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As part of the Finance Revenue team, this position will support Managed Care Contracting for contract modeling and revenue impact analysis in support of negotiations, helping to identify underpayments, and tracking portability within our managed care contracts.
ExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Understanding Revenue Cycle and managed care contracts. Basic knowledge of insurance plans, hospital reimbursement, ICD10, and CPT coding. The Collector I resolves payments with insurance companies, government payors, and patients.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Requires a BA/BS in business administration or a related field and a minimum of 10 + years of management experience in claims that includes adjustments in the managed care and/or insurance industry, experience driving AI/RPA initiatives and transformations; or any combination of education and experience which would provide an equivalent background.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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You will meet with clients primarily through scheduled appointments via video or phone, build a personalized financial plan for each client, and match clients with investment portfolios that are designed and managed by J.P. Morgan’s Chief Investment Officer.
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Experience in healthcare systems (practice management, managed care, EMR, or clinical operations). At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.
$53.33 - $85.85 an hourFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect.
$67.95 - $85.85 an hourFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Demonstrated regulatory experience in the areas of fraud and abuse, state licensure, corporate practice of medicine/fee splitting rules managed care, and healthcare antitrust is a plus. Practice Area: Health Care - Compliance / Transactions / HIPAA,Health Care - General, Job Type: Attorney.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Five to seven (5 – 7) years of healthcare experience in the areas of managed care contracting, payer/provider relations, and/or business development. Strong organizational and interpersonal skills, including the ability to work collaboratively with various colleagues to achieve defined market-specific goals; high degree of comfort interacting with Medical Directors and Senior Utilization Management team in Managed Care Organizations.
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5 years' experience in managed care operations within a hospital, IPA or health plan environment with at least 3 years' Experience in contract negotiations. The Physician Contract Specialist is also responsible for negotiating and executing Letters of Agreements, specialty agreements and ancillary contracting (purchased services) as may be applicable for patient that Hoag Hospital or one of their affiliates may have risk for.
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Has thorough knowledge of managed care contracts, current payor rates, understanding of terms and conditions, as well as Federal and State requirements. Knowledge of HMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California (Exchange), capitation, commercial and government payors (i.e. Medicare, Medi-Cal, TriCare, etc) and how these payors process claims.
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This is an Assistant Director - Commercial - Patient Financial Services and will be responsible for planning, directing, and managing all aspects of Accounts Receivables management for the Patient Financial Services department, including commercial, managed care, workers compensation, ERISA, self-funded and all other indemnity health plans.
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Compassionate Cancer Care Medical Group is seeking an experienced BC/BE Hematologist Oncologist to join our extensive, well-established, physician-led , and managed group practices situated in Corona, CA and Riverside , CA.
$400,000 - $450,000 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Completed PGY-1 residency in community practice, acute care medicine, internal medicine, or managed care. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center.
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MedUS Healthcare is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. Shift: 3x12 hr nights Start Date: 11/18/2024 Duration: 13 weeks Pay: $2342.13 / Week About MedUS Healthcare: MedUS Healthcare, formerly Axis Providers, is a Joint Commission certified staffing company that specializes in the recruitment, placement, and partnership of travel nurses and other healthcare professionals nationwide.
$2,342.13ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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1 year of HMO, Medical/Medicaid and healthcare/managed care experience required. Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or agreements, established payment methodologies, division of financial responsibility, applicable regulatory legislation, claims processing guidelines and company policies and procedures.
$25.87 - $38.8 an hourExpandApply NowActive JobUpdated Today
managed care jobs in Tustin, CA
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