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Managed Care Contracting Administrator Northwell Health
Develops managed care contract proposals for health system entities. Addresses operational issues and ensures contract rates and contract terms are implemented with the ultimate goal of maximizing system revenue.
Job Responsibility
Develops and analyzes the impact of managed care contract proposals on the organization. Works with management to interpret contract language as it relates to managed care reimbursement rates and contractual provisions. Assists senior staff in document preparation of proposals, contracts and settlements. Collaborates with internal organization departments and outside vendors to facilitate contract implementation. Participates in development of various ad hoc contractual reports and other educational material for internal customers. Works collaboratively with physician groups, and Faculty Practice business office to implement and monitor contract performance. Works collaboratively with organization ancillary and post-acute providers to monitor contract performance and assist with contractual issues. Interfaces with insurance companies/third party payers on a routine basis to communicate organization issues and to resolve operational or systemic payment issues. Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification
Bachelor's Degree required, or equivalent combination of education and related experience. 1-3 years of relevant experience, required. *Additional Salary Detail Posted 2 hours ago IT Business Analyst - Product Services & Management Analyst. Northwell Health Analyzes, verifies, tracks and recommends for Project, Product and Solution implementation and maintenance. Liaises between various agile teams and project teams. Recommends and delivers product and solution plans and training materials throughout implementation and helps ensure smooth operations post implementation. Posted 2 hours ago HSM Consultant - Special Risk. Aon In addition to our comprehensive benefits package, we encourage a diverse workforce. Plus, our agile, inclusive environment allows you to manage your wellbeing and work/life balance, ensuring you can be your best self at Aon. Furthermore, all colleagues enjoy two "Global Wellbeing Days" each year, encouraging you to take time to focus on yourself. We offer a variety of working style solutions, but we also recognize that flexibility goes beyond just the place of work... and we are all for it. We call this Smart Working! Our continuous learning culture inspires and equips you to learn, share and grow, helping you achieve your fullest potential. As a result, at Aon, you are more connected, more relevant, and more valued. Aon values an innovative, diverse workplace where all colleagues feel empowered to be their authentic selves. Aon is proud to be an equal opportunity workplace. Aon provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, veteran, marital, domestic partner status, or other legally protected status. People with criminal histories are encouraged to apply. Posted 2 hours ago Finance & Operations Management Associate. Northwell Health The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Posted 2 hours ago Manager, Patient Care - Neurosurgery ICU. Northwell Health Utilizing the nursing process, the manager is responsible for creating a safe, healthy work environment that supports delivery of high-quality patient and family centered care in a healing milieu. The manager fosters a culture where highly engaged interdisciplinary team members are able to contribute to optimal patient outcomes and to grow professionally Posted 2 hours ago Payroll Manager. Vaco Overview: We are seeking a meticulous and experienced Payroll Manager to oversee all aspects of payroll operations within our organization. The Payroll Manager will be responsible for ensuring accurate and timely processing of payroll, compliance with relevant regulations, and implementation of best practices. This role requires strong organizational skills, attention to detail, and the ability to effectively communicate with both internal stakeholders and external vendors. Posted 2 hours ago Outside Sales Representative - food industry (hybrid) Northwell Health FlexStaff is seeking an Outside Sales Representative for our client , a Nassau County based food importer and distributor. This position is full-time, hybrid (3 days/week in the office). Posted 2 hours ago Technology Sales Representative - USA. Aon Aon is looking for a Technology Sales Representative in Chicago, IL, New York, NY, Miami, FL, or Boston, MA! Reporting into the Global Technology Sales Leader, you will play a vital role in developing the US business. You will nurture key relationships to help build STG Portfolio's presence across the US insurance market and be responsible for the creation of sales strategies, tactics and action plans. What the day will look like The core objective of the role is to sell high quality insurance solutions using our proprietary software, in the Life and P&C Insurance market. To deliver on this objective you will: Use a thorough understanding of your target market to understand market and client issues Develop a strong understanding of individual customer needs and create proposals for how Aon can best address their requirements Be fully proficient on Tyche, Remetrica and Pathwise capabilities and able to talk knowledgably about our proposition to promote opportunities Work to develop the sales strategy and deliver pitches / respond to RFPs for your allocated markets for product sales and to meet the client's needs Operate independently (and in collaboration with other Aon colleagues) and manage the sales cycle from opportunity identification through to close Conduct face-to-face and virtual meetings to perform demonstrations; roadshows, conferences and other similar marketing events. Skills and experience that will lead to