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Senior Manager, Provider Reimbursements

HMSA · Honolulu, HI

  1. Oversee management and staff responsible for implementation and administration of Provider Reimbursement methodologies, including, but not limited to: Institutions, Professionals, and ancillary providers.
    • Provide management reports and analysis needed for decision making, physician and institutional contracting, and ensuring adequate provider network access.
    • Participate in provider negotiations to ensure that costs are within the anticipated budget.
    • Administer operational activities to ensure compliance with par provider contracts

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