable healthcare financial performance. This role is dedicated to managed care contracting - you will learn to read payer contracts ... (commercial and government), model reimbursement terms in our existing tools, and enhance those...pass yield, cash acceleration, net revenue). + Work with Managed Care /Finance, Revenue Integrity/CDM, PFS, and IT/Data… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street ... analytics with a focus on hospital and ancillary. Reviews and monitors contract /payer performance including payer parity. Compares expected reimbursement data to… more
- Molina Healthcare (Racine, WI)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + ... materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.… more