success 15+ years of experience in Life and P&C Insurance software sales A consistent track record of growing revenues selling software - in financial services - and ideally to insurance companies in the US market A reasonable understanding of the requirements and issues facing Insurers from a software perspective The ability to produce high quality material presentations and present these to clients Strong influencing skills to present a potential project to a client Significant experience leading complex major bids or proposals and strong deal closing skills Well-developed experience of working with teams of consultants and modelers A strong entrepreneurial outlook and a goal driven approach The enthusiasm to meet clients across US to deliver against your revenue targets How we support our colleagues In addition to our comprehensive benefits package, we encourage a diverse workforce. Plus, our agile, inclusive environment allows you to manage your wellbeing and work/life balance, ensuring you can be your best self at Aon. Furthermore, all colleagues enjoy two "Global Wellbeing Days" each year, encouraging you to take time to focus on yourself. We offer a variety of working style solutions, but we also recognize that flexibility goes beyond just the place of work... and we are all for it. We call this Smart Working! Our continuous learning culture inspires and equips you to learn, share and grow, helping you achieve your fullest potential. As a result, at Aon, you are more connected, more relevant, and more valued. Aon values an innovative, diverse workplace where all colleagues feel empowered to be their authentic selves. Aon is proud to be an equal opportunity workplace. Aon provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, veteran, marital, domestic partner status, or other legally protected status. We welcome applications from all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to perform essential job functions once onboard. If you would like to learn more about the reasonable accommodations we provide, email Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Pay Transparency Laws: The salary range for this position is $175k to $250k annually. The actual salary will vary depending on applicant's geographical location, education, experience, skills, and abilities, as well as internal equity and alignment with market data. The salary may also be adjusted based on applicant's geographic location. Aon offers a comprehensive package of benefits for full-time and regular part-time colleagues, including, but not limited to: a 401(k) savings plan with employer contributions; an employee stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical, dental and vision insurance. This role does not accrue vacation. Rather, this role is eligible to take paid time off at the discretion of the employee and management in accordance with Company policy and practices. Various other types of leaves of absence; paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, health savings account, health care and dependent care reimbursement accounts, employee and dependent life insurance and supplemental life and AD&D insurance; optional personal insurance policies, adoption assistance, tuition assistance, commuter benefits, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. #LI-RW1 #LI-HYBRID 2542737 Posted 2 hours ago Associate Software Engineer. Northwell Health Supports and enhances systems for enterprise resource planning, budgeting, data warehousing and financial reporting. Assists in providing support to ensure all systems are functioning optimally, data integrity is intact and financial reports are produced timely and accurately. Assists in implementing or enhancing systems following the software development lifecycle. Posted 2 hours ago Admissions Coordinator. WorldStrides The Admissions Coordinator plays a crucial role in attracting and enrolling qualified students. This position will contribute to various projects, including but not limited to the reviewing of student applications and entering the applications into the database; tracking course statistics and enrollments; following up on delinquent application materials; providing customer service to students and parents over the phone and by email; and assisting in recruiting and outreach to schools. They will also contribute to the review and posting of student's pre-travel paperwork. Posted 2 hours ago Description
Job Description
Develops managed care contract proposals for health system entities. Addresses operational issues and ensures contract rates and contract terms are implemented with the ultimate goal of maximizing system revenue.
Job Responsibility
Develops and analyzes the impact of managed care contract proposals on the organization. Works with management to interpret contract language as it relates to managed care reimbursement rates and contractual provisions. Assists senior staff in document preparation of proposals, contracts and settlements. Collaborates with internal organization departments and outside vendors to facilitate contract implementation. Participates in development of various ad hoc contractual reports and other educational material for internal customers. Works collaboratively with physician groups, and Faculty Practice business office to implement and monitor contract performance. Works collaboratively with organization ancillary and post-acute providers to monitor contract performance and assist with contractual issues. Interfaces with insurance companies/third party payers on a routine basis to communicate organization issues and to resolve operational or systemic payment issues. Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification
Bachelor's Degree required, or equivalent combination of education and related experience. 1-3 years of relevant experience, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
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