- Children's Hospital Los Angeles (Glendale, CA)
- …payor models, as well as negotiation, communication, implementation and oversight of managed care contracting and collaboration with operative partners. ... the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care...required under fee for service as well as at-risk managed care contracting . 5+ years… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Contracts Administrator / Managed Care Contracting * **Location:** *Connecticut-Hartford-100 ... in a healthcare related field with in-depth knowledge of: o Payer/provider contracting particularly focusing on hospital , physician, behavioral health, skilled… more
- RWJBarnabas Health (Jersey City, NJ)
- …on business and clinical operations, nursing, social work, hospital networks and managed care contracting + Works collaboratively with local executive ... processes. + Maintains a thorough understanding of clinical reimbursement and managed care issues specific to an oncology service line. Identifies opportunities… more
- The Cigna Group (Mclean, VA)
- …strong external relationships with provider partners. + Intimate understanding and experience with hospital , managed care , and provider business models. + ... week and 2 days Work at Home** This **Manager, Hospital Contracting ** serves as an integral member...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- RWJBarnabas Health (New Brunswick, NJ)
- …business and clinical operations, nursing, social work, pharmacy, hospital networks and managed care and contracting + Bed Utilization Optimization + ... for the leadership and function of the departments for overall quality of care delivered through the hospital organization. This leader will oversee the… more
- Mount Sinai Health System (New York, NY)
- …transformation + Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
- Mount Sinai Health System (New York, NY)
- …transformation + Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...and optimizing performance collaborating with key stakeholders inclusive of Managed Care Contracting , Population Health… more
- The Cigna Group (Glendale, CA)
- …strong external relationships with provider partners. + Intimate understanding and experience with hospital , managed care , and provider business models. + ... **_position aligned to the Glendale, CA market._** The **Director,** **Provider Contracting ** serves as an integral member of the Provider Contracting… more
- Pfizer (San Diego County, CA)
- …marketplace + Experience in account management or account management support functions + Managed Care or Customer Strategy experience and in depth understanding ... the Pfizer US Oncology Biosimilars portfolio and select Branded IV assets across managed markets (Biosims only), hospital systems, GPO customer segments and key… more
- The Cigna Group (Bloomfield, CT)
- …+ Intimate understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with ... organizations required. Medicare Advantage experience required. + Experience with Physician, Hospital and Ancillary group contracting and negotiations. + Prior… more
- The Cigna Group (Mclean, VA)
- …+ Experience in developing and managing relationships + Understanding and experience with hospital , managed care , and provider business models a plus ... of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare Hospital /Provider/Ancillary group...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- Scripps Health (San Diego, CA)
- …fee-for-service, partial risk and full global risk HMO, PPO and Ancillary services managed care agreements with health plans on behalf of Scripps Health's ... actively engages in the analysis, management, accounting and budgeting of all managed care agreements. Establishes effective lines of communications between… more
- Humana (Sacramento, CA)
- …**Required Qualifications** + Experience with progressive network management experience including hospital contracting and network administration in a healthcare ... and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital...company + Experience in negotiating managed care contracts with large or individual… more
- Humana (Atlanta, GA)
- …and network administration in a healthcare company + Experienced in negotiating managed care contracts and managing relationships with large physician groups ... and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- VNS Health (Manhattan, NY)
- …Experience:Minimum ten years' experience in health care , with a minimum eight years in managed care provider contracting and a minimum of two years in ... development and implementation of VNS Health's Health Plan Physician, Ancillary, Hospital provider networks. Includes contracting , rate setting, monitoring for… more
- AdventHealth (Maitland, FL)
- …experience required in managed care with an emphasis on contracting , contract administration and strategic planning for hospital , ancillary and physician ... Killeen, Texas.** **The role you'll contribute:** The Director of Managed Care is the primary contact in...employers. * Facilitates the understanding of managed care contracts and terms within the hospital … more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Managed Care Rebate Analyst Date: Oct 12, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57682 **Who we ... and new people to make a difference with. **The opportunity** The Senior Managed Care Rebate Analyst is responsible for managing the reimbursement process… more
- BayCare Health System (Clearwater, FL)
- …(non-exempt) + **Shift:** 8:00 AM to 5:00 PM + **Days:** Monday - Friday The Managed Care Credentialing Rep is a **PRN** remote position. This team member must ... 1-2 years credentialing experience Equal Opportunity Employer Veterans/Disabled **Position** Managed Care