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The Managed Care Contract Analyst supports and is responsible for assisting the Assistant Vice President, Clinical Integration and Payer Contracting (AVP) in the administration of the FH value-based care (VBC) programs, both those held by the FH clinically integrated network (CIN), Frederick Integrated Healthcare Network (FIHN) and the FH employed medical group, Frederick Health Medical Group (FHMG) and the managed care contracts that are held by the Frederick Health entities included in FH.
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Managed care experience gained in a law firm, or in-house counsel for an academic institution, provider, managed care entity and/or government regulator. The position is relied on to represent institutional concerns persuasively to internal and external parties and serves as the lead legal counsel contact on managed care issues and interacts frequently with the members of the UC Procurement Services, UC Health, and Human Resources teams in the Office of the President, the medical center or campus teams responsible for managed care and employer group or student health plans, as well as medical center Chief Financial Officers.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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POSITION SUMMARY Reporting to the Managing Counsel, Health Affairs, Privacy & Data Protection, the Principal Counsel - Managed Care provides primary legal support to the University's health enterprise on managed care issues.
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Working knowledge of billing/coding terminology (i.e., ICD-10, CPT, Revenue codes); Procedural knowledge of hospital and physician practice accounts receivable managementIn-depth knowledge of payor contracting and negotiationWorking knowledge of privileging, credentialing, provider enrollment and managed care contracting requirements, practices, and industry standards.
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Position Purpose: Financial Analyst for Managed Care is responsible for analyzing and modeling managed care and population health risk agreements on behalf of Sinai Chicago Managed Care Department and Progress Health, Sinai Chicago’s, Clinically Integrated Network (CIN.
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Associate’s degree from an accredited college or a minimum of four years’ experience with managed care contracting or payor relations. Strong analytical skills needed to compile and analyze data including: managed care denials/underpayment/ overpayment identification and resolution, contract modeling and evaluation, filing appeals as well as aiding in decision support reporting.
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Participates in the strategic planning process and works closely with the VP Managed Care. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services.
$144,206.41 - $237,931.2 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Supports Managed Care Contracting and Revenue Cycle by gathering, analyzing, and sharing data on managed care payors' compliance with payment provisions of their contracts with CHST providers and developing and implementing strategies for improving payer contract compliance, resulting in increased net revenue.
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Under the direct supervision of the Director of Managed Care Services, the Managed Care Enrollment Coordinator is responsible for coordinating and implementing member’s enrollment into Managed Care Health Plans and selection of Primary Care Physician, transfers of plans and providers, eligibility verification, information and education for patients.
$21.22 - $23.9 an hourPart-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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We make every effort to take care of the people who make our company great. Job Qualifications:High School Diploma OR EquivalentRequired RDCS required If Vascular must be credentialed RVTKnowledge of anatomy, physiology, and pathology needed.
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Key Words: nonprofit, non-profit, mental health, mental health agency, behavioral health, healthcare, Care Coordinator, Case Management, Care Manager, counselor, youth advocate, family advocate, children advocate, youth counselor, adolescent, advocate.
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The Chief of Payer Relations and Managed Care will provide overall leadership of UMMC's managed care contracting function to include three hospitals and a multi-specialty faculty practice plan of over 600 providers.
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We are hiring a Health Care Coordinator - Medical Assistant for our Youth Services program at Camp Aspen in Columbia, South Carolina. As a Health Care Coordinator, you will perform clerical duties within the medical department.
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Morris View Healthcare Center - Job Title: Care Coordinator, MA (Telemedicine Programs Specialist) Location: Morristown, NJ Type: Full-time Overview The Care Coordinator is a critical role designed to facilitate and enhance telemedicine services, including Remote Patient Monitoring (RPM) and Chronic Care Management (CCM), for patients residing in Skilled Nursing Facilities (SNF.
$21 - $25 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Qualified candidates will have prior LTSS or Medicare Inpatient Utilization Management experience within a Managed Care setting, LTSS, MLTC MAP, will have a NYS Registered Nurse License , familiar with MCG/Milliman/Interqual Guidlines and a desire to join a great team.
$102,000 - $107,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today
Title: managed care coordinator Company: Florida Medical Clinic
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