and completing strategy. Experience in oncology and/or managed care/payer experience. Experience in oncology buy-and-bill... by personalized healthcare and biomarker technologies. As an Oncology Market Access Strategy Sr. Manager in Oncology Care and Access...
(i.e. Pricing Transparency, CMS regulations, Managed Care contract terms) Management Reporting and Monitoring Populate on-going...At Central Maine Healthcare our team members are committed to providing exceptional care and experiences...
activities to ensure that care meets evidence-based practice standards, and regulatory/payer requirements. The role integrates... as a leader of positive change. The Registered Nurse Case Manager bears overall responsibility for coordinating patient care...
with organizational goals. Proactively engage with OH leaders, managed care, revenue cycle, business partners, and payers to analyze...Job Description: Position Summary The Director, Pharmacy Optimization is a key leader within Orlando Health...
managed by a regional director and team of BCBAs. Our corporate office located in Deerfield Beach, Florida is home... driven health care organization? Do you have the humility and communication skills to provide excellent service to the...
evolution of managed care. The regulation and financing of community-based organizations (CBO's) at the local, state..., and federal levels. Value-based care and Alternative Payment Models. Price transparency, All-Payer Claims Databases...
monitoring. Serves as a primary resource for the VP of Strategic Payment Relationships and Director of Contracting for payer... financial and operational analyses, modeling of managed care contracts and proposals, analyze fee schedules, and determine...
of the Director of Managed Care Contracting and Provider Relations, this individual is responsible for managing the payor... plan environment, with financial and managed care contracting experience. â— The individual must have experience in the...
monitoring. Serves as a primary resource for the VP of Strategic Payment Relationships and Director of Contracting for payer... financial and operational analyses, modeling of managed care contracts and proposals, analyze fee schedules, and determine...
meetings. Works with the Director of Patient Financial Services to analyze third party payer payment issues. Works with Care... to optimize reimbursement from third party payers including Medicare, Medicaid Blue Cross and Managed Care companies. Assists...
Financial Services (HFS), coding personnel, and Managed Care Contracting. The incumbent must be self-directed while working... both independently and in collaboration with the Cellular Therapy Program Medical Directors and the Cellular Therapy Program Director...
Financial Services (HFS), coding personnel, and Managed Care Contracting. The incumbent must be self-directed while working... both independently and in collaboration with the Cellular Therapy Program Medical Directors and the Cellular Therapy Program Director...
for Medicare, Medicaid, and Other Managed Care payer categories. Assist with the compilation and documentation of annual... for Blue Cross with necessary journal entry to General Accounting. Monitor important Managed Care payer groups such as the...
/NCDs. Extensive understanding of reimbursement theories to include DRG, OPPS, HCC and managed care. Extensive working... department activities. Capacity to review, analyze and interpret managed care contracts, billing guidelines, and state...
/guidelines, new managed care contracts, and industry publications to advise Director, partners, and other department heads... and knowledge of payer requirements, registration and scheduling workflows, as well as referral requirements to ensure staff follows...
/guidelines, new managed care contracts, and industry publications to advise Director, partners, and other department heads... and knowledge of payer requirements, registration and scheduling workflows, as well as referral requirements to ensure staff follows...
Services Supervisor. RESPONSIBILITIES MAY INCLUDE ONE OR MORE OF THE FOLLOWING: Reports to Executive Director Managed Care... and Health Care Finance Administration (HCFA) 1500 claim forms billing and follow up functions - both electronically and manual...
with stakeholders beyond job discipline (e. g. IS, Finance, Nursing, Managed Care); supports onboarding of new associates and serves..., Managed Care, Corporate Finance & Financial Reporting and Ethics & Compliance. 3. Consultation: Serve as a resource person...
for Medicare, Medicaid, and Other Managed Care payer categories. Assist with the compilation and documentation of annual... for Blue Cross with necessary journal entry to General Accounting. Monitor important Managed Care payer groups such as the...
Services Supervisor. RESPONSIBILITIES MAY INCLUDE ONE OR MORE OF THE FOLLOWING: Reports to Executive Director Managed Care... and Health Care Finance Administration (HCFA) 1500 claim forms billing and follow up functions - both electronically and manual...