972 Core Group Resources jobs in Mississippi

New, Posted 4 hours ago

Manager of Managed Care Operations - Hybrid / Remote

Surgery Partners

Tupelo, MS 38802

RemoteHealth InsurancePaid Time OffRetirement Benefit

Bachelors degree required in business, technology or healthcare related field
Minimum of 3 years of experience in managed care environment
2+ years of negotiation or provider relations experience between providers and major commercial payors in markets in the U.S. and or experience in contract analysis for ASC services.
Experience with ASC reimbursement methodologies.
Experience working with payors and billing office staff to resolve payment discrepancies.
Reasonable understanding of healthcare CPT coding and billing.
Excellent quantitative and analytical skills, with attention to detail to ensure that modeling for negotiations is accurate.
Moderate knowledge of Excel and/or ability to expand knowledge quickly.
Solid understanding of payer contract reimbursement methodologies and application of payor policies on reimbursement expected under existing and future agreements.
Strong writing skills and ability to communicate effectively in order to negotiate key terms of payor agreements.
Understanding of healthcare industry trends in payor negotiations including contract language, product development trends, pay for performance programs, bundled payment programs, etc.
Understanding of provider reimbursement methodologies from Medicare, and knowledge of how Medicare reimbursement is updated from time to time.
Must be self-motivated and able to work independently. Inquisitive nature and interest in sharing knowledge among team members.
Must be able to provide timely written and verbal communication of complex negotiations to internal leadership.
Experience managing multiple projects and negotiations with varying teams and deadlines.
Strong communication skills necessary.
Team orientation toward success.
Physical Requirements Occasionally 0 – 33% Frequently 34 – 66% Constant 67 – 100%
Talk / Hear X
See X
Stand X
Sit X
Normal Office Surroundings X

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New, Posted 1 day ago

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Group Mgr Operations

Milwaukee Tool

Greenwood, MS 38930

Remote Online Tasks – Earn Up to $1,500/month Playing Games

Free Cash

Biloxi, MS 39532

$1,500/mo

Remote

Earn Real Cash – Complete Simple Missions Online

Kashkick

Purvis, MS 39475

Remote

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Leadership Development Professional

Weyerhaeuser

Bruce, MS 38915

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Support Care Professional II

Specialized Treatment Facility

Gulfport, MS 39503

$25,706.04/yr

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Service Technician (Growing company seeks Jackson, MS area Techs; stability; upper tier pay and benefits)

Blossman Gas

Jackson, MS 39201

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Assistant General Manager

Trident Holdings llc

West Point, MS 39773

Commit to Serve Your City Year! (Full Pay/Benefits – Academic Mentor)

City Year

Walls, MS 38680

OnsiteChildcare AssistanceEducation AssistanceHealth Insurance

Be a U.S. citizen or legal permanent resident
Authorization to work in the U.S. is not sufficient.
Those with DACA status unfortunately are not eligible at this time
Be 17-25 by July 1, 2025
Have a GED or high school diploma
Some college experience
College degree
Have served no more than three terms in an AmeriCorps state or national program*
Agree to and complete a background check
Be able to begin City Year by July/August 2025 (specific start date varies by location)

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