- Publix (Lakeland, FL)
- … Care Contract Support Specialist serves as the subject-matter expert in the contracting process for the Managed Care Contracting Team in the ... **34227BR** **Position Title:** Managed Care Contract Support Specialist...The Managed Care Contract Support Specialist is responsible for optimizing the contracting … more
- WMCHealth (Valhalla, NY)
- Managed Care Specialist Company:...in a Healthcare setting, required.Minimum one year in a managed care contracting setting, required. ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/29996) Internal Applicant link Job Details: Job Summary: The Managed Care Specialist under the direction… more
- University of Michigan (Ann Arbor, MI)
- …skills and experience that directly relate to this position. **Job Summary** The Managed Care Contracting and Operations (MCCO) Department is responsible ... with organizational objectives. + Provide strategic support to the Managed Care Contracting and Operations...**Job Opening ID** 267243 **Working Title** Managed Care Payer/Operations Analyst **Job Title** Admin Specialist … more
- Corewell Health (Grand Rapids, MI)
- …complex internal and external customers. The successful candidate will understand the nuances of managed care contracting , analytics, managed care ... Committee meetings. May be requested to present and represent Managed Care Contracting updates/initiatives at meeting with internal/external constituencies.… more
- Molina Healthcare (Cleveland, OH)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care field. **PREFERRED EDUCATION** ... or an equivalent combination of education and experience **PREFERRED EXPERIENCE** : 1-3 Years Managed Care experience To all current Molina employees: If you are… more
- Molina Healthcare (Cincinnati, OH)
- …experience in health care field including, but not limited to, provider's office, managed care , or other health care field. **Required Experience** 5+ ... and efficient business results. + Trains and monitors newly hired Contract Specialist (s). + Participates in other contracting related special projects as… more
- Stony Brook University (East Setauket, NY)
- …and denied accounts. + Collaborates on denials prevention initiatives. + Liaises with Managed Care Contracting and Insurance Company Provider Representatives ... Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the...Hospital Revenue Cycle or Patient Accounting Department resolving hospital Managed Care payment variances and/or denials. **Job… more
- Houston Methodist (Sugar Land, TX)
- …+ Maintains knowledge of Federal, State, and local billing regulations and partners with managed care contracting as needed. + Maintains knowledge of ... determinations and, denial reason and trending as appropriate, Monitors CMS, managed care and payor communications for updates/alerts/releases and functions… more
- BayCare Health System (Tampa, FL)
- …will resolve errors and issues by coordinating with the plans, the CBO and the Managed Care contracting department. Why BayCare? Our network consists of 16 ... in Florida. Responsibilities + Responsible for initiating and maintaining credentialing, managed care provider enrollment and hospital privileges for BayCare… more
- Sharp HealthCare (San Diego, CA)
- …in Healthcare Management, Business, or other degree acceptable with combination of education and managed care experience. + 3 Years experience in a managed ... apply knowledge as part of day-to-day job responsibilities. + Knowledge of managed care principles, reimbursement methodologies, and healthcare delivery systems.… more
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