- MaineGeneral Health (Waterville, ME)
- …seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects of ... reimbursement , managed care contracts, and payer enrollment. The successful candidate will have a deep understanding of healthcare finance, regulatory… more
- City of New York (New York, NY)
- …to function as the Executive Director , of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under the ... for independent initiative, decision making, and judgement, the Executive Director (ED) is responsible for the administration of three...(MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and Third-Party Health… more
- AdventHealth (Maitland, FL)
- …degree with not less than 10 years of experience in managed care , patient financial services, healthcare reimbursement , accounting and contract management. . ... This position will be responsible for execution of the managed care payor dispute resolution processes for...dispute resolution processes. The position reports to the Executive Director of Reimbursement and Compliance. Experience in… more
- Covenant Health (Lubbock, TX)
- …Texas/New Mexico Service Area. In this pivotal role, you will spearhead the Managed Care Contracting Program, guiding our organization through contract analysis, ... entities and ministries. + **Master Negotiator:** Lead the charge in negotiating favorable managed care rates and contractual terms for all Texas Region CHS… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the ... Experience in reimbursement and/or data analytics preferred. * Knowledge of managed care organizations and integrated health systems. * Comprehensive project… more
- Baystate Health (Springfield, MA)
- …of contract modeling, risk-based agreements, and financial forecasting Under the direction of the Director of Managed Care , the Managed Care ... higher quality or less costly care . Primary responsibilities of the Managed Care Contract Manager include performing contract analysis, developing payer… more
- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have ... requirements + The unique complex needs of the foster care population + Medicaid Managed Care...+ Perform other secretarial duties as requested by Medical Director . + Any other related duties as required Educational… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and ... timely filing of all managed care claims on their assigned caseload...team, CBO cash posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management, and others. The… more
- Martin's Point Health Care (Portland, ME)
- …CMS/ Medicare Advantage, and ME state insurance coverage. + Knowledge of managed care computer systems, features, and reporting. + Demonstrated interpersonal, ... Join Martin's Point Health Care - an innovative, not-for-profit health care...Place to Work" since 2015. Position Summary The Senior Director , Claims & Provider Reimbursement , is responsible… more
- St. Luke's Health System (Boise, ID)
- …& Contracting is a key leadership role accountable for St. Luke's Health System's managed care contract portfolio, to include activities related to new contract ... system level approvals. As an internal expert in payer reimbursement strategies, the Manager will provide insight and guidance...internal stakeholders and the leadership team with regard to managed care contract capabilities, in alignment and… more