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Manager, Specialist Physician Contracts Jobs

1,147 Jobs

  • 4.3
    TalentCare – Pomona, CA
    NEW
    Medicaid/Medicare contracts and benefit systems is helpful. Current unrestricted Nurse Practitioner (NP) or Physician Assistant (PA… representatives, facility staff, PCPs and other collaborating physicians/providers Manage patient care on a longitudinal basis, with the primary…
  • 4.3
    TalentCare – Schenectady, NY
    NEW
    Medicaid/Medicare contracts and benefit systems is helpful. Current unrestricted Nurse Practitioner / Physician Assistant state… representatives, facility staff, PCPs and other collaborating physicians/providers Manage patient care on a longitudinal basis, with the primary…
  • 4.3
    Frontline Source Group, Inc. – Arlington, TX
    11 days ago 11d
    you an experienced A/R Claims Specialist looking to get to work quickly? If so, we have a contract to possible hire opportunity… North Texas Four locations A/R Claims Specialist Role: The A/R Claims Specialist will use EOBs to follow up on accounts that…
  • 3.8
    Brigham and Women's Hospital – Boston, MA
    $44k-$75k(Glassdoor est.)
    4 days ago 4d
    GENERAL SUMMARY/ OVERVIEW STATEMENT: The Non-Contracted Plans Resource Specialist is responsible for providing support to ambulatory… works collaboratively with the contracting team on single-case agreement. Keeps practice manager or designee updated with regard…
  • 3.3
    WellCare – Springfield, IL
    $43k-$60k(Glassdoor est.)
    HOT
    vary. Interacts continuously with member, family, physician(s) and other providers utilizing clinical knowledge and expertise to… as liaison and member advocate between the member/family, physician and facilities/agencies. Maintains accurate records of case…
  • 4.3
    CareNational – Charlottesville, VA
    EASY APPLY
    NEW
    and exclusions in contract terms, the Nurse will help guide physicians in their awareness of preferred contracts, providers, and… Case Management RN - Managed Care Charlottesville, VA *** This is a Full Time, Benefits Available, CONTRACT opportunity, expected…
  • 4.3
    CareNational – Reno, NV
    EASY APPLY
    NEW
    and exclusions in contract terms, the Nurse will help guide physicians in their awareness of preferred contracts, providers, and… goals. They will coordinate member visits with providers and specialists as needed. Communication of patient needs will be conducted…
  • 3.0
    Vista Clinic Corp – Waukegan, IL
    $36k-$51k(Glassdoor est.)
    5 days ago 5d
    Vista! Vista Physician Group is a professional network which includes family medicine physicians and specialists with 20 offices… Typically reports to top management. May be responsible for contracts or negotiations with insurance providers. Requires a high-school…
  • 4.3
    CareNational – Chicago, IL
    EASY APPLY
    1 days ago 20hr
    and exclusions in contract terms, the Nurse will help guide physicians in their awareness of preferred contracts, providers, and… goals. They will coordinate member visits with providers and specialists as needed. Communication of patient needs will be conducted…
  • 3.9
    Med-Metrix – Neptune, NJ
    NEW
    and group information with insurance companies (addresses, contracted plans, provider ID numbers, etc.) Coordinate information… Time Job Location: Neptune, NJ Required experience: Physician Group Credentialing: 1 year Healthcare: 1 year Company…
  • 3.6
    Dexcom – Mesa, AZ
    16 days ago 16d
    customers, payors, physicians, sales team). Generate monthly reports as required by department or payor contract Deliver superior… RESPONSIBILITIES Manage and track all stages of the claims process for non-contracted and contracted payors: Proactively…
  • 4.3
    CareNational – Cerritos, CA
    EASY APPLY
    1 days ago 20hr
    and exclusions in contract terms, the Nurse will help guide physicians in their awareness of preferred contracts, providers, and… goals. They will coordinate member visits with providers and specialists as needed. Communication of patient needs will be conducted…
  • 4.3
    CareNational – Helena, MT
    EASY APPLY
    1 days ago 20hr
    and exclusions in contract terms, they will help guide physicians in their awareness of preferred contracts, providers, and facilities… RN or LCSW or LCPC) - Managed Care Helena, MT *** This is a Full-Time, Benefits Available, CONTRACT-TO-HIRE opportunity, expected…
  • 4.3
    CareNational – Toledo, OH
    EASY APPLY
    1 days ago 20hr
    and exclusions in contract terms, the Nurse will help guide physicians in their awareness of preferred contracts, providers, and… goals. They will coordinate member visits with providers and specialists as needed. Communication of patient needs will be conducted…
  • 3.8
    Excellus BlueCross BlueShield – Utica, NY
    $90k-$139k(Glassdoor est.)
