***This is a hybrid role Managed Care Contract Manager Position Highlights: The Managed Care Contract Manager... Guidelines. The Managed Care Contract Manager is responsible for managing payer relationships, negotiation of reimbursement...
we envision. Summary Managed Care Contract Manager Position Highlights: The Managed Care Contract Manager is responsible.... The Managed Care Contract Manager is responsible for managing payer relationships, negotiation of reimbursement rates...
the understanding of managed care policies and procedures. Identifies network access and deficiencies and develops... as needed. Researches, analyzes and recommends resolution for contract dispute, non-routine claim issues, billing questions...
the understanding of managed care policies and procedures. Identifies network access and deficiencies and develops... as needed. Researches, analyzes and recommends resolution for contract dispute, non-routine claim issues, billing questions...
the understanding of managed care policies and procedures. Identifies network access and deficiencies and develops... as needed. Researches, analyzes and recommends resolution for contract dispute, non-routine claim issues, billing questions...
patterns. Conducts seminars to support the understanding of managed care policies and procedures. Identifies network access... and existing providers as needed. Researches, analyzes and recommends resolution for contract dispute, non-routine claim issues...
of clinical or utilization review experience and minimum of 3 years of managed care experience; or any combination of education... experience and minimum of 3 years of managed care experience is strongly preferred. Previous Medical Review and/or Prior...
review experience and minimum of 3 years of managed care experience; or any combination of education and experience... years of Long-Term Care clinical or Long-Term Care utilization review experience and minimum of 3 years of managed care...
of clinical or utilization review experience and minimum of 3 years of managed care experience; or any combination of education... of managed care experience strongly preferred. Previous Medical Review and/or Prior Authorization/Pre-Certification experience...
review experience and minimum of 3 years of managed care experience; or any combination of education and experience... years of Long-Term Care clinical or Long-Term Care utilization review experience and minimum of 3 years of managed care...
of clinical or utilization review experience and minimum of 3 years of managed care experience; or any combination of education... of managed care experience strongly preferred. Previous Medical Review and/or Prior Authorization/Pre-Certification experience...
of clinical or utilization review experience and minimum of 3 years of managed care experience; or any combination of education... experience and minimum of 3 years of managed care experience is strongly preferred. Previous Medical Review and/or Prior...
patterns. Conducts seminars to support the understanding of managed care policies and procedures. Identifies network access... and existing providers as needed. Researches, analyzes and recommends resolution for contract dispute, non-routine claim issues...
: Long term care, managed care preferred. Prior leadership experience preferred. Experience with Medicaid products... for claims and billing procedures, contract compliance, medical management, and pharmacy issues. Promotes provider compliance...
benefits and managed care products, and steering members to appropriate providers, programs or community resources. Works.... Requires minimum of 5 years acute care clinical experience, utilization management or managed care experience; or any...
and Medicare Advantage guidelines. Understanding of managed care contracts, including contract language and reimbursement...+ years of health care or managed care experience working with providers (e.g., provider relations, claims education...
{CBO}). Monitors and tracks the total hospital certified days of the patient for payers (commercial, managed care..., and Responsibility. As our most acute level of care, our specialty hospitals offer the same critical care patients receive in...