Top 1188 Reimbursement manager Jobs in Manchester Nh

Contract Manager-NH
WellSense Health Plan —Manchester, NH
- $77,000 - $112,000 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Bachelor's degree
- Health insurance
- Dental insurance
Float Pool RN | Med/Surg Full-Time Days
Concord Hospital —Concord, NH
- Full-time
- Nursing
- Management
- Float pool
- Disability insurance
- Health insurance
Speech Language Pathologist Augmentative Alternative Communication (AAC) Specialist 10K Sign-On Bonus
Boothby Therapy Services —Concord, NH
- From $55 an hour
- Full-time
- School experience
- Writing skills
- Mid-level
- Continuing education credits
- Mileage reimbursement
Quick Apply
School Psychologist 10K Sign-On Bonus
Boothby Therapy Services —Merrimack, NH
- $62 - $70 an hour
- Full-time
- Doctoral degree
- Mid-level
- Master's degree
- Continuing education credits
- Relocation assistance
Quick Apply
Speech Language Pathologist 10K Sign-On Bonus
Boothby Therapy Services —Pittsfield, NH
- $50 - $60 an hour
- Full-time
- School experience
- Master's degree
- Pediatrics
- Continuing education credits
- Disability insurance
Quick Apply
Nurse Manager | Medical Oncology & Medical Specialties
Concord Hospital —Concord, NH
- Full-time
- Acute care
- Nursing
- RN License
- Disability insurance
- Health insurance
Speech Language Pathologist 10K Sign-On Bonus
Boothby Therapy Services —Merrimack, NH
- $50 - $60 an hour
- Full-time
- Hybrid work
- School experience
- Master's degree
- Pediatrics
- Relocation assistance
- Health insurance
Quick Apply
6h
RN Float Pool Team Full-Time Days
Concord Hospital —Concord, NH
- Full-time
- Nursing
- Management
- Float pool
- Disability insurance
- Health insurance
Second Shift Coordinator, Emergency Services
Greater Nashua Mental Health —Nashua, NH
- Full-time
- Microsoft Excel
- Hospital
- Urgent Care
- 403(b) matching
- Health savings account
Quick Apply
Emergency Services Clinician
Greater Nashua Mental Health —Nashua, NH
- $54,438 - $84,584 a year
- Weekends as needed
- Adults
- Mid-level
- Master's degree
- 403(b) matching
- Health savings account
Quick Apply
13d
Civil Engineer - PE - Project Manager - 25K Sign On Bonus!
Nickerson Designs LLC —Manchester, NH
- $130,000 - $170,000 a year
- Urgently hiring
- Background check
- Civil engineering
- Construction site
- Profit sharing
- Health insurance
Quick Apply
Telecommunications Service Technician
MTS SERVICES INC —Manchester, NH
- $25 - $35 an hour
- Full-time
- Mid-level
- Ability to lift 50 pounds
- Driver's License
- Paid holidays
- Health insurance
Quick Apply
Unit Manager - RN
Mount Carmel Rehabilitation & Nursing Ce —Manchester, NH
- Weekends as needed
- Nursing
- Skilled nursing facility
- RN License
- Disability insurance
- Health insurance
Quick Apply
11d
Control Room Operator, Renewable Generation
Nexamp —Lawrence, MA
- $39 - $42 an hour
- Weekends as needed
- Military
- Continuous improvement
- Mentoring
- Commuter assistance
- Paid holidays
Store Manager - Merrimack
Asics America Corporation —Merrimack, NH
- $57,200 - $63,440 a year
- Full-time
- Microsoft Word
- Background check
- Microsoft Excel
- Health insurance
- Dental insurance
Diesel Technician II
Sullivan Tire & Auto Service —Hooksett, NH
- $28 - $35 an hour
- Customer service
- Computer literacy
- Basic math
- Paid holidays
- Disability insurance
Quick Apply
Nurse Practitioner
AlignMed —Concord, NH
- $112,320 - $128,960 a year
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Paid holidays
- Dental insurance
Registered Nurse Manager - $10,000 Signing Bonus
Seven Hills Foundation —Greenfield, NH
- $87,000 - $102,000 a year
- Weekends as needed
- Background check
- Nursing
- Blood sampling
- Free parking
- Paid training
Quick Apply
4d
Assistant Director of Nursing Services
St Teresa Rehabilitation & Nursing Cent —Manchester, NH
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Disability insurance
- Health insurance
Quick Apply
7d
Vascular Sonographer | Full Time | Concord | Day Shift with Weekend Call Hours
Concord Hospital —Concord, NH
- Full-time
- Hospital
- Mid-level
- Ability to lift 50 pounds
- Disability insurance
- Health insurance

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reimbursement manager jobs near manchester nh

Contract Manager-NH

WellSense Health Plan -
Manchester, NH

Apply Now

Job Details

Full-time
$77,000 - $112,000 a year

Benefits

Health insurance
Dental insurance
Flexible spending account
Paid time off
Vision insurance
403(b)
Opportunities for advancement

