Specialist III An ideal candidate has a strong work ethic and is able to perform under pressure and tight deadlines. The role.... Responsibilities: The Customer Deal Desk Specialist III leads and manages the contracting process end-to-end for strategic, complex...
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...
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...
for both Fee-For-Service (FFS) and Managed Care enrolled clients. Plan, design, develop, and maintain documentation and fiscal...: One (1) year as a Health Care Program Specialist. Required competencies: The ability to take action to learn and grow...
care within capitated and risk-based contract environments. This role focuses on ensuring quality, cost-effective... management, or related field. Understanding of capitated and delegated risk models. Knowledge of managed care, utilization...
, home health care and more as appropriate. Assisting with scheduling of post discharge PCP and Specialist visits..., NHA) 2-3 Years of Experience in healthcare, managed care, home health, and/or community health setting Desired skills...
University Health System Cost Center: 649 SYSTEM Managed Care and Payer Relations Address: 1085 Van Voorhis Road Morgantown... to support Payer Relations and Contracting staff with analysis of charges, payments, and contract analysis. The position...
) As a Vocational Specialist, you'll… The Vocational Specialist serves as a subject matter lead within a cross functional team... documentation, requiring professional-level writing and editing. This position will require the Vocational Specialist to interact...
of network provider contracting in a managed care model is a plus. Knowledge of community resources and social service agencies...-profit organization that focuses on creating a world we all want to live in. With long-standing roots as a managed care...
Overview: Konica Minolta currently has an exciting opportunity for a Sr. Admin Ops Specialist! Provide timely... delivery for all orders processed within the assigned Branch(es) Ensure that all order and contract paperwork is in compliance...
(DHHS) is seeking a Lead EDI Specialist / Tester to perform work related to support the Managed Care Transition Project... Specialist (790773) Duration: 12 months Location: Dix Campus, Raleigh, North Carolina (Hybrid) Position Type: Contract...
medical device, DME, or managed care industry Hands-on experience with provider enrollment, credentialing, or government... match Great culture and people! The Opportunity: The Government Payor Relations Specialist manages contracting...
and reads City of Hope managed care contracts summaries to obtain an understanding of the contract provisions and interprets... for insurance coverage. Acts as resource regarding managed care contract changes and updates. Qualifications...
Responsibilities The Specialist, Account Resolution is the lead responsible for the timely follow-up of Managed Care... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications...
. In addition, establishes benefits, utilizes contract information, OHSU policies and insurance carrier policies on managed care... dermatologic care for the broad range of skin, hair, nail, and mucous membrane disorders. The PAS Resource Specialist acts...
with NetworX configuration or similar provider pricing tools Experience working in a health plan or managed care environment... Way, Las Vegas, NV. At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities...
responsible for the timely follow-up of Managed Care/Commercial accounts. Communicates clearly and efficiently by phone.... Reviews managed care contracts. Qualifications: EDUCATION, EXPERIENCE, TRAINING 1. Minimum of four years hospital managed...
and identify trends or discrepancies Experience working in a health plan or managed care environment Analytical and problem... Way, Las Vegas, NV. At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities...
Job Description: Overview Konica Minolta currently has an exciting opportunity for a Sr. Admin Ops Specialist..., track, and schedule delivery for all orders processed within the assigned Branch(es) Ensure that all order and contract...
Contract Job Summary: Seeking a Lead EDI Specialist/Tester to support Medicaid Reform / Managed Care Transition projects...Job Title: IT Lead EDI Specialist Job ID: 26-00103 Location: Raleigh, NC (Local candidates only) Duration: 6 Months...