- Merck & Co. (Los Angeles, CA)
- …feedback and adjust plans on a regular basisDevelop Customer Account plans aligned with Managed Care and brand strategies over a 3-5-year time horizon. -Solicits ... product access within our Company product strategyOptimizing Net Sales and Contract Performance across a portfolio of our Company products-Ensuring proper oversight… more
- Merck & Co. (Washington, DC)
- …key customers/personnel to understand practice structure, business model, key influencers Managed Care Organization (MCO), employers, state and local ... with National Account Executives (NAEs) to maintain strong focus on Managed Care pull-throughShares learning and best-practices from one customer… more
- Merck & Co. (Fort Worth, TX)
- …key customers/personnel to understand practice structure, business model, key influencers Managed Care Organization (MCO), employers, state and local ... with National Account Executives (NAEs) to maintain strong focus on Managed Care pull-throughShares learning and best-practices from one customer… more
- Sunflower Health Plan (Wichita, KS)
- …with all policies and standards Must reside in Kansas! Centene is hiring a Care Manager 's to cover the Northwest, Southwest, North Central, South Central, ... have knowledge of the case management process in a managed care or clinical setting. Education/Experience: Requires...and RN with BH experience required For Illinois Youth Care Contract : Master's degree in social sciences,… more
- Erickson Senior Living (Baltimore, MD)
- …in Baltimore, Maryland is a national provider of senior living and health care with campuses in 11 states-and growing. Erickson Senior Living develops and manages ... welcomes the next generation of seniors? The Quality Assurance Manager will work for a company that develops, owns,...to ensure that finishes are being installed with proper care and by Erickson Senior Living standards and design… more
- Kaiser Permanente (Los Angeles, CA)
- …valid LCSW highly preferred.Kaiser Permanente Job ID #1279766. Posted job title: Case Manager Continuing Care Social Work - Per DiemAbout Kaiser PermanenteAt the ... Coordinates with physicians, staff, and non-Kaiser providers/facilities regarding patient care /population based management for patients in specifically defined geriatric… more
- New Standard Equities (Lynnwood, WA)
- …effective communication and follow through. We are customer service focused by demonstrating care as an organization and at every level and in every position. Skills ... providers to ensure top quality work is performed in compliance of the contract and in a timely manner.Proactively resolves resident requests and issues.Ensures the… more
- Vanderbilt University Medical Center (Nashville, TN)
- …organization in contract negotiations, implementation, and management of managed care relationships. Contributes to strategy implementation and negotiations ... in patient care , education, and research. **Organization:** Managed Care Ops **Job Summary:** JOB SUMMARY...with payors based on strategic and financial goals, prior contract performance, projected contract performance, and thresholds.… more
- Baystate Health (Springfield, MA)
- **Summary:** Under the direction of the Director of Managed Care , the Managed Care Contract Manager is responsible for the key components of the ... providing higher quality or less costly care . Primary responsibilities of the Managed Care Contract Manager include performing contract analysis,… more
- Commonwealth of Pennsylvania (PA)
- Managed Care Financial Manager ...contract management, and rate setting for statewide capitated managed care programs in the Department of ... Apply Managed Care Financial Manager Salary $96,626.00 - $146,798.00 Annually Location Dauphin County,...Human Services, Bureau of Fiscal Management, is seeking a Managed Care Financial Manager . You… more
- Elevance Health (Arlington, VA)
- …and insightful analytics to improve the delivery of care . The **Case Manager ( Managed Care Coordinator)** is responsible for overall management of ... **Case Manager ** **Location :** This is a hybrid role...of position, as required by applicable state law and contract . **How you will make an impact:** + Performing… more
- CommonSpirit Health (Englewood, CO)
- …a remote position. Seeking a strong manager of technical healthcare teams for Managed Care .** **Job Summary / Purpose** The System Manager , Data ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US from clinics and hospitals...Health's Payer Strategy, Analytics & Innovation capability. The System Manager , Data Engineering oversees complex data design and the… more
- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 14 **Position:** Manager Managed Care Contracting **Union Code:** 00 - ... developing payer strategy, preparation of financial analysis of new contract language and terms, review of contract ...new contract language and terms, review of contract language and the preparation of analysis to support… more
- UCLA Health (Los Angeles, CA)
- …procedures and systems to achieve the goals set by leadership for UCLA Medical Group managed care contract performance. In this role, you will assist the ... Description The Assistant Director, Managed Care Operations is responsible for...Each employee must complete a FlexWork Agreement with their manager which will outline arrangement parameters and aids both… more
- Hartford HealthCare (Wethersfield, CT)
- …the Sr. Payer Analyst develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops payment related tools such ... **Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Wethersfield-1290 Silas Deane… more
- Robert Half Legal (Rancho Cucamonga, CA)
- …Healthcare Organization! You will be joining a large legal team and become a Managed Care expert (MediCare). You will advise on regulatory and compliance issues, ... days per week (Tuesday-Thursday). The Counsel will be a manager -level position. The Counsel reports to the General Counsel...Ability to commute to Inland Empire 3 days/week + Managed care experience + Litigation experience in… more
- Stanford Health Care (Palo Alto, CA)
- …**A Brief Overview** Under the general direction of the Director, Managed Care , the Senior Specialty Contract Manager , is responsible for negotiation ... entities in support of the department's strategic goals and objectives. Provides managed care contract implementation and operations support, together… more
- Elevance Health (Roanoke, VA)
- The **Foster Care Managed Case Manager **...of position, as required by applicable state law and contract . **How you will make an impact:** + Working ... with children within the Foster Care System + Responsible for performing telephonic or face-to-face...experience may be required based upon state law and contract requirements. + For MMP, requires Community Health Worker… more
- Atrius Health (Newton, MA)
- …management fees. . Interfaces between Utilization Analysis and Clinical Programs (UACP), Managed Care Finance (MCF), Sites and Specialties to coordinate ... welfare benefit package. **Job:** **Supervisors/Managers/Directors* **Organization:** **Administration* **Title:** *Senior Contract Manager * **Location:** *Newton MA -… more
- Point32Health (Canton, MA)
- …are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Contract Manager , Ancillary Network Contracting, will be part of ... to the Manager , Ancillary Network Contracting. Senior Contract Manager will operate with minimal oversite...required) **:** + 5-7 years related experience in a managed health care environment, with a thorough… more
