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Veterans Affairs, Veterans Health Administration Logo
Veterans Affairs, Veterans Health Administration

Iowa City, Iowa, Iowa

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CHRISTUS Health

San Antonio, Texas

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Veterans Affairs, Veterans Health Administration

Saint Cloud, Minnesota, Minnesota

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Vanderbilt Health

Nashville, Tennessee

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Veterans Affairs, Veterans Health Administration

Iowa City, Iowa, Iowa

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Veterans Affairs, Veterans Health Administration

Manchester, New Hampshire, New Hampshire

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Veterans Affairs, Veterans Health Administration

Columbia, South Carolina, South Carolina

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Fred Hutchinson Cancer Center

Seattle, Washington

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University of Maryland Medical System

Baltimore, Maryland

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Vanderbilt Health

Nashville, Tennessee

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CommonSpirit Health Mountain Region

Centennial, Colorado

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Veterans Affairs, Veterans Health Administration

Columbia, South Carolina, South Carolina

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Veterans Affairs, Veterans Health Administration

Columbia, South Carolina, South Carolina

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University of Maryland Medical System

Glen Burnie, Maryland

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University of Maryland Medical System

Aberdeen, Maryland

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CHRISTUS Health

San Antonio, Texas

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CommonSpirit Health Mountain Region

Colorado Springs, Colorado

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Duke University Health System

Durham, North Carolina

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Veterans Affairs, Veterans Health Administration

Richland County, South Carolina, South Carolina

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Veterans Affairs, Veterans Health Administration

Decatur, Georgia, Georgia

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Inova Health

VA,

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MultiCare Health System

Lakewood, Washington

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Veterans Affairs, Veterans Health Administration

West Palm Beach, Florida, Florida

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Managed Care Spec
JOB SUMMARYThe Managed Care Specialist 1 is responsible for the ongoing implementation and improvement of contract enforcement processes when contract violations related to Prompt Payment have escalated to require legal intervention. This position works with various stakeholders (Managed Care, Central Business Services, Legal Counsel) to ensure a coordinated process with measurable outcomes.ESSENTIAL FUNCTIONS OF THE ROLEServes as primary contact for Central Business Services (CBS), the Transplant Business Unit, Legal and Managed Care for managed care claims management escalated for legal follow up.Assists with the development, implementation and maintenance of the Prompt Pay Database.Manages claims identification and review p


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