difference. It is the foundation of The Memorial Experience. Summary: Responsible for monitoring and trending Managed Care.... Responsibilities: Evaluates balances and audit letters received from Managed Care Plans to determine if discrepancies/findings...
negotiation, managed care, or PBM/Payor/Covered Entity experience is preferred. Understanding of Contract Law, Compliance... to managed care, institutional, retail and wholesale customers for the life of the contract and ensure the accurate and timely...
CFOs, Directors Revenue Analysis (DRAs), Directors of Patient Access and Managed Care Contracting to identify and address... including level of care, length of stay, patient throughput and compliance metrics. Leads continuous improvement initiatives...
and accurate translation into Government Price Reporting systems. Manage contract compliance, including timely verification... response to disputes and ensure compliance with the eligibility terms. Ensure timely ongoing maintenance of contract...