- 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
- Omaha Children's Hospital (Omaha, NE)
- …+ Minimum 2 years' experience in analysis of financial, reimbursement , or managed care contract modeling. Required **Skills and Abilities** + Knowledge ... and people with disabilities. **A Brief Overview** The Sr. Managed Care Contract and Revenue...annual fee schedule analysis to identify opportunities to maximize reimbursement . + Promote a culture of collaborative, customer-focused service… more
- Henry Ford Health System (Detroit, MI)
- …recorded. + Partner with Managed Care Contracting to ensure contract terms, reimbursement methodologies, and modeling tools align with net revenue ... The Associate Vice President (AVP), Reimbursement & Net Revenue Optimization provides strategic leadership...improve upstream processes in collaboration with Revenue Cycle, Finance, Managed Care , System Analytics, and the Mosaic… more
- Saint Francis Health System (Tulsa, OK)
- …performs on going analysis, which maintains the integrity of financial expectations of managed care contracts within the Epic system. Resolves programming issues ... - 5:00pm Job Summary: Responsible for analysis of contracts and performing contract negotiations to include monitoring and reviewing existing contracts to ensure… more
- Bristol Myers Squibb (Princeton, NJ)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as all aspects with evaluating implications of and reporting Managed Care data required for US and...hours flexibility. Parental, caregiver, bereavement, and military leave. Family care services such as adoption and surrogacy reimbursement… more
- St. Luke's Health System (Boise, ID)
- …remote from the states of Idaho, Oregon, Utah and Arizona only.** The Director, Managed Care Analytics is responsible for the creation and development of ... financial metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for financial performance, identifying areas for… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street ... analytics with a focus on hospital and ancillary. Reviews and monitors contract /payer performance including payer parity. Compares expected reimbursement data to… more
- WellSpan Health (York, PA)
- …Summary** Ensures initial and recurrent authorizations are present to ensure timely reimbursement . Assists with coordination of care and/or transfers to higher ... completion and submission of applications for public assistance or uncompensated care . Provides support to multiple provider types in behavioral health authorization… more
- Guidehouse (San Antonio, TX)
- …components. * Provides oversight and executive level management to overcall contract operations often involving multiple projects/tasks and groups of personnel at ... leading teams **Experience with oversight and executive level management for overall contract operations** **What Would Be Nice to Have** **:** + Experience with… more
- Intermountain Health (Frankfort, KY)
- …revenue cycle insurance follow up or denial management, required- Extensive knowledge of managed care contract interpretation, required - Associate's Degree, ... **Job Description:** The Reimbursement Specialist is responsible for performing a variety...duties, including working insurance claims follow-up and escalations, interpreting contract language, and tracking trends. This specialist works facility… more