- Novo Nordisk Inc. (Philadelphia, PA)
- …elements in the market to identify and leverage business opportunities Analyze impact of managed care in the territory and its effect on prescribing decisions ... in helping people living with chronic disease achieve greater health outcomes. If you are passionate about being a...align to audience needs Leverage understanding of impact of managed care in the territory and how… more
- Novo Nordisk Inc. (Sacramento, CA)
- …EDCS maintains relationships with physicians, pharmacists, nurses, and other key personnel in health care settings and major academic and large community ... the development and delivery of targeted education seminars for health care providers on subjects relevant to...to identify and leverage business opportunities Analyze impact of managed care in the territory and its… more
- Novo Nordisk Inc. (Palm Desert, CA)
- …in order to influence formulary status, as applicable May analyze impact of managed care in the territory and its effect on prescribing decisions, ... Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious...customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to… more
- Merck & Co. (Bronx, NY)
- …benefits include bonus eligibility, long term incentive if applicable, health care and other insurance benefits (for employee and family), retirement ... a variety of customers within their assigned geography.- These customers may include:- health care providers such as physicians, nurses, pharmacists as well as… more
- Fidelity Investments (Boston, MA)
- …best life at work and at home. These benefits include comprehensive health care coverage and emotional well-being support, market-leading retirement, generous ... with research and technology on development and implementation of risk- managed and market neutral strategies, including operational and risk systems… more
- Bishop McCarthy Center (Vineland, NJ)
- Employee Heath/ Managed Care ...Control Registered Nurse has oversight over functions of the employee health program which include pre employment ... screening, employee verification, annual PPD testing, Covid testing, work related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to insurnace companies for continued stay… more
- RWJBarnabas Health (Oceanport, NJ)
- …NJReq #:0000150834 Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department: Managed Care ... Senior Managed Care Analyst (Remote/Hybrid) - Oceanport,...Life & Accidental Death Insurance + Tuition Reimbursement + Health Care /Dependent Care Flexible Spending… more
- University of Miami (Medley, FL)
- … protocols and strategy. + Leads and participates in all managed care contracting negotiations for the health system. + Oversees all single-case negotiations ... sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of Business Development and Managed Care is currently seeking an Executive… more
- St. Luke's Health System (Boise, ID)
- …and overseeing comprehensive payer relations, strategic reimbursement, and managed care contracting strategies for St. Luke's Health System. A critical ... **Overview** The Associate Vice President (AVP), Payer Relations and Managed Care Contracting, is responsible for developing,...advance the overall strategic operational goals of St. Luke's Health System. **What You Can Expect:** + Owns all… more
- WTW (Chicago, IL)
- …our two business segments, Health , Wealth and Career and Risk and Broking. The Managed Care Growth Leader is the primary client lead managing the totality of ... Willis Towers Watson (WTW) relationship for clients within the Managed Care Industry. This individual is accountable...Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care … more
- e CancerCare (Nashville, TN)
- …or equivalent experience . Skills: Health care reimbursement experience in a health system, consulting firm, or with a managed care payer preferred. ... and providers. Team member will work closely with the Managed Care department team in generating and...representative of those that must be met by an employee to successfully perform the essential functions of this… more
- Hawaii Pacific Health (Honolulu, HI)
- …No **Minimum Qualifications:** High School or equivalent. One (1) year clerical experience in a health care setting. Experience with managed care and ... might be the ideal candidate to be our next Managed Care Representative. In this role, you...planning and a commitment to delivering the highest quality health care to Hawai'i's people. **Location:** Kapiolani… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and ... than 150 skilled nursing, assisted living, independent living, behavioral health , and long-term care facilities deliver sophisticated...timely filing of all managed care claims on their assigned caseload… more
- Cedars-Sinai (CA)
- …aspects of employees' attendance and performance. + Engages key partners within Cedars-Sinai Health System (CSHS) Managed Care & Payor Relations, Physician ... health systems nationwide that have outstanding levels of employee engagement. We offer an outstanding benefit package and...I be doing in this role?** The Manager, MN Managed Care Enrollment and Benefits is responsible… more
- Sutter Health (Sacramento, CA)
- …requirements for contracting and compliance as it relates to Knox-Keene, Department of Managed Health Care , Department of Insurance, Medi-Cal, CMS, HIPAA ... The position supports or leads payer negotiations, implementation of the managed care payer agreements, including performance analysis and recommendations… more
- Highmark Health (St. Paul, MN)
- …is responsible for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ... RESPONSIBILITIES** + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques… more
- MaineGeneral Health (Waterville, ME)
- Job Summary:MaineGeneral Health is a leading health care system proud of the culture of excellence, compassion, and collaboration that extends to our ... our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects...to resources for a healthy lifestyle and help manage health care costs. + Employees have access… more
- Hawaii Pacific Health (Honolulu, HI)
- …- Analytics Managed Care **Category** Administrative **Employment Type** Employee **Location** Hawaii Pacific Health , Honolulu, HI **Req ID** 27242 ... **Job Description** Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics,… more
- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have ... requirements + The unique complex needs of the foster care population + Medicaid Managed Care...Dental insurance + Employee assistance program + Employee discount + Flexible spending account + Health… more
- Sutter Health (Goleta, CA)
- …relevant experience **SKILLS AND KNOWLEDGE:** A broad knowledge base of health care delivery and case management within a managed care environment. ... presenting to the Emergency Department. Strives to promote patient wellness, improved care outcomes, efficient utilization of health services and minimized… more
