Managed Care Financial Specialist in Raleigh, NC for WakeMed Health & Hospitals

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Managed Care Pharmacist - Blue Cross Blue Shield of Wyoming

Blue Cross Blue Shield of Wyoming

Cheyenne, Wyoming

Clinical Policy Analyst, Specialty Pharmacy

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Claims Adjustment Analyst

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Cooper University Health Care

Camden, New Jersey

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Manager IS System Configuration (Claims)

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Houston, Texas

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PLANNING ANALYST - HYBRID

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Academic Physician - MD/DO - Internal Medicine

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Pediatrix Medical Group

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Academic Physician - MD/DO - Epilepsy Neurologist

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Saint Louis, Missouri

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Managed Care Specialist

UNC Health

Morrisville, North Carolina

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Audit Compliance Specialist

BJC HealthCare

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Per Diem Patient Service Representative - Ambulatory Float Team (San Luis Obispo)

UCLA

San Luis Obispo, California

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SUPERVISOR PATIENT ACCESS

Cooper University Health Care

Camden, New Jersey

NEW!

Credentialing Auditor - Staff Credentialing

CHRISTUS Health

Texarkana, Texas

Nurse Practitioner- Interventional/Chronic Pain

Veterans Affairs, Veterans Health Administration

Salt Lake City, Utah

Hospitalist Physician, Medical Oncology Inpatient Service

Duke University Health System

Durham, North Carolina

Director Managed Care - Managed Care

CHRISTUS Health

Irving, Texas

PA, Physician Assistant/ NP, Nurse Practitioner - Cardiothoracic Surgery

CHRISTUS Health

Texarkana, Texas

RN Quality Review Home Health

AdventHealth

Orlando, Florida

Physician Assistant- Interventional/Chronic Pain

Veterans Affairs, Veterans Health Administration

Salt Lake City, Utah

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Geisinger

Kulpmont, Pennsylvania

Director, Provider Performance

Harris Health

Houston, Texas

Managed Care Financial Specialist

OverviewResponsible for the reviewing and validating over and under payments identified within EPIC contract management system as it relates to Managed Care and commercial payor accounts. The specialist is involved with the data gathering, financial modeling and creating ad hoc financial reports using multiple database systems for the Managed Care department. The financial models and reports will be used for the contract negotiations, auditing purposes, and validating claim payments to help assist senior level leadership in the decision-making process. Department DescriptionServing the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in W

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