- 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
- UPMC Senior Communities (Pittsburgh, PA)
- UPMC Community Care Behavioral Health is hiring a full-time Contract Specialist II. This role will predominantly work remotely but may require occasional ... given to candidates local to the Pittsburgh area. The Contract Specialist II is responsible for facilitating...accurately and in a timely manner. General knowledge of managed care functions and management techniques preferred.… more
- Weill Cornell Medical College (New York, NY)
- …a timely manner. Maintains up-to-date policies and procedures and knowledge related to managed care and third party payors. Participates in annual and on-going ... Title: Revenue Cycle Specialist -Revenue Integrity (Remote) Location: Midtown Org Unit: AR...coding and medical necessity reviews. Researches and interprets payer contract terms and compiles necessary supporting documentation templates for… more
- Brandywine Urology Consultants (Wilmington, DE)
- …using the A/R aged reports. Provide information pertaining to billing, coding, managed care networks, insurance carriers and reimbursement to physicians and ... protocol as required to ensure timely payment posting. Monitor reimbursement from managed care networks and insurance carriers to ensure reimbursement consistent… more
- Top Secret Clearance Jobs (Quantico, VA)
- About the job Junior Personnel Security Specialist Top Secret Clearance Jobs is dedicated to helping those with the most exclusive security clearance find their next ... contribution. We are looking for a Junior Personnel Security Specialist to join our team in supporting the Federal...properly by having them check in TASS to ensure contract eligibility for CAC. Conducting fingerprints for civilians Suitability,… more
- PDS Management Services, LLC (Suffern, NY)
- …Sign-On and Referral Bonuses, and more. Description: The Credentialing / Enrollment / Managed Care Expert will be responsible for compiling a comprehensive list ... of Organizational Entities, Provider information, and Managed Care Contracts from our current solution and supporting a migration plan to a new Provider… more
- MCI Careers (Grapevine, TX)
- …and a brief pre-employment test. POSITION RESPONSIBILITIES As a Talent Acquisition Specialist , you are responsible for the entire recruitment life-cycle. You will ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- Sutter Health (Sacramento, CA)
- …programs that may include property, automobile, pollution legal liability, cyber/privacy, managed care liability, directors and officers liability, employment ... to mitigate risk or loss throughout the organization. Reviews & negotiates contract language related to insurance and indemnification. This is a hybrid role… more
- Alignment Healthcare (San Diego, CA)
- …methodologies, contract language, negotiation strategies, financial modeling and analysis, managed care and Medicare Advantage plans; or any combination of ... managed care finance and contracts Strong knowledge of Medicare managed care and associated contract language Excellent interpersonal and… more
- Optum (San Juan, PR)
- …of Medicaid/Medicare Reimbursement methodologies Working knowledge of the healthcare insurance/ managed care industry Working knowledge of medical terminology ... Optum is a global organization that delivers care , aided by technology to help millions of...to state and federal compliance policies, reimbursement policies, and contract compliance Use pertinent data and facts to identify… more
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