- State of Colorado (Denver, CO)
- Managed Care Rate & Reconciliation Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5054342) Apply Managed Care ... care and driving value for Colorado. We are looking for a Managed Care Rate & Reconciliation Analyst to join our Managed Care Rates HMO… more
- Bristol Myers Squibb (Tampa, FL)
- …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...financial forecasting and government pricing calculations + Perform monthly reconciliation of rebate payments with SAP + Lead team… more
- Intermountain Health (Atlanta, GA)
- …Follow-Ups + People Management + Payment Handing + Management Reporting + Managed Care + Taking Initiative + Reconciliation + Reading and EOB + Analytics ... complex invoice/billing/ reconciliation environment, preferred- Extensive knowledge of managed care contract interpretation **Physical Requirements** +… more
- AdventHealth (Maitland, FL)
- …Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; governmental ... strong working relationship with AdventHealth Florida and Multi-state Division leadership, Managed Care Reimbursement team, Regional Revenue Cycle leadership,… more
- MyFlorida (Tallahassee, FL)
- …aspects of Floridians' health, health care services and costs, and is vital to managed care rate setting, health care economics, and health plan ... evaluation. This position is responsible for: Data Analysis and Rate Setting *Participate in rate setting as...agency, or within AHCA for accuracy and consistency. *Review managed care rates to determine compliance with… more
- National Health Care Associates (Troy, NY)
- …responsibilities + Thorough knowledge of Medicare, Medicaid, Pending, Applied Income, and Managed Care reimbursement regulations + Ability to manage multiple ... Work** Heartwood is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work,...compliance of the resident fund ledgers + Perform month-end reconciliation of census, revenue and accounts receivable If you… more
- MyFlorida (Tallahassee, FL)
- …aspects of Floridians' health, health care services and costs, and is vital to managed care rate setting, health care economics, and health plan ... evaluation. This position is responsible for: Rate Setting Support * Participate in rate ...and contracted entities on work related to state Medicaid managed care plans, capitation rates, financial analysis/projections.… more
- Penn Medicine (Plainsboro, NJ)
- …on EMR and checked in on a timely manner.** **4.** **Maintain knowledge of managed care and third party billing requirements relative to front desk processes, ... cards. Update/ enter e-MDs demographic information.** **-Collect appropriate co-payments for managed care members, post payment and issue receipt.** **-Collect… more
- Mount Sinai Health System (New York, NY)
- …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- Mount Sinai Health System (New York, NY)
- …and EHR systems. + Organizes routine meetings with health system business leaders and managed care to review payer issues and denials. + Builds effective, ... relationships with key stakeholders across departments (eg, DTP, Human Resources, Managed Care , Finance, and clinical departments) + Collaborates with… more
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