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Atlantic Health (SP)

Morristown/NJ/USA

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AdventHealth

Orlando, Florida

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Pediatrix Medical Group

Yakima, WA, USA

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Providence

Santa Rosa, California

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CHRISTUS Health

Corpus Christi, Texas

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Denver Health

Denver, Colorado

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AdventHealth

Orlando, Florida

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Nemours

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CHRISTUS Health

Santa Fe, New Mexico

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Nemours

Wilmington, Delaware

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Kindred Hospitals

Arlington, Texas

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AdventHealth

Daytona Beach, Florida

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University of Maryland Medical System

Bel Air, Maryland

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Harris Health System

Houston, Texas

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Duke University Health System

Durham, North Carolina

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Atlantic Health (SP)

Morristown/NJ/USA

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CHRISTUS Health

Tyler, Texas

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AdventHealth

Orlando, Florida

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Memorial Sloan Kettering Cancer Center

New York, New York

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AdventHealth

Orlando, Florida

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Memorial Sloan Kettering Cancer Center

United States - Nationwide

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Managed Care Spec 1
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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