of terms and conditions for Managed Care payer contracts for facility, professional, and ancillary entities. Primary focus... of contracting and managed care operations Strength in project management skills Excellent written and verbal communication skills...
at the account level based on expected reimbursement from contracted managed care payers, governmental payers and non... Resolute, Excel, understanding of managed care contracts and payment terms 3-4 years experience Professional Healthcare...
System. Works with the Managed Care Executive team to manage the contract process for Beacon Health System. Acts as a service...Reports to the Executive Director. Responsible for assisting the Managed Care Executive Team in negotiating...
Job Title: Long Term Care Account Specialist - Miami Job Location: Miami, FL, USA Job Location Type: Remote... managed care, Medical Science Liaisons, and medical communications Demonstrates honesty and integrity while modeling...
Overview: The Care Specialist is responsible for the coordination of all in office tasks associated with durable... medical equipment services to Medicaid eligible children in conjunction with the family, prescribing doctor, and managed care...
Partners (BCP) in accordance with requirements established by contracted Managed Care Organizations and National Committee... in business, finance or healthcare Minimum of one year of previous managed care experience Benefits (For full time or part...
information (e.g., names, addresses, DOB, social security numbers, etc.); ensures compliance with any/all applicable contract... service orientation, with a strong emphasis on understanding and applying proven customer care techniques and processes...
will have Hospital or Physician Insurance contract build experience, Managed Care experience, as well as contract management platform... and grow their knowledge of managed care organizations, contracts and products. Participates with the Contract Management...
functions such as contract loading, contract validation, trouble shooting and training. The specialist II will actively... (DRG) updates, and yearly increases for the Managed Care contracts utilizing such tools as a Smartsheet for tracking. Uses...
managed care) and NYS insurance regulations. Manage finance onboarding and training support. Oversee billable service... in the state of NY, is seeking a Contract Revenue Cycle Manager to start ASAP. What you need to know: Contract role, 3-6...
and annual fiscal cycles. Career Level - IC3 Responsibilities: Creates, validates and processes contract documentation... using Oracle's standard document templates, a set of contract options and in accordance with Oracle's policies and business...
and finalizes all assigned contracts which may be primary care, specialist, ancillary, hospital, group/IPA as well as ensure the...: N/A Job Requirements: Experience: Required: Minimum 5 years’ experience with an HMO, managed care provider...
assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community... and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching...
of CalAIM ECM, Medi-Cal regulations, and managed care principles preferred. Understanding of adult learning theory...Title: Manager, Community Care Hub Status: This position is classified as a Program Officer II and is an exempt...
staff may include Behavioral Health Care Counselor I, II and III, Rehabilitation Specialist, Clinician I, II and III... with Department of Health Care Services (DHCS) Performance Contract. Plan for, oversee and respond to all reviews and audits...
Position Title: Claims Specialist (Hybrid) Location: Bethesda, Maryland, United States Job Category: Client... Services Job Type: Full Time Description: Overview- Claims Specialist Are you focused on details, skilled in claims...
Qualifications: Actual job title: Quality Specialist. Quality Auditor and Internal Quality control responsibilities... Requirements Document Control Bachelorâs degree preferred Responsibilities: Job Description Quality Management Specialist...
Qualifications: Actual job title: Quality Specialist. Quality Auditor and Internal Quality control responsibilities... Requirements Document Control Bachelor’s degree preferred Responsibilities: Job Description Quality Management Specialist...
: Required: High School Diploma or equivalent (GED). Two (2) years’ experience and knowledge of HMO, PPO, TPA, and Managed Care...We are looking for a Provider Relations Specialist to join us in leading our organization forward. McLaren Integrated...
About Associated Home Care Fueled by a real understanding of today’s challenges, Associated is committed...-enabled, compassionate and extremely well managed. We are in the exciting and dynamic home healthcare industry. Our market...