- NTT America, Inc. (St. Paul, MN)
- …services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational ... organization, apply now. We are currently seeking a Sr Sales Executive- IT Sales/ Managed Services ( Healthcare Payer) - Remote to join our team in… more
- RWJBarnabas Health (West Orange, NJ)
- … and Legal Compliance + Monitor and interpret federal and state regulatory developments affecting managed care arrangements, including but not limited to ... law firm, or consulting firm with a focus on healthcare transactions and managed care contracting, Reports...managed care organization experience + Deep expertise in managed care contracting, health plan operations, and regulatory… more
- Robert Half Legal (Burlington, NC)
- …care policies, and broader healthcare laws. + Provide legal counsel on managed care operations and regulatory concerns, including issues involving Stark Law, ... calls for an experienced legal professional with a strong foundation in healthcare regulations, contracts, and managed care operations. Key Responsibilities: +… more
- Houston Methodist (Houston, TX)
- …compliance with ethical and legal business practices and accreditation/ regulatory /government regulations. **PEOPLE ESSENTIAL FUNCTIONS** + Directs, develops and ... At Houston Methodist, the Director Managed Care Contracting position is responsible for the...for employee engagement, adequate staffing levels, budget development and compliance , staffing decisions such as hiring and terminating employment,… more
- Stony Brook University (Commack, NY)
- Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook Medicine, as a Managed Care Provider Enrollment Specialist, you will work under ... the oversight of the Director of Managed Care Enrollment and join a team of professionals...of roster submission. Inform Director of Enrollment of MCOs non- compliance . A provider enrollment roster should be sent, at… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- … Healthcare System (WKHS). Develops, manages, and monitors the managed care contracting, credentialing, and provider enrollment processes. Works under the ... supervision of the Managed Care Director. Organizational Expectations * Ability to make...bylaws, rules and regulations, and policies and procedures, ensuring compliance with accrediting organization requirements; participates in development and… more
- Cedars-Sinai (Los Angeles, CA)
- …Completes focused reviews and special reports as requested. + Collaborates with the healthcare team to implement strategies to resolve system issues. + Serves as the ... the network's membership. + Monitors and Tracks all other aspects of Managed Care, quality & efficiency measures, Star ratings, access, physician network integrity,… more
- Banner Health (Phoenix, AZ)
- …leadership role responsible for the growth, development and optimization of the healthcare system's managed care contracting strategy across the organization, ... **Primary City/State:** Phoenix, Arizona **Department Name:** Managed Care-Operations **Work Shift:** Day **Job Category:** General Operations A network with… more
- MaineGeneral Health (Augusta, ME)
- …and payer enrollment. The successful candidate will have a deep understanding of healthcare finance, regulatory requirements, and a proven track record in a ... or related field (Master's preferred) + Minimum of 7 years of experience in healthcare reimbursement and managed care - some leadership experience is preferred +… more
- Cedars-Sinai (Beverly Hills, CA)
- …metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for compliance and financial performance, identifying ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and presentations to… more
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