- UTMB Health (Galveston, TX)
- …Finance UTMB Health Requisition # 2504255 **JOB SUMMARY** The primary responsibility of the Managed Care , Senior Contract Administrator position is ... Senior Contract Administrator - Revenue Cycle...leading, developing, and negotiating managed care agreements to ensure favorable reimbursement, alignment with organizational… 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; ... contract data elements which are populated into the Managed Care database including addition of new...to Senior Staff, AdventHealth Florida and Multi-State Managed Care Directors and Ancillaries. * Accountable… 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 ... to ensure our modeled rates and rules align with contract language and adjudication behavior, and you will turn...pass yield, cash acceleration, net revenue). + Work with Managed Care /Finance, Revenue Integrity/CDM, PFS, and IT/Data… more
- Molina Healthcare (OH)
- …integrity and other cost recovery processes + Direct PM experience in Managed Care Operations (claims, system configuration, provider data management preferred) ... and appreciates the member environments we serve + Exposure to all Managed Care industry functional departments **JOB QUALIFICATIONS** **Required Education** +… more
- J&J Family of Companies (Raritan, NJ)
- …Care Systems Inc. (JJHCS) is currently recruiting for a Senior Manager, Managed Markets & Specialty Contract Operations, in the Enterprise Contract ... Management (ECM) organization, located in Raritan, NJ. As the Senior Manager, you are responsible for ensuring the efficient...rebate claims. + Provide leadership and management of the Managed Markets Contract Operations Team. + Ensure… more
- HCA Healthcare (Nashville, TN)
- …Master's degree preferred + 10+ years of relevant experience is required + Experience in Managed Care contract negotiations for a hospital system or ... and PSG-employed physicians. + Lead contract negotiations and implementation with Managed Care Organizations (MCOs) and other payers. + Support strategic… more
- Elevance Health (Richmond, VA)
- **Provider Contract /Cost of Care Consultant Senior ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... accommodation is granted as required by law. The **Provider Contract /Cost of Care Consultant Senior **...minimum of 7 years of experience in broad-based analytical, managed care payor or provider environment as… more
- Elevance Health (Las Vegas, NV)
- **Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... accommodation is granted as required by law. The **Provider Contract Cost of Care Consult Senior...a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as… more
- Elevance Health (Grand Prairie, TX)
- **Provider Contract Cost of Care Analyst Senior ** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... accommodation is granted as required by law. The **Provider Contract Cost of Care Analyst Senior...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst** will play a… more
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