- ProSmile (Woodbridge, NJ)
- Job Title: Capitation Specialist Department: Revenue Cycle Management Reports to: A/R Manager FLSA Status: Non-Exempt Location: Remote ProSmile, the premier ... data with utmost importance. + Acquiring and uploading all Capitation Rosters, as well as, monitoring and obtaining ...Capitation Rosters, as well as, monitoring and obtaining Capitation payments on a monthly basis for all necessary… more
- Commonwealth of Pennsylvania (PA)
- Fiscal Management Specialist 3 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4963090) Apply Fiscal Management Specialist 3 Salary ... Division of HealthChoices Rates is seeking a Fiscal Management Specialist 3 to lead our team in the Analysis...budget and revenue tracking for the medical assistance program capitation rates and support the rate development process. If… more
- Fairview Health Services (Edina, MN)
- **Job Overview** The Care Management Specialist is responsible for establishing and maintaining relationships with providers, patients, families and vendors of ... health plans for all community enrolled members. The Care Management Specialist directly supports Fairview Partners Care Coordinators. **Responsibilities:** Serve as… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** The Sr Specialist , Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality and ... methodologies including but not limited to: fee-for service, value-based care, and capitation * Strong working knowledge of Quality metrics and risk adjustment… more
- CenterWell (Phoenix, AZ)
- …Identify and act on opportunities to better manage & coordinate with high-quality specialist , hospital, and community partners to serve patient needs and deepen our ... management, utilization management, network management, and payment frameworks (eg capitation , partial risk, direct contracting) + Population health minded physician… more
- LifePoint Health (Las Cruces, NM)
- …growth by helping to identify opportunities for developing primary care provider and/or specialist leads to close gaps in network services and access. Perform other ... and experience. Familiar with payment alternatives such as fee for service, capitation , global budget, performance compensation and episode of care payment Familiar… more