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Job Description IDENTIFICATION Position Superposition TitleU0207Staff PharmacistDepartmentPosition Reports ToPharmacyDirector, Client ServicesSite Hay River Regional Health CentrePURPOSE OF THE POSITION Maintains
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Managed care contracting refers to agreements between healthcare providers and managed care organizations (MCOs) to provide healthcare services to members in exchange for agreed-upon payment rates and terms.
Healthcare providers and organizations that enter into agreements with managed care organizations are required to file managed care contracting.
To fill out managed care contracting, providers should collect necessary information such as personal and practice details, review the terms of the contract, and ensure all required documentation is complete before submission.
The purpose of managed care contracting is to establish clear terms for the provision of healthcare services, ensuring efficiency, cost control, and quality of care for patients.
Information required in managed care contracting typically includes provider details, patient care services offered, payment structures, compliance with regulations, and any potential conflicts of interest.
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