- Stony Brook University (Commack, NY)
- Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook Medicine, as a Managed Care Provider Enrollment Specialist , you ... Management Plan, Inc., and Meeting House Lane Medical Practice, PC._ **Duties of a Managed Care Provider Enrollment Specialist may include the following but… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …for children, adolescents and adults whose needs are extra ordinary. As a Contracts / Managed Care Specialist , you will: + Distribute monthly rosters to ... **Description** _Are you a Contracts and Managed Care Professional looking for a...and conduct audit reviews for MMAs. + Coordinate with contract representatives and network providers to resolve claims issues.… more
- Arkansas Children's (Little Rock, AR)
- …in a related field of study. **Required Work Experience:** Related Field - 3 years managed care , payer relations, payer contract , or physician or hospital ... 8:00 am - 5:00 pm - Hybrid The Payer Contract Specialist is responsible for managing payer... Experience** **Familiarity with insurance contracts, reimbursement terms, and managed care agreements.** **Data & Financial Analysis**… more
- Corewell Health (Grand Rapids, MI)
- …internal and external customers. The successful candidate will understand the nuances of managed care contracting, analytics, managed care payers, ... Operating Committee meetings. May be requested to present and represent Managed Care Contracting updates/initiatives at meeting with internal/external… more
- Prime Healthcare (Ontario, CA)
- …part of a team, and strong interpersonal skills + Experience in managed care contracting, provider re-imbursement, fee-scheduling, prior experience in Healthplan ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/220835/ contract - specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)… more
- Gentiva (Atlanta, GA)
- **Overview** We're looking for a ** Contract Specialist ** to join our team.You will report directly to the VP of Regulatory Counsel andbe responsible for ... preparing, reviewing, analyzing, and responding to requests for managed care , provider, and other related healthcare agreements. + Prepares and negotiates… more
- WMCHealth (Valhalla, NY)
- …Performs other related work as required. Responsibilities: + Responsible for maintaining managed care contracts in contract management system including ... reimbursement formulas/calculations in accordance with payment methodology (DRG, Medicare/Medicaid, Managed Care - Commercial, etc,). Validates payment rate… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …collections of outstanding account balances for commercial, government, and managed care payors as assigned. The Reimbursement Specialist I is required to ... their leadership. It is a requirement for the Reimbursement Specialist I to read, interpret and apply complex payor... I to read, interpret and apply complex payor contract language to expected reimbursement calculations and pursue all… 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 may ... Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the...staff regarding departmental and unit policy and procedure, including: Managed Care Contracts. + Monitors work queues… more
- New York State Civil Service (Albany, NY)
- … 1 - G 18 position in the Division of Community Program Management & Managed Care , Bureau of Housing Development & Support. The incumbent will be responsible ... Yes Agency Mental Health, Office of Title Mental Health Program Specialist 1/Trainee, Central Office; Occupational Category Other Professional Careers Salary Grade… more
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