    NEW
    Independent Physician Association (IDS/IPAs) including criteria for contracting, principles of risk-sharing contracts, steering… Title VP Contracting Job Type Full Time City Rochester, Syracuse, Utica State NY Description The VP of Contract Negotiations…
  • 3.7
    BIDMC – Needham, MA
    Today 4hr
    network of more than 100 highly-skilled primary care physicians and specialists who are affiliated with the renowned Beth Israel Deaconess… Population Health Specialist serves in an expanded role to collaborate with and support primary care physicians and their support…
  • 3.3
    Wellcare – Brentwood, TN
    $54k-$81k(Glassdoor est.)
    1 days ago 24hr
    Interacts continuously with member, family, physician(s) and other providers utilizing clinical knowledge and expertise to determine… as liaison and member advocate between the member/family, physician and facilities/agencies. Maintains accurate records of care…
  • 3.3
    Aerotek – Brentwood, TN
    $44k-$59k(Glassdoor est.)
    4 days ago 4d
    strategic partner to more than 17,000 clients and 300,000 contract employees every year, Aerotek's people-focused approach yields… competitive advantages for its clients and rewarding careers for its contract employees. Headquartered in Hanover, Md., Aerotek operates…
  • 3.0
    U.S. Dermatology Partners – Dallas, TX
    $37k-$58k(Glassdoor est.)
    NEW
    Relations Specialist will be responsible for the resolution of questions or concerns from both payors and physicians, taking the… both Payor Contracting and Provider Enrollment functions related to payor issue resolution. The Payor Relations Specialist will also…
  • 3.3
    WellCare – Tampa, FL
    $55k-$72k(Glassdoor est.)
    1 days ago 24hr
    Functions: Interacts continuously with member, family, physician(s) and other providers utilizing clinical knowledge and expertise… as liaison and member advocate between the member/family, physician and facilities/agencies. Coordinates community resources…
  • 3.2
    Multiplan – Naperville, IL
    $37k-$63k(Glassdoor est.)
    10 days ago 10d
    provider contracting and network development (including contracting experience with a combination of physicians, physician groups… solution. 4. May manage relationships with leased networks. 5. Maintain, and preferably exceed, contracting production and…
  • 3.3
    WellCare – Newark, NJ
    $60k-$90k(Glassdoor est.)
    5 days ago 5d
    Interacts continuously with member, family, physician(s) and other providers utilizing clinical knowledge and expertise to determine… as liaison and member advocate between the member/family, physician and facilities/agencies. Maintains accurate records of care…
  • 4.0
    University of Kentucky – Lexington-Fayette, KY
    $36k-$58k(Glassdoor est.)
    11 days ago 11d
    conditions to ensure that contract portfolio is bench-marked appropriately. To work with clinicians, physicians, and Health System affiliates… To manage a defined portfolio of products and services as part of the overall contract portfolio for the University of Kentucky…
  • 3.1
    Denver Health – Denver, CO
    $79k-$118k(Glassdoor est.)
    NEW
    and Provider Contract data across Large Hospitals, Physician Groups, and other Health Care Related Providers. Manage and direct… Provider Relations and Contracting will implement provider relationship and contract strategies across all Managed Care plans. (Commercial…
  • 4.3
    The Plus Group – South San Francisco, CA
    20 days ago 20d
    looking for Recent College Graduates for contract Case Manager\Reimbursement Specialist positions. You must have a passion for helping… and exceptional communication skills. Case Manager\Reimbursement Specialist Recent College graduates with strong customer…
  • 3.9
    Houston Methodist – Houston, TX
    20 days ago 20d
    Assist Project Manager with estimating project cost and defining project benefits.(EF) Validate consultants (contract labor) deliverables… - F Job Summary JOB SUMMARY The IT Sr. Process Specialist is responsible for applying principles and standards of process…
  • 4.7
    Compass Consulting Group – South San Francisco, CA
    NEW
    fill multiple positions for an Case Manager or a Reimbursement Specialist. These are contract positions with a possibility of an… preferred 2) Reimbursement Specialists: serve as the primary point of contact between Case Managers and insurance payers. We own…
  • 3.8
    Hospital for Special Surgery – New York, NY
    7 days ago 7d
    the specified grace period stipulated in the policies and/or contracts Documents in Epic follow-up actions performed and additional… Medicaid regulations Knowledge of Third Party claim filing, contract reimbursement and other insurance guidelines Denials Management…
  • 3.5
    Alliance Family of Companies – Irving, TX
    $97k-$145k(Glassdoor est.)
    HOT
    Supervises ContractingSpecialist, Managed Care. Primary Job Responsibilities: Create and implement the payor contracting strategy… Director of Contracts, Managed Care is responsible for negotiating, drafting, filing and tracking all Payor contracts. Responsible…
  • 3.9
    NYU Langone Health – New York, NY
    HOT
    not resolvable at your level. Works with physicians offices, the Office of Managed Care Department, Care Management and Third… person for physicians offices regarding pre-admission process and insurance inquiries. Collaborates with physicians offices regarding…
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