- Henry Ford Health System (Troy, MI)
- …skills. + Strong organizational and interpersonal skills. + Strong Understanding of Managed Care Reimbursement methodologies, coding, and terminology. ... EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement , or related… more
- AdventHealth (Maitland, FL)
- …leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues. Ensures key stakeholders are ... within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the implementation… more
- HCA Healthcare (Dallas, TX)
- …Surgery Centers. This entails financial analysis and management, cash flow, and knowledge of managed care contract reimbursement as well as general ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more… more
- Cedars-Sinai (Los Angeles, CA)
- …revenue codes) preferred. *Minimum of 2 years of experience with Managed care contract interpretation and reimbursement analysis preferred. **Why work ... accounts to ensure payment and resolution. + Monitors, evaluates, and reviews Cedars-Sinai Managed Care contracts and reconcile to payments received. + Ensures… more
- Baystate Health (Springfield, MA)
- Summary Description: The Sr. Managed Care Contract Manager will act as the catalyst between the contract , contract parties and the data. Supporting ... language, evaluate validity in the data and support the Managed Care Contract Team at...and analyzes any data variances. 12) Conduct service line managed care reimbursement analysis as… more
- Publix (Lakeland, FL)
- **34227BR** **Position Title:** Managed Care Contract Support Specialist **Department:** Pharmacy **Location:** Lakeland, FL **Description:** If you want to ... role in the success of Publix Pharmacy and the Managed Care Contract Support Specialist...Leave + Short- and long-term disability insurance + Tuition reimbursement + Free hot lunches (buffet-style) at facilities with… more
- MaineGeneral Health (MA)
- …are actively 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...the Charge Description Master (CDM) rate setting + Lead contract negotiations and manage payer relationships + Utilize Soarian… more
- WMCHealth (Valhalla, NY)
- …Responsible for maintaining managed care contracts in contract management system including reimbursement formulas/calculations in accordance with payment ... maintenance support to end users in Managed Care and Patient Accounts department for Siemens Contract...of Information Technology staff and Senior Director- Managed Care . + Writes and maintains reimbursement formulas/calculations… more
- AdventHealth (Altamonte Springs, FL)
- …**Responsible for ensuring the providers are loaded timely and accurately with Managed Care contracted payers. Responsible for evaluating professional fee ... the Physician Enterprise (PE) and works closely with practice office operations staff, Managed Care (MC) contracting, MC Credentialing and Enrollment and billing… more
- Stony Brook University (Commack, NY)
- …the organization. + Monitor and dispute Managed Care payer reimbursement policies or practices that breach contract terms, track resolution outcomes. + ... Care contracts. + Maintain accurate, up-to-date Managed Care contract databases and...Strong knowledge of New York State, Federal, commercial payer reimbursement methodologies and Managed Care … more