managed care contracting ewing

Johns Hopkins All Children’s Hospital is a premiere clinical and academic health system, providing expert pediatric care for infants, children and teens with some of the most challenging medical problems.   Our patients come from all over the world — and so do our staff members. They come to be part of a professional and diverse health care team; to...

Find your calling at Mercy!The Manager - Managed Care engages in implementing Mercy's managed care strategy as well as developing and managing relationships with health plans and other stakeholders, both internal and external. This includes coordination of commercial, Medicare Advantage, Medicaid Managed Care and other third-party managed care contracts and...

Provider-Centered. Patient-Focused. Built for What Healthcare Should Be.At Bookmark Medical, we are building a healthcare experience rooted in trust, teamwork, compassion, and continuous progress. We believe the best care happens when providers and care teams have the support, technology, and resources they need to focus on what matters most—patients.Our...

Provider-Centered. Patient-Focused. Built for What Healthcare Should Be. At Bookmark Medical, we are building a healthcare experience rooted in trust, teamwork, compassion, and continuous progress. We believe the best care happens when providers and care teams have the support, technology, and resources they need to focus on what matters...

ESSENTIAL FUNCTIONS:   1.        Prepare analysis related to the financial and operational performance of health care contracts, including the impact of regulatory rate or other changes and identify the financial and/or operational performance of those agreements. Recommends areas of improvement. 2.        Provides analysis for...

Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga and Elmore counties.To learn more about Baptist Health, visit us at https://www.baptistfirst.org.Highlights:The Manager, Denials and Managed Care Contracting will...

                    At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.                        We all have the power to help, heal and change lives —...

What You’ll Do  Position SummaryThe Nurse Care Manager will work with Suvida Healthcare’s multidisciplinary care team to provide high quality care for our high-risk patients. They will collaborate with their multidisciplinary neighborhood center care team to develop organization-wide approaches to problem solving, tracking, and managing complex cases...

Responsible for building, loading, testing and maintaining hospital third-party payer contracts in the contract modeling system. Accountable for analyzing relevant data and translating into reporting to support necessary determinations of adjustment to ensure maximization of values for contract negotiation purposes, and ultimately final agreed...

Overview At Augusta Health, your work matters — and so do you. Whether you're delivering direct patient care, supporting operations, or innovating behind the scenes, every role contributes to our mission of promoting wellness and healing through compassionate service. We offer more than just a job — we offer a purpose-driven career in a nationally...

Overview Our team members are the heart of what makes us better.  At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how...

Overview At Augusta Health, your work matters — and so do you. Whether you're delivering direct patient care, supporting operations, or innovating behind the scenes, every role contributes to our mission of promoting wellness and healing through compassionate service. We offer more than just a job — we offer a purpose-driven career in a nationally...

Manager of Managed Care and Contracting – Skilled Nursing Facility The CommuniCare Family of Companies is a fast-growing provider of long-term care with facilities located throughout 74 states. Our health care centers include over 100 skilled nursing facilities, 5 behavioral health hospitals, 3 substance abuse treatment centers, outpatient behavioral...

Who We Are: NEXDINE Hospitality's family of brands provides dining, hospitality, fitness center and facility management services to businesses, independent schools, higher education, senior living, and hospitals nationwide. We put our people first to deliver finely tailored, expertly managed programs. The NEXDINE Experience is responsive, transparent, and...

Are you ready to explore opportunities with INSPIRE? At INSPIRE, we know the value of exceptional people and our people are the primary reason for our success. We pride ourselves on providing our employees with an environment conducive to continued growth and career achievement. Explore the open positions at INSPIRE below. At INSPIRE , we know the value...

Baker Roofing Company - Regional Vice President The Regional Vice President (RVP) is responsible for developing and executing the overall strategy of the business within an assigned region, overseeing and optimizing the performance of company departments and profit centers. This strategic leadership role focuses on creating comprehensive business...

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Regional Vice President based in the United States. This senior leadership role oversees regional operations across a dynamic, multi-unit service environment, with responsibility for performance, client relationships, people...

Baker Roofing Company - Regional Vice President The Regional Vice President (RVP) is responsible for developing and executing the overall strategy of the business within an assigned region, overseeing and optimizing the performance of company departments and profit centers. This strategic leadership role focuses on creating comprehensive business...

Baker Roofing Company – Regional Vice President The Regional Vice President (RVP) is responsible for developing and executing the overall strategy of the business within an assigned region, overseeing and optimizing the performance of company departments and profit centers. This strategic leadership role focuses on creating comprehensive business...

About Salesforce Salesforce is the #1 AI CRM, where humans with agents drive customer success together. Here, ambition meets action. Tech meets trust. And innovation isn’t a buzzword — it’s a way of life. The world of work as we know it is changing and we’re looking for Trailblazers who are passionate about bettering business and the world through...