2 healthcare jobs found in Raleigh

Overview: The Physician, Program Director will serve as program director of cardiac imaging and will provide administrative functions necessary for the efficient and fiscally responsible management of the program. Physician, Program Director is responsible for all of the duties as assigned by the medical director of cardiology, Executive Medical Director of the heart and vascular service line and/or senior leadership of WSG to include but limited to the following within CT and MRI imaging: establish credentials for cardiac CT and MR, Cardiology and Radiology. Facilitates between them, review credential applicants regularly/as needed, establish and administer cardiac imaging QA, establish and coordinate scheduling for unassigned (inpatient/outpatient) with Cardiology (all groups) and Radiology, establishing and optimizing protocols to ensure efficient and high quality studies, liaison with Cardiology, ER and Hospitalists to establish appropriate use criteria as well as overall chest...

Overview: The Managed Care Operations Lead serves as a resource and advisor, directs all aspects of managed care operations including system wide credentialing with managed care plans, contract performance monitoring and reporting, and contract payment modeling and analysis. Works in collaboration with Chief Financial Officer, consultants Vice President of Finance, Director and Managed Care Specialists to recommend contracting strategies, perform complex contract modeling, and to monitor health plan performance. Acts as a liaison between Managed Care Contracting, Reimbursement, Patient Financial Services, Patient Access and other departments in the hospital in an effort to create seamless operational performance and reimbursement maximization related to managed care contracting and performance monitoring. Department Description: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve...