Managed Care Contracts Coordinator

5 days ago

Franklin, United States Fresenius Medical Care North America Full time

PURPOSE AND SCOPE: Responsible for successful implementation, coordination, and administration of contracting and pricing procedures. This includes contract terms and conditions, products and prices for various market segments and customer types. Accountable for information derived from systems and other administration. Will also be active in supporting all negotiations. PRINCIPAL DUTIES AND RESPONSIBILITIES: Assists and uses analytical models and data, including but not limited to, supporting analysis, documentation and reports to support negotiations of contract terms and department administration. Maintains complete, accurate, and up-to-date contract records, files, log and reports. Works on problems of moderate scope where analysis of situations or data requires a review of a variety of factors. Builds productive working relationships with internal and external contacts. Maintains confidentiality internally and externally. The information garnered in this process cannot be shared at will and will only be disseminated to related parties such as Physician / Facility Contract negotiators, the legal department and those specified by the supervisor. Provides reports as directed by Physician / Facility Contracting team. Developing professional expertise; applies company policies and procedures to resolve a variety of issues. Normally receives general work instructions on routine work, detailed instructions on new projects or assignments. Work is reviewed for soundness. May refer to senior level staff for assistance with higher level problems that may arise. Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations. Assist with various projects as assigned by direct supervisor. Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Minimal travel less than 10%, 1 to 2 times per year EDUCATION: Bachelor's Degree preferred Information systems, financial and/or contracts background a plus. EXPERIENCE AND REQUIRED SKILLS: 0 - 2 years' related experience; or an advanced degree without experience; or equivalent directly related work experience. Knowledge of Microsoft suite products necessary, including Excel, Word, Power Point and Access. Excellent communication skills and ability to work well within a team environment is essential. Ability to research and analyze payer industry information. Must be well-organized and be able in work in a demanding environment. Fast-paced environment requires flexibility and ability to re-establish priorities as necessary. Demands during peak periods may require work hours outside of normal working hours. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

  • Chronic Care Management Coordinator

    1 month ago

    Franklin, United States Teche Action Clinic Full time

    Job DescriptionJob DescriptionSalary: Teche Action Clinic, A Federally Qualified Health Center, per Section 330 of the Public Health Service Act, is currently seeking qualified applicants for the Chronic Care Management Coordinator Position in Franklin, Louisiana.       **This is a full-time position. Office hours are Monday - Thursday 7:30am - 5:30pm...

  • Strategic Value-Based Care Contracting Leader

    2 weeks ago

    Franklin, Tennessee, United States US Heart & Vascular Full time

    {"Job Title": "Vice President of Value-Based Care Contracting", "Job Summary": "US Heart and Vascular is seeking a seasoned leader to drive the development and execution of advanced payment model contracts. The successful candidate will oversee the strategic direction of value-based care contracting, establishing and maintaining strong relationships with...

  • Renal Care Authorization Coordinator

    2 weeks ago

    Franklin, Tennessee, United States Innovative Renal Care Full time

    Authorization Specialist Job DescriptionInnovative Renal Care is seeking a highly skilled Authorization Specialist to join our team. As a key member of our dialysis clinics, you will be responsible for ensuring seamless prior authorizations, referrals, and appeals processes.Key Responsibilities:Initiate prior authorizations and referrals via phone, fax,...

  • Patient Care Coordinator

    3 months ago

    Franklin, United States InnovaCare Health Full time

    InnovaCare Texas Management Services Company, LLCJob Summary The Patient Care Coordinator is the first impression when patients and guests arrive at InnovaCare Health facilities. They also assist patients by assessing, facilitating, planning, and advocating for health needs on an individual and on-going basis. Essential Job Functions Welcomes patients and...

  • Patient Care Coordinator

    1 month ago

    Franklin, United States InnovaCare Full time

    InnovaCare Texas Management Services Company, LLCJob Summary The Patient Care Coordinator is the first impression when patients and guests arrive at InnovaCare Health facilities. They also assist patients by assessing, facilitating, planning, and advocating for health needs on an individual and on-going basis. Essential Job Functions Welcomes patients and...

  • Patient Care Coordinator

    2 months ago

    Franklin, United States InnovaCare Full time

    InnovaCare Texas Management Services Company, LLC Job Summary The Patient Care Coordinator is the first impression when patients and guests arrive at InnovaCare Health facilities. They also assist patients by assessing, facilitating, planning, and advocating for health needs on an individual and on-going basis. Essential Job Functions Welcomes patients...

  • Patient Care Coordinator

    4 months ago

    Franklin, United States InnovaCare Health Full time

    InnovaCare Texas Management Services Company, LLC Job Summary The Patient Care Coordinator is the first impression when patients and guests arrive at InnovaCare Health facilities. They also assist patients by assessing, facilitating, planning, and advocating for health needs on an individual and on-going basis. Essential Job Functions Welcomes patients...

  • Patient Care Coordinator

    4 weeks ago

    Franklin, Tennessee, United States TriStar Skyline Medical Center Full time

    Job SummaryThe Registered Nurse (RN) Case Manager is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, and developing a safe and appropriate discharge plan in collaboration with the multidisciplinary team.Key ResponsibilitiesProvides...

  • Patient Care Coordinator

    3 weeks ago

    Franklin, Ohio, United States Vaco Full time

    Job Summary:Vaco is seeking a skilled Patient Care Coordinator to join our team. As a Patient Care Coordinator, you will play a vital role in ensuring the smooth delivery of healthcare services to our patients.Key Responsibilities:Coordinate patient care: Work closely with healthcare providers to ensure patients receive the necessary care and support.Manage...

  • Patient Care Coordinator

    2 weeks ago

    Franklin, Tennessee, United States Care Now Full time

    About CareNowCareNow is a leading provider of urgent care services, delivering quality, convenient, and patient-centered care with unparalleled service. Our physician-driven focus is centered on providing extensive resources and support to our dedicated clinical teams.Job SummaryWe are seeking a dedicated Patient Representative to join our team. As a Patient...

  • Medical Assistant

    1 month ago

    Franklin, United States LTC Provider Care Full time

    Job DescriptionJob DescriptionSalary: $18-$22 per hourLTC Physician Care, PC is a new and emerging medical group dedicated to serving patients by providing Primary Care Physician (PCP) services to Skilled Nursing and Long-Term Care facilities across Michigan. Our goal is to improve the overall quality of care, patient outcomes, quality of life, refine...

  • Nursing Care Coordinator

    1 month ago

    Franklin, Tennessee, United States TriStar Southern Hills Medical Center Full time

    Sign-on Bonus options available for Eligible CandidatesIntroductionAre you seeking a workplace that prioritizes exceptional patient care? At TriStar Southern Hills Medical Center, we empower our staff in their roles. Step into the position of Nursing Care Coordinator and take advantage of programs designed to support your career journey.BenefitsTriStar...

  • Front Desk Coordinator

    1 week ago

    Franklin, Tennessee, United States Care Now Full time

    About CareNowCareNow is a leading provider of urgent care services, delivering quality, convenient, and patient-centered care with unparalleled service. Our physician-driven focus is centered on providing extensive resources and support to our dedicated clinical teams.Job SummaryWe are seeking a highly skilled and experienced Front Desk Coordinator to join...

  • Patient Care Coordinator

    3 weeks ago

    Franklin, Nebraska, United States InnovaCare Full time

    Job SummaryThe Patient Care Coordinator is the first point of contact for patients and guests arriving at InnovaCare Health facilities. This role requires a high level of customer service focus, effective communication skills, and the ability to manage competing priorities in a fast-paced environment.Key ResponsibilitiesWelcoming Patients and Visitors: Greet...

  • Hearing Care Coordinator

    2 days ago

    Franklin, United States Sonova Full time

    Who we are A high number of candidates may make applications for this position, so make sure to send your CV and application through as soon as possible. You enjoy creating and innovating. You never stop striving for better. You take responsibility and you get results. You love being part of a team. Above all, you want your work to matter: Welcome to our...

  • Contract Analyst

    6 days ago

    Franklin, United States Centralized Allocations Full time

    Description Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Contract Analyst opening with Parallon today and find out what it truly means to be a part of the HCA Healthcare team. Benefits Parallon, offers a total rewards package that supports the health, life, career and retirement of...

  • Provider Enrollment Coordinator

    1 month ago

    Franklin, Tennessee, United States Acadia Healthcare Full time

    Position Overview:Join Our Team as a Fully Remote Credentialing CoordinatorAbout Us:At Acadia Healthcare, we are dedicated to Leading Care With Light. Our mission is to provide exceptional quality care to our patients while actively combating the opioid crisis. We focus on treating the whole person, addressing all aspects of the disease.Our Organization:As a...

  • Care Coordinator Specialist

    3 days ago

    Franklin, Tennessee, United States Advent Full time

    About AdventAt Advent, we're redefining the healthcare experience. We believe in empowering our patients and our team members to thrive. Our commitment to innovation and excellence drives us to find better solutions for our patients. We're not just a healthcare organization - we're a team of passionate individuals who are dedicated to making a difference.Job...

  • Customer Care Coordinator

    4 months ago

    Franklin, United States GuildQuality Full time

    Created: Apr 3rd 2021 **Customer Care Coordinator** Full-time employee Franklin, TN This position is primarily responsible for responding quickly and courteously to all homeowner calls, requests, and complaints. Coordinates subcontractors and Customer Care Field Representatives with all efforts in assisting homeowners in resolving Customer Care issues. *...

  • Hearing Care Coordinator

    3 days ago

    Franklin, United States Sonova Full time $17 - $19

    Who we areA high number of candidates may make applications for this position, so make sure to send your CV and application through as soon as possible.You enjoy creating and innovating. You never stop striving for better. You take responsibility and you get results. You love being part of a team. Above all, you want your work to matter: Welcome to our...