• Contract Specialist - Managed…

    Rady Children's Hospital San Diego (San Diego, CA)
    JOB SUMMARY: Responsible for seeking contract opportunities, reviewing contract language and terms, conducting data analysis on financial terms, negotiating ... problem resolutions regarding payment issues with all contracted payors. Manages the contract review process for RCSSD 3rd party contracts, contracts with payors,… more
    Rady Children's Hospital San Diego (05/17/25)
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  • Payer Strategy Physician Contract…

    CommonSpirit Health (Rancho Cordova, CA)
    …and have California physician contract experience. **Job Summary:** The Contract Specialist Divisional Payers Payer Strategy & Relationships (PSR) works ... to support the negotiation of terms and conditions for Managed Care payer contracts for facility professional...to ensure the terms and conditions of the payer contract adhere to the CSH Standards and Guidelines represent… more
    CommonSpirit Health (04/12/25)
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  • Epic Reimbursement Contract…

    Bozeman Health (Bozeman, MT)
    …above to be applicable for this position. Position Summary: The Epic Reimbursement Contract Specialist is responsible for building and maintaining the HB ... in a multi-entity health care system, large hospital, physical office, or managed care organization. Essential Job Functions: In addition to the essential… more
    Bozeman Health (04/30/25)
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  • Contract Specialist

    Gentiva (Atlanta, GA)
    …a lasting difference in people's lives every day. **Overview** We're looking for a ** Contract Specialist ** to join our team.You will report directly to the VP ... andbe responsible for preparing, reviewing, analyzing, and responding to requests for managed care , provider, and other related healthcare agreements. + Prepares… more
    Gentiva (05/07/25)
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  • Reimbursement Specialist I - Home…

    Rady Children's Hospital San Diego (San Diego, CA)
    …collections of outstanding account balances for commercial, government, and managed care payors as assigned. The Reimbursement Specialist I is required to ... their leadership. It is a requirement for the Reimbursement Specialist I to read, interpret and apply complex payor... I to read, interpret and apply complex payor contract language to expected reimbursement calculations and pursue all… more
    Rady Children's Hospital San Diego (05/17/25)
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  • Senior Revenue Cycle Specialist

    Stony Brook University (East Setauket, NY)
    …Care Hospital Revenue Cycle or Patient Accounting Department resolving hospital Managed Care payment variances and/or denials. **Job Responsibilities may ... Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the...staff regarding departmental and unit policy and procedure, including: Managed Care Contracts. + Monitors work queues… more
    Stony Brook University (05/21/25)
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  • Government Programs Outreach and Care…

    Delta Dental of Iowa (Johnston, IA)
    …with Government Programs contracts. You will collaborate with key stakeholders including managed care organizations, the Iowa Department of Health and Human ... Government Programs Outreach and Care Coordination Specialist Johnston, IA (http://maps.google.com/maps?q=9000+Northpark+Drive+Johnston+IA+USA+50131) Apply Job… more
    Delta Dental of Iowa (05/21/25)
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  • Housing & Community Support Specialist 1…

    Spokane County (Spokane, WA)
    …the timelines established for service delivery and to meet the Washington State Health Care Authority (HCA), DOH, Managed Care Organization (MCO), and SCRBH ... Housing & Community Support Specialist 1 (OPEN & PROMOTIONAL) Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4913284) Apply  Housing &… more
    Spokane County (04/22/25)
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  • Behavioral Health Specialist

    Communities Connected for Kids (Port Saint Lucie, FL)
    …Prior experience with Medicaid managed care . Apply for this job (https://careers-cck.icims.com/jobs/44073/behavioral-health- specialist ... Health Child Welfare Specialty Plan agreement and all related managed care entities. (eg, Sunshine Health, Cenpatico...Purchase of Therapeutic Services for children. Maintain compliance with contract terms to carry out care coordination… more
    Communities Connected for Kids (05/06/25)
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  • Provider Account Specialist - SHP Health…

    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
    Sharp HealthCare (04/12/25)
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