- Evolent (Annapolis, MD)
- …compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation ... payer organizations. + Build and maintain relationships with health plan executives to drive new business. + Lead... plan executives to drive new business. + Lead contract negotiations and partnership agreements. + Collaborate with internal… more
- Cardinal Health (Annapolis, MD)
- …responsible for reviewing, auditing and negotiating existing and new Payor contracts with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA, etc). ... practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal reimbursement including managed care contracting,… more
- Johns Hopkins University (Baltimore, MD)
- …produce a clean claim including special billing procedures that may be defined by a payer or contract . + Maintains a system of billing accuracy through encounter ... Activities, which consist of obtaining and verifying financial and insurance information prior to actual time of service. Requires...special billing procedures that may be defined by a payer or contract . + Maintains a system… more
- BrightSpring Health Services (Upper Marlboro, MD)
- …and addressing issues with referral sources + Initiates and coordinates contract negotiations with agencies, funding sources, facilities, insurance companies, ... Our Company Adoration Home Health and Hospice Overview The Area Vice President...to key referral sources, competitors, governmental agencies, and major payer groups and applies this knowledge to effective sales… more
- Cardinal Health (Annapolis, MD)
- …executing go-to-market strategies that drive engagement with Managed Care Organizations (MCOs), health plans, and payor networks. This role is essential to expanding ... our national insurance coverage footprint, commercializing new and existing plan access,...execute member transition plan and deliver campaigns that drive contract pull-through. + Continuously optimize downstream marketing by recommending… more
- Highmark Health (Annapolis, MD)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...results, engagement risks, and developassurance plans (eg, on-site audit, contract review, financials assessment, purchasing data analysis) to address… more
- Highmark Health (Annapolis, MD)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... funnel from initiation to closure tracking metrics like closure rate, win rate, total contract value, annual contract value, gross and net margin. + RFP/RFI… more
- Highmark Health (Annapolis, MD)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... Manages the vendor to the responsibilities outlined in the contract and statement of work. + Other duties as...of delivering business solution using information technology **Preferred** + Health Plan or Payer experience **LICENSES or… more
- Johns Hopkins University (Middle River, MD)
- …a clean claim including special billing procedures that may be defined by a payer or contract . + Review and update patient registration information (demographic ... payers to resolve issues and facilitate prompt payment of claims. Follow-up with insurance companies to collect outstanding accounts for which payment has not been… more
- Johns Hopkins University (Middle River, MD)
- …a clean claim including special billing procedures that may be defined by a payer or contract . + Review and update patient registration information (demographic ... payers to resolve issues and facilitate prompt payment of claims. Follow-up with insurance companies to collect outstanding accounts for which payment has not been… more