- Planet Healthcare (Detroit, MI)
- …Pending compliance Employment Type: Contract 2+ Years of discharge planning or managed care experience required Active MI RN license, BLS Planet Healthcare ... Benefits Industry Leading Support: Dedicated Recruiter & Designated Compliance Specialist Robust Insurance Plans (Medical, Dental, Vision) 401k Retirement Plans… more
- Marion County (Salem, OR)
- …use disorders who are under the jurisdiction of the PSRB.A Mental Health Specialist on this team provides individual and group therapy, case management, and ... their conditional release orders and able to be safety managed in the community. Conduct home visits and have...community partners, including the PSRB, I/DD Services, PTCN, licensed care providers, and other entities that provide services to… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Responsible for seeking contract opportunities, reviewing contract language and terms, conducting data analysis on financial terms, negotiating ... problem resolutions regarding payment issues with all contracted payors. Manages the contract review process for RCSSD 3rd party contracts, contracts with payors,… more
- Hackensack Meridian Health (Edison, NJ)
- …transform healthcare and serve as a leader of positive change. The **Senior Contracting Specialist Managed Care ** will develop and negotiate owned and ... A day in the life of a **Senior Contracting Specialist Managed Care ** at Hackensack... Care ** at Hackensack Meridian Health includes: + Managed Care Contract Negotiation: Develop… more
- Abbott (Pleasanton, CA)
- …failure, allowing people to restore their health and get on with their lives. The ** Managed Care Sales Specialist ** is responsible for key account Managed ... Managed Care sales targets include national payors, national networks, managed care organizations (HMO, PPO, POS, EPO), providers at financial risk… more
- UNC Health Care (Morrisville, NC)
- …in formulating strategies for responses to market changes. Stays current with new managed care product and alternative payment model development and communicates ... potential strategies for maintaining market readiness. **5. Value-based care contract negotiation.** Manages the end-to-end contracting process including… more
- MetroLink (Los Angeles, CA)
- Contract Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4472709) Apply Contract Specialist Salary $59,645.00 - $92,450.00 ... Benefits + Questions SUMMARY PURPOSE OF POSITION The Contracts Specialist performs quality control checks, confirms that contract...change dentists at any time, go to a dental specialist of your choice, receive dental care … more
- HomeSafe Alliance (Columbus, OH)
- **Title:** Contract Specialist HomeSafe is seeking a Contract Specialist to join our GHC Contracts Team and to provide all forms of contract -related ... of contract execution, administration, and closeout. The Contract Specialist position will perform a range...program + Family Support: Bright Horizons, child and elder care services + Teladoc Medical Experts, second opinion program… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …collections of outstanding account balances for commercial, government, and managed care payors as assigned. The Reimbursement Specialist I is required to ... their leadership. It is a requirement for the Reimbursement Specialist I to read, interpret and apply complex payor... I to read, interpret and apply complex payor contract language to expected reimbursement calculations and pursue all… more
- Molina Healthcare (TX)
- …effective and efficient business results. * Trains and monitors newly hired Contract Specialist (s). * Participates in other contracting related special projects ... does not entail heavy negotiations. Minimal ongoing engagement after contract . Synchronizes data among multiple claims systems when applicable,... field including, but not limited to, provider's office, managed care , or other health care… more
- CareOregon (Portland, OR)
- …should include involvement in several of the following areas: Provider relations, managed care operations (eg, claims, appeals, grievances, customer service), ... Job Title Provider Relations Specialist Lead - Behavorial Health Department 116-Provider Relations...and relations + Strong knowledge and understanding of Medicare, managed care , and the Oregon Health Plan… more
- Sevita (Minneapolis, MN)
- …or related field preferred + Three to five years' experience with contracts, managed care , and health insurance related industry preferred + A reliable, ... our team members have provided home and community-based health care for adults, children, and their families across the...we serve and for our employees. Contracts and Payor Specialist - Remote Salary - $55,000-$78,000 annually The … more
- State of Minnesota (St. Paul, MN)
- …+ Ensuring the MnCHOICES application accurately reflects assessment policy as required through Managed Care to meet contract requirements + Providing ... + Knowledge of home and community-based programs for older adults and the relation to managed care enrollment + Knowledge of DHS systems such as MnCHOICES, MMIS,… more
- CareOregon (Medford, OR)
- …work in one or more of the following areas: Provider relations, managed care operations (eg claims, appeals, grievances, customer service), medical/behavioral ... comply with all federal laws. Job Title Provider Relations Specialist I Department 116 - Provider Relations Exemption Status...Knowledge, Skills and Abilities Required Knowledge + Knowledge of managed care and the Oregon Health Plan… more
- Prime Healthcare (North Las Vegas, NV)
- …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications Education and Work Experience +… more
- Sutter Health (Los Altos, CA)
- …primary care and specialty providers to meet the geographic demand of the managed care contracts and other risk contracts under design. Ensures successful ... loading in systems to ensure proper administration of Managed Care lives. Provides analytical support for...experience. **SKILLS AND KNOWLEDGE:** + Extensive knowledge of health care contract and billing terminology, provisions and… more
- Prime Healthcare (Lynwood, CA)
- …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. #LI-BF3 Qualifications EDUCATION, EXPERIENCE, TRAINING… more
- Universal Health Services (Bonham, TX)
- …to ensure accurate and timely appeals to third party payers in compliance with Managed Care contracts and government fee schedules. The Appeals Specialist ... care we deliver every day. TMC Bonham is managed by Texoma Medical Center, subsidiary of UHS. The...by Texoma Medical Center, subsidiary of UHS. The Appeals Specialist is responsible for appealing all insurance denials and… more
- Prime Healthcare (Denville, NJ)
- …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications EDUCATION, EXPERIENCE, TRAINING 1.… more
- Prime Healthcare (Garden City, MI)
- …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications Education and Work Experience 1.… more
