, project management and/or managed care operations Knowledge, Skills and Abilities Strong written and oral communication..., and/or contract changes. ESSENTIAL RESPONSIBILITIES Manage and coordinate compliance related processes. Monitor governance...
of Managed Health Care (DHMC). 2.Communicate all updates with Claims Department Manager and support staff to ensure compliance..., and receive care. SUMMARY: Maintaining compliance with regulatory requirements as governed by RMC and the health plans...
of Managed Health Care (DHMC). 2.Communicate all updates with Claims Department Manager and support staff to ensure compliance..., and receive care. SUMMARY: Maintaining compliance with regulatory requirements as governed by RMC and the health plans...
hoc research of business and data demands (managed from internal prioritization). Support lead distribution systems... Investment Solutions, and 3) Financial Assets, which includes legacy blocks of long term care, universal life, and variable...
and pay for performance. Knowledge of managed care concepts, contracting, reimbursement, data, policies, and procedures... and pricing expertise to support Partnership’s negotiation, implementation, and maintenance of managed care contracts...
, and recommend updates to policy and procedures applicable to managed care reimbursement payment methodologies using payment rules... in managed care environment; or equivalent experience and training that would provide the knowledge and acquired skills...
with payor operations, finance, revenue cycle, chargemaster, managed care, and entities to align pricing models with financial... support, financial analysis, healthcare pricing, managed care analytics, or revenue cycle to include experience with Microsoft...
with experience manipulating and analyzing claims data. · Familiarity with managed care and/or Medicare reimbursement terms... Responsibilities · Develop and maintain reimbursement and financial strategies for contracted vendors using knowledge of managed care...
needs of the contract and client are met while addressing needs of employees Manage relationships with clients by ensuring... by shift or service line accordingly Review monthly P&L and submit necessary changes to financial analyst Review all labor...
program related issues. Maintain and model value based managed care contracts for the purposes of monitoring contract..., cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care. We are recognized...
with contract and vendor management In-depth expertise on core IT components within the respective domain. Preferred Requirements... technical exposure. 3-5 + years of experience working as an Analyst or IT Professional with SAP Demonstrated advanced...
, and review of customer cost & schedule related data items Preparation and analysis of contract Estimates at Complete (EACs... is required, as only U.S. citizens are eligible for a security clearance Security Clearance: DoD Clearance: Secret Raytheon Company, Managed...
and managed care Knowledgeable in all areas of the Epic Tapestry system, including the benefits engine, enrollment/eligibility... for Resolute 6+ years of experience in a Managed Care environment Epic Tapestry Contracts Administration experience Epic...
and managed care Knowledgeable in all areas of the Epic Tapestry system, including the benefits engine, enrollment/eligibility... for Resolute 6+ years of experience in a Managed Care environment Epic Tapestry Contracts Administration experience Epic...
Role: Medicaid Subject Matter Expert/Analyst Location: Remote, USA Duration: Long Term Contract... enrollment, third-party liability. Understanding of fee-for-service, managed care claim/encounter adjudication processes...
and profitability for each managed care contract for all FMOLHS affiliated entities. Extracts and analyzes historical data to help..., the optimization of reimbursements and the implementation and administration of all managed care contracts...