Contracting Specialist is responsible for the development, coordination and ongoing maintenance of all health plan payor... Per Diem Type (if applicable): Minimum Pay Range: $26.10 - $32.62 Job Description: POSITION SUMMARY The Payor...
Contracting Maintain participation with Medicaid and Medicare services including MA and CMO plans Facilitate claims billing...
understanding of payor and primary care-specialist relationships, healthcare analytics, and the ability to collaborate and liaise... looking for a Director of Payor Performance and Network Operations to help us transform the way primary care is delivered and how patients...
and Medicaid reimbursement strategies/programs and payor contracting. 4. Years of supervision at least 3 years. Full Time FTE...Full-time, 40 Hours/week Days, 8: 00am - 4:30 pm Onsite Akron, OH Summary: The Director of Reimbursement and Payor...
of contract proposals. Participates in payor JOC meetings and department meetings as the Managed Care Contracting Specialist...Job Description: The Managed Care Contracting Specialist is responsible for creating and maintaining managed care...
Administration, or Management 3 – 5+ years of direct provider relations experience (Required) Knowledge of provider and payor roles...
Financial Clearance Specialist is best defined as a highly independent and flexible resource that focuses on system-specific..., and requesting authorization through the insurance companies. Prepares all forms required by third party payor for treatment...
for better? Job Description The Operations Specialist Managed Care reflects the mission, vision, and values of NM, adheres to the organization’s Code... that have a material financial impact. Works with Sr. Operations Specialists/Analysts to review on a monthly basis all newsletter, payor...
with Medicare HCPCS, Pricing, Modifier and Certification updates (as provided on payor profile, through contracting department... Specialist to join our team. In this position, you are responsible for the complete credentialing process as defined by payer...
on payor profile, through contracting department, or payor payment boards/websites, etc.) Performs other duties as assigned... We are seeking a dedicated Credentialing Specialist to join our team. In this position, you are responsible for the complete...
Email Submit Career Areas Growth and Expansion Operations Specialist Managed Care Location Chicago, Illinois Business..., come help us shape the future of medicine. Description The Operations Specialist Managed Care reflects the mission, vision...
Empath Health is currently seeking a Credentialing Specialist to join our team. Responsible for all aspects of the... care. The Credentialing Specialist will ensure providers are credentialed, appointed, and privileged with health plans...
and submit state Medicaid and other payor enrollments and re-validations. Work directly with payers, the CBOs, and Contracting... are flexible PURPOSE STATEMENT: The primary duty of the Credentialing Specialist is to manage the credentialing portion of the...
Specialist is best defined as a highly independent and flexible resource that focuses on system-specific service lines... required by third party payor for treatment authorization requests. Work on all pending utilization review patients and achieve...
Job Description: Responsibilities Job Description Job Summary: The Pharmacy Operations – Access Specialist.... Assess patients’ payor source and clinical information to identify appropriate site to provide care for patient (home...
), the Clinical Revenue Management Specialist (CRMS) performs a wide range of system wide clinical revenue management... Operations (CFO), Contracting and Corporate Business Services (CBS). EEO/AA/Disability/Veteran Responsibilities: 1. Follows...
Manager, Clinical Revenue Management (CRM), the Clinical Revenue Management Specialist (CRMS) performs a wide range of system... Coordination, Verification, Clinical Finance Operations (CFO), Contracting and Corporate Business Services (CBS). EEO/AA...
and/or Professional providers and EmblemHealth. Develop provider contracting efforts, including but not limited to process oversight... innovative contracting strategies to maximize cost containment, access and quality through provider arrangements. Negotiate...
to goals set by senior management. Works with third party insurance and payer contracting department to obtain maximum level... understanding of financial references, including guidelines for reimbursement, state and federal regulations, payor-specific...
and/or Professional providers and EmblemHealth. Develop provider contracting efforts, including but not limited to process oversight... innovative contracting strategies to maximize cost containment, access and quality through provider arrangements. Negotiate...