- BayCare Health System (Clearwater, FL)
- …on a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Managed Care Contract Configuration Specialist:** + Maintains ... Time, Exempt: Yes **Shift Hours:** 8am-5pm Equal Opportunity Employer Veterans/Disabled **Position** Managed Care Contract Configuration Specialist… more
- University of Miami (Medley, FL)
- …in managed care . + Leads and manages care staff, including network contracting, contract implementation/operations, non-participation agreements, ... sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of Business Development and Managed Care is currently seeking an Executive… more
- UCLA Health (Los Angeles, CA)
- Description Under the direction of the Managed Care Operations Assistant Director, the Application Manager (AM) will be the primary expert in support of the ... + Minimum of seven years of Health Plan claims adjudication and provider contract configuration /analysis required + Minimum of three years of experience specific… more
- Bozeman Health (Bozeman, MT)
- …appeal confirmed underpayment instances, and continuously build and maintain system contract configuration to ensure accuracy against payer reimbursement terms. ... in a multi-entity health care system, large hospital, physical office, or managed care organization. Essential Job Functions: In addition to the essential… more
- ConvaTec (Greensboro, NC)
- …on solutions for the management of chronic conditions, with leading positions in advanced wound care , ostomy care , continence care , and infusion care . ... of at-risk skin, to improved patient outcomes and reduced care costs. Convatec's revenues in 2023 were over $2...do the same. This role is a fixed term contract position with the expectations of lasting approximately 2… more
- AmeriHealth Caritas (Washington, DC)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... Maine Avenue, SW, Suite 1000, 10th Floor, Washington, DC 20024 **Responsibilities:** The Managed Care Provider Network Resolution Analyst is responsible for … more
- Molina Healthcare (Houston, TX)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... specialty or multispecialty provider groups. * 3+ years experience in provider contract negotiations in a managed healthcare setting **PREFERRED EXPERIENCE** :… more
- RTX Corporation (Aurora, CO)
- …C27, Richardson, TX, 75082 USA **Position Role Type:** Onsite **Raytheon Company, Managed by Collins Aerospace** THIS POSITION IS CONTINGENT UPON CONTRACT ... with network-specific data models (eg, YANG, OpenAPI) to support policy-driven configuration of routers, switches, and firewalls + Configuration Management… more
- AmeriHealth Caritas (Baton Rouge, LA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... to ten (5 to 10) years progressive manager/leader experience in a Managed Care Organization preferred.; + Solid understanding of Medicare/Medicaid operations… more
- AmeriHealth Caritas (Charleston, SC)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... monitor the accuracy of benefit interpretation, claim payment, provider contract configuration , eligibility processing, and revenue-generating interfaces across… more