management services organization. The MSO must deliver a portfolio of managed care contracts and the infrastructure to manage the... focused on patients’ medical, psychological, and social support needs under the direction of the RN Care Manager. Assist...
explanations of benefits and managed care contracts Knowledge of Internet Explorer, Microsoft Excel, Microsoft Word, and Outlook... and understand insurance explanations of benefits and managed care contracts Knowledge of Internet Explorer, Microsoft Excel...
explanations of benefits and managed care contracts Knowledge of Internet Explorer, Microsoft Excel, Microsoft Word, and Outlook...: Under the direction of the Business Office Manager, the Insurance & Registration Coordinator verifies insurance coverage based...
relationship manager, and trusted advisor to the C-suite. You'll leverage AI and automation to build a next-level IT function... to do their best work. Over the next 12 months, you will: Lead the MSP transition: Successfully migrate from our current managed service...
. Participates in responding to requests for proposals for managed care contracts. Participates in the establishment of quality... of managed care organizations and other payors, including but not limited to Medicare and Medicaid (except to the extent...
. Essential Functions: Must be able to analyze payments and adjustments to ensure compliance with managed care contracts... by manager including end of the month closing. What We Offer As an organization, one way we care for our communities...
. Essential Functions: Must be able to analyze payments and adjustments to ensure compliance with managed care contracts... by manager including end of the month closing. What We Offer As an organization, one way we care for our communities...
patterns. Participates in responding to requests for proposals for managed care contracts. Participates in: Establishment...Inspire health. Serve with compassion. Be the difference. Job Summary Provides primary health care to a specific...
patterns. Participates in responding to requests for proposals for managed care contracts. Participates in: Establishment...Inspire health. Serve with compassion. Be the difference. Job Summary Provides primary health care to a specific...
. Participates in responding to requests for proposals for managed care contracts. Participates in the establishment of quality... of managed care organizations and other payors, including but not limited to Medicare and Medicaid (except to the extent...
Assesses physician performance and make recommendations in collaboration with the care model committee for corrective action.... Assists with the administration of all provider/facility contracts to ensure network contracts meet all regulatory, payer...
, and fast-paced team with extensive experience in negotiations, managed care, finance, and consulting, and is at the center... in managed care. Available for some travel (up to 20%) ADDITIONAL SUCCESS FACTORS Mission Driven - Commitment to DaVita...
regulations related to managed care, denials and reimbursement issues. Has working knowledge of current hospital contracts...This position facilitates timely access to care by ensuring insurance eligibility and benefits are verified prior...
-disciplinary storm drainage. Function as construction inspector, project engineer, project manager, or program manager delivering.... Provide construction inspection services on assigned projects for any of the Engineering Division managed programs. Review...
companies and managed care plans and Medicaid agencies in Pima County, Arizona for residential and outpatient treatment..., and in multiple counties in California for the California Advancing and Innovating Medi-Cal (Cal-AIM) Enhanced Care Management...
Job description: When you care deeply about the work you do, it’s rewarding to see it through from concept..., water treatment facilities, mines, and wind farms, we've successfully managed thousands of projects. Joining our team...
of managed care contracts and reimbursement guidelines.... integrity, and align with federal and industry standards. Reports to Clinical Appeals & CDI Manager Essential Functions...
s, etc. Experience and knowledge of managed care contracts, account receivables and revenue cycle functions; Working knowledge... in appealing managed care denials and underpayment decisions....
. Collaborate closely with Revenue Cycle, Coding, CDI, Physicians, and Managed Care to optimize documentation accuracy... of: Prospective payment systems Managed care Utilization review Discharge planning CDI and mid-revenue cycle Payor relations...
patterns. Participates in responding to requests for proposals for managed care contracts. Participates in: Establishment...Inspire health. Serve with compassion. Be the difference. Job Summary Provides primary health care to a specific...