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With more than 5,500 employees, USA Health's network Includes USA Health University Hospital, USA Children's & Women's Hospital, USA Mitchell Cancer Institute, USA Physicians Group, USA Health Care Authority, and the USA College of Medicine.
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Keywords: Provider Network Contracting, Healthcare, Managed Care, Hospital Contracting, Physician Contracting, Ancillary Contracting, Facility Contracting, Provider Network, Network Development, Provider Services, Contract Negotiating, Network Management, Associate Director, Accountable Care Organization (ACO), Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote, WAH.
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Network Contract Manager. Associate Healthcare Provider Network Contractor. Senior Healthcare Provider Network Contractor. Healthcare Provider Network Contractor. Our network consultants are typically responsible for leveraging client provided data to contact providers, build relationships, negotiate contracts, and manage various elements of the contracting process.
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Knowledge of health insurance and pharmacy insurance benefit verification, health insurance terminology, billing, managed care contracting, hospital reimbursement, and hospital admitting and registrations practices required.
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In preparation for future projects, EWINGS is seeking to build relationships with Network Contractor professionals that have a minimum of 5+ years of experience developing healthcare provider networks.
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Per Diem Middlesex Health Based in Middletown, Connecticut, Middlesex Health , a member of the Mayo Clinic Care Network , includes Middlesex Hospital, a not-for-profit magnet hospital with 275 beds, and two Middlesex Health Cancer Center locations.
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Headquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
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Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services.
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Working knowledge of third party payor reimbursement - Medicare, Medicaid, Managed Care and commercial insurance. Our medical practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, NewYork-Presbyterian/Lower Manhattan Hospital, NewYork-Presbyterian Hospital/Brooklyn Methodist Hospital, NewYork-Presbyterian Hospital/Westchester Behavioral Health Center, and NewYork-Presbyterian/Queens.
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Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
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Managed care orientation. Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims.
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Preferred Skills, Capabilities, and Experiences:Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health care including HMO, PO and POS plans strongly preferred.
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As a Managed Care Organization Analyst -Hamilton, NJ at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve - a community's most vulnerable.
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We bring to life a healing ministry through our compassionate care and exceptional service. We're bringing to life a healing ministry through compassionate care. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures.
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10+ years of experience in managed care network development and provider relations/contracting management in a health care and/or managed care environment. At least five (5) years of combined network operations, provider relations, and management experience; must reside in NC.Pay Range: $162,200.00 - $308,000.00 per year.
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