- Abbott (Livermore, CA)
- …CMS enrollment, Medicaid enrollment, state licenses, Joint Commission accreditation, payor contract review, and quality systems + Develops and participates ... in setting compliance strategies and initiatives. + Oversees business policies, processes and programs to ensure business remains compliant to regulatory and contract requirements + In charge of audits and regulatory inspections. + Responsible for ensuring… more
- Novant Health (Charlotte, NC)
- …Business Administration or Health Administration, preferred. + Experience: + Five years Payor /Provider Contracting, Provider / Payor Relations , Provider ... represent key components of Novant Health's strategic goals. The Manager , Payor Strategy and Relationship Management is... may be responsible for certain portfolio of payer relations and the contract language and rate negotiations for… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Under supervision of Manager and / or Director, support the managed care contracting function by performing necessary financial analysis to evaluate ... payor (or health plan) contract performance and ...in the Healthcare industry in Managed Care Contracting, Provider Relations , Provider Reimbursement or related professional capacity. + Excellent… more
- HCA Healthcare (Overland Park, KS)
- **Description** **Job Summary and Qualifications** The Care Manager supports the patient and primary care relationship through care delivery enhancement. Primary ... transitions of care, care management, preventive services, and self-management. The Care Manager acts as an integral member of the division Care Coordination team… more
- Hawaii Pacific Health (Honolulu, HI)
- …Admitting, Finance, Case Management, Clinical Departments and payors to facilitate recovery of payor accounts and enhance payor relations . These dedicated ... contracts with third party payors, review and process contract documents, transfer payor terms and conditions into the appropriate reimbursement system, and conduct… more
- Covenant Health Inc. (Knoxville, TN)
- …Responsibilities Integrity + Reviews ADR log, Denial Management System reports and payor websites to identify denials and other related issues and proactively ... coding, and billing in order to ensure compliance with payor rules and claim billing rules. + Performs research...Vice President of Patient Account Services, Officer and/or Corporate Manager of Revenue Integrity. + Supports, models and adheres… more
- Henry Ford Health System (Detroit, MI)
- …more responsible professional capacity, with some experience / exposer to payor contracting, provider relations and/or provider reimbursement. + Knowledge ... take lead role in negotiating payment contract models and other complex payor relationships. + Routinely monitors current contracts for appropriate rate structure,… more
- Devereux Advanced Behavioral Health (Villanova, PA)
- …for operations to strengthen contracting and placement process and diversification pf payor mix + Support for centers with conversion of referrals to admissions ... referral/admissions determinations on behalf of center or program + Develop/Implement payor or contract related expectations + Identify opportunities and develop… more
- Cedars-Sinai (Los Angeles, CA)
- …of America's Best Hospitals. **What You be doing in this Role:** The Manager , Patient Access is responsible for the planning, organizing, directing and controlling ... needs of all customers and support the Medical Center's philosophies. The Manager , Patient Access assumes fiscal responsibility through preparation of unit budgets,… more
- HCA Healthcare (Nashville, TN)
- …sharing, and best practices when collaborating with customers and peers. + Assist the Payor Relations Managed Care teams and Managed Care Legal teams in ... have the career opportunities as a Billing Code Senior Manager you want with your current employer? We have...various teams, including payer contracting and analytical teams, payer relations , managed care, legal support, and service line leaders.… more
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