- 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
- e CancerCare (Nashville, TN)
- …in reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance, along with rate modeling ... reimbursement terms in a multi-functional approach to Managed Care strategies. . Assume other projects...skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating… more
- AdventHealth (Maitland, FL)
- …departments * to keep them informed of any concerns related to managed care reimbursement and operational contract issues. * Ensures hospital staff, ... position is responsible for managing the AdventHealth Multi-State Division Contract Management team. This team is responsible for ...other products, policies and procedures that would impact the Managed Care team relative to processes and… more
- Baystate Health (Springfield, MA)
- …forecasting Under the direction of the Director of Managed Care , the Managed Care Contract Manager is responsible for the key components of the ... negotiating fee-for-service and value-based agreements to maximize revenue and reimbursement . + Strong understanding of contract modeling,...less costly care . Primary responsibilities of the Managed Care Contract Manager include… more
- Baylor Scott & White Health (Dallas, TX)
- …reporting of expenses and operating/net income by entity and line of business. ** MANAGED CARE ANALYTICS & CONTRACT SPECIFIC RESPONSIBILITIES** + Manage ... Makes decisions and recommendations on critical initiatives related to managed care analytics and contract ...plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 Note: Benefits… more
- MaineGeneral Health (Waterville, ME)
- …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 Sorian… more
- CommonSpirit Health (Omaha, NE)
- …and support all stakeholders through ongoing educational and problem-solving support for managed care payer reimbursement models. This position requires ... daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract modeling strategy and… more
- Houston Methodist (Houston, TX)
- …oversees the development, negotiation, and maintenance of payer relations contracts for reimbursement billed through managed care including hospital, ... contract performance. + Ensures the dissemination of managed care financial information to internal finance... and provider network processes + Expert knowledge of contract modeling and reimbursement methodologies + Knowledge… more
- Henry Ford Health System (Troy, MI)
- …Experience in reimbursement and/or data analytics preferred. * Knowledge of managed care organizations and integrated health systems. * Comprehensive project ... GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is...Care Contracting team in evaluating, analyzing, and negotiating contract terms and reimbursement rates with health… more
- Nuvance Health (Danbury, CT)
- …all Nuvance entities. In addition to gathering volume data and modeling of current reimbursement , the Managed Care Analyst determines the need for ... *Description* Summary: The Managed Care Analyst compiles, validates, and analyzes utilization and reimbursement data to aid in contract negotiations for… more