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Blue collar Jobs in Plano, TX
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Blue collar • plano tx
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Managed Care Specialist
Blue & Co.Richardson, TX, USSenior Analyst – Catastrophe Risk & Exposure Analytics
Blue Ribbon Global TechnologiesPlano, Texas, USAConstruction Laborer
Blue Streak LLC 1Addison, TX, United States- New!
Senior Supply Chain Planning Analyst (Blue Yonder)
Restaurant Supply Chain Solutions LLCPlano, TX, United StatesRetail Space Planning Specialist (Blue Yonder)
Teleworld SolutionsPlano, TX, United States- Promoted
Property Manager
Blue Castle AgencyPlano, TX, US- Promoted
Project Manager (Blue Yonder)
Creative CirclePlano, TX, USMedicare Sales Field Exclusive General Agent for Blue Cross Blue Shield of Texas
Integrity Insurance and Financial Services TXFrisco, TX, USSenior Marketing Merchandising Analyst (Blue Yonder)
Jnd CorpPlano, TX, United States- Promoted
- New!
Pool Repair Mechanic
Blue Science, LLCRowlett, TX, USSpace Planning Analyst (Blue Yonder Planograms)
BTI SolutionsPlano, TX, United StatesPsychologist (Assessment) Flexible (FT / PT / Contract)
Blue Star Psychology & Consulting, PLLCPlano, TX, United States- Promoted
Work-From-Home Client Success Representative
Blue Ridge StaffingPlano, TX, USWarehouse Attendant
Blue Streak TelecommunicationsAddison, TX, United StatesLogistics Analyst
Blue Star Partners LLCPlano, TX, US- Promoted
Dentist Job in Garland, TX
Blue Jay Dental, LLCGarland, TX, United StatesPart Time Night Auditor
Blue Sky Hospitality SolutionsGarland, Texas, USA- associate dentist (from $ 145,600 to $ 250,000 year)
- dentist (from $ 147,800 to $ 250,000 year)
- director of software engineering (from $ 140,000 to $ 245,000 year)
- engineering director (from $ 23,381 to $ 240,706 year)
- medical director (from $ 76,750 to $ 234,900 year)
- product director (from $ 150,714 to $ 220,500 year)
- principal software engineer (from $ 147,400 to $ 215,000 year)
- snowflake (from $ 133,120 to $ 211,350 year)
- business development director (from $ 70,000 to $ 211,030 year)
- supply chain director (from $ 155,000 to $ 210,132 year)
- Chicago, IL (from $ 80,000 to $ 100,000 year)
- Los Angeles, CA (from $ 31,200 to $ 90,000 year)
- New Haven, CT (from $ 48,750 to $ 82,500 year)
- New York, NY (from $ 48,750 to $ 82,500 year)
- New Bedford, MA (from $ 48,750 to $ 82,500 year)
- North Charleston, SC (from $ 47,775 to $ 55,575 year)
- North Las Vegas, NV (from $ 35,100 to $ 52,000 year)
The average salary range is between $ 52,375 and $ 100,000 year , with the average salary hovering around $ 52,500 year .
Popular searches
Managed Care Specialist
Blue & Co.Richardson, TX, US- Full-time
Job Description
Job Description
Blue & Co., LLC, is a top independent accounting and advisory firm. Healthcare is our largest niche with more than 145 experienced professionals dedicated specifically to the industry.
We are currently seeking a talented Managed Care Specialist to provide subject matter expertise and technical assistance on matters related to Managed Care contracts, modeling, and operational best practices. This position can be located anywhere within our footprint of Indiana, Kentucky, Michigan, Ohio, or Texas. This person will work with Blue’s rapidly growing Healthcare Reimbursement and Revenue Cycle teams to serve healthcare providers with issues related to Managed Care.
Specific Duties
- Read and interpret Managed Care contract terms, payment logic, and hierarchies to assess risks and to determine opportunity areas of focus for healthcare providers.
- Interview provider personnel to obtain additional information on insurance carrier relationships and historical reimbursement trends.
- Work with clients to articulate issues requiring attention and develop processes and work plans to address identified issues.
- Assist clients with the negotiation of contracts, identifying and prioritizing clients’ underlying needs and goals in order to achieve a positive outcome for the client.
- Develop and maintain personal relationships with payors and providers that engender cooperation and trust, and are conducive to “win-win” scenarios.
- Review, test, and analyze large utilization data sets from healthcare providers.
- Oversee and prepare financial models utilizing various database software systems.
- Development of exhibits and narrative reports outlining our analysis & reimbursement impacts.
- Daily verbal and written communication with healthcare providers & health plans.
- Review insurance contracts, applicable state laws and other financial documentation to determine the proper advice back to clients.
Qualifications
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