Qualifications

Cost management
Managerial strategic planning
Health insurance policy knowledge
Regulatory compliance
Contract management experience in healthcare
Insurance regulation
Industry trends
Centers for Medicare and Medicaid Services (CMS)
Relationship management
Contracts
Healthcare financial management
Medicaid regulations
Medicaid
Financial performance measurement
Productivity software
Healthcare reimbursement methods
Financial data analysis tools
Health economics data analysis
Terms and conditions negotiation

Full Job Description

It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

Job Summary:

The Contract Manager facilitates development; implementation and management of new and current cost-effective provider networks for multiple products. Under the direction of the NH Director of Contracting and Provider Engagement, he/she performs all critical functions necessary to assess, develop, maintain and/or improve provider network adequacy and performance including leading NH product expansion, recruitment and contracting efforts. The Contract Manager will lead contract language and reimbursement negotiations with a variety of provider entities across New Hampshire and will ensure contract terms and conditions comply with financial and legal requirements of Plan and its regulatory entities.

Our Investment in You:

Full-time remote work

Competitive salaries

Excellent benefits

Key Functions/Responsibilities:

Assists our provider partners in the interpretation of data tools and analytics provided by the Plan, including Alternative Payment Arrangements (APMs) and Quality Incentive Programs (QIPs) reporting and other incentive programs developed.

Ensures the contracting and implementation process is administered appropriately and ensures integrity of data. Ensures materials used with providers are accurate and appropriate for the given situation.

Demonstrates knowledge of varying payment methodologies including but not limited to DRG, Capitation, APMs, Fee-for-Service, Per Diem, Per Case and Percent of Charges.

Supports strategic network composition and design initiatives, consistent with the objectives of Well Sense.

Leads and manages all aspects of provider implementation to ensure provider hierarchy and data are loaded appropriately in all relevant systems. This includes understanding and communicating unique arrangements and ensuring the Plan accurately administers those arrangements.

Ensures provider compliance with contractual, regulatory and NCQA requirements and standards.

Participates in cross-functional workgroups as requested.

Gathers and analyzes data and other relevant intelligence in assessing provider network adequacy against required standards and business expectations;

Identifies, assesses and develops strategies for improving provider and network cost, utilization and quality performance;

Leads negotiations of financial and other contractual terms in all lines of business;

Ensures all contract terms and conditions comply with financial and legal requirements of Well Sense and its regulatory entities (e.g., NH DHHS, Medicare, DOI etc);

Develops and maintains business relationships with high-level representatives of key contracting hospitals, physicians and ancillary service providers;

Participates in the development, implementation & continuous improvement of departmental policies, procedures, workflows, and tools as they relate to network development and provider contracting;

Performs other duties as required to accomplish departmental and corporate goals & objectives.

Qualifications:

Education:

Bachelor’s Degree in Health Care Administration, Business, related field, or an equivalent combination of education, training and experience is required.

Experience:

3 years of progressive experience in a contracting and analytical capacity in a leadership role is required for individuals with a baccalaureate degree, four years experience is required for individuals without a baccalaureate degree.

Competencies, Skills, and Attributes:

Proven analytical skill in assessing and projecting financial, utilization and quality performance on an individual provider and network basis;

In-depth knowledge and understanding of contract finance and provider reimbursement methodologies, including risk, shared savings, pay-for-performance and other financial incentive strategies;

In-depth knowledge and understanding of current healthcare industry issues and trends, including national and state-level payment reform landscape and strategy (e.g., accountable care and patient centered medical home);

Proven negotiation skills with hospitals, Integrated Delivery Networks, physicians and ancillary service providers;

Proven skill in critical thinking and strategic planning and implementation;

Knowledge of federal and state Medicare, Medicaid, and relevant guidelines, regulations and standards;

Effective communication (verbal and written) and relationship building skills;

Expertise in Microsoft Office programs and industry-standard financial applications as appropriate.

Compensation Range

$77,000 - $112,000

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, WellSense offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.

Note: This range is based on Boston-area data, and is subject to modification based on geographic location.

About WellSense

WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees

Apply Now

Refine Your Search

reimbursement manager jobs in manchester nh

Contract Manager-NH

Float Pool RN | Med/Surg Full-Time Days

Speech Language Pathologist Augmentative Alternative Communication (AAC) Specialist 10K Sign-On Bonus

School Psychologist 10K Sign-On Bonus

Speech Language Pathologist 10K Sign-On Bonus

Nurse Manager | Medical Oncology & Medical Specialties

Speech Language Pathologist 10K Sign-On Bonus

RN Float Pool Team Full-Time Days

Second Shift Coordinator, Emergency Services

Emergency Services Clinician

Civil Engineer - PE - Project Manager - 25K Sign On Bonus!

Telecommunications Service Technician

Unit Manager - RN

Control Room Operator, Renewable Generation

Store Manager - Merrimack

Diesel Technician II

Nurse Practitioner

Registered Nurse Manager - $10,000 Signing Bonus

Assistant Director of Nursing Services

Vascular Sonographer | Full Time | Concord | Day Shift with Weekend Call Hours

I want to receive the latest job alert for reimbursement manager in manchester nh

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