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Manager Managed Care
Lewiston, ME

The Manager Managed Care is responsible for leading the payor relationships for day-to-day operations, ensure staff are following all payor policies and procedures to allow for maximization of reimbursement. The Manager is also responsible to leading the underpayments initiatives across the three Covenant hospitals. He/She will be responsible for ensuring contract reimbursement terms are programmed into the appropriate contract management and patient estimator systems. They will oversee the development of contract performance reports, the modeling of reimbursement rates, the monitoring of key managed care statistics, and the maintenance of the department's SharePoint sites. The Manager will act as a resource for internal customers in resolving underpayments denials, claims, or operational issues when the internal customers are unable to get timely and satisfactory resolution.


  • Bachelor's degree in Business-relate field required


  • 3-5 years previous experience in hospital and physician billing required
  • 2-3 years previous supervisory experience required
  • EPIC proficiency and/or credentialed/certification in (1) Resolute Hospital Billing and Claims and (2)Resolute Physician Billing and Claims preferred
  • Experience reading and interpreting negotiated payor contracts
  • Experience with and/or understanding of reimbursement methodologies required

Other Skills Required:

  • Excellent written, verbal and interpersonal communication skills
  • Excellent attention to detail and extremely organized
  • Demonstrated leadership ability: Ability to build a team and promote teamwork
  • Extremely analytical

We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status.

Apply Here

Posted 2-13-18

Practice Supervisor
Burlington, VT

University of Vermont Medical Center, Vermont’s academic medical center and founding member of the University of Vermont Health Network, seeks a Practice Supervisor. The University of Vermont Medical Center is located in Burlington, Vermont, a small vibrant city situated on the shore of beautiful Lake Champlain.

The Opportunity:
The Practice Supervisor is responsible for leading a team to ensure optimum performance of the daily operations of a clinical site or sites. This is accomplished through the management of site operations which include, but are not limited to: patient access, scheduling (office, OR, procedure room, ancillary testing), insurance precertification, referral management, resource utilization, transcription, service quality, compliance with accreditation agencies (e.g., The Joint Commission), clinical standards of care as applicable and clinical site staffing. In addition to these responsibilities, the Practice Supervisor must have an intense commitment to patient and family centered care, and the ability to foster that culture within the site or sites they lead. The Practice Supervisor will provide administrative direction and coordination of site based and Medical Group programs and initiatives.
This is a unique opportunity to orient to Medical Group leadership team through a six-week orientation program. At the end of the orientation, candidates are placed in an open clinic within Chittenden County, many of which are on the main hospital campus, Tilley Drive or at our Fanny Allen Campus.
Education and Experience:
Bachelor's degree in business administration or related field, with three to five years of relevant leadership experience preferred or Associate's degree or Diploma in Nursing with five years of relevant leadership experience. Successful candidate will have demonstrated leadership competencies.

The Organization: 
As an academic medical center dedicated to being in service to the patient, community and medicine, The University of Vermont Medical Center ( seeks to improve the health of the people in the communities it serves by integrating patient care, education and research in a caring environment. The University of Vermont Medical Center also serves as a regional referral center – providing advanced care to approximately one million people in Vermont and northern New York.

Apply online here

University of Vermont Medical Center offers a comprehensive benefits package including relocation.  University of Vermont Medical Center proudly offers a non-smoking work environment.  We are an Equal Opportunity /Affirmative Action employer. Applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

Posted 2-5-18

Maine Medical Group Management Association | 866.222.3777 | P.O. Box 3403, Mercerville, NJ 08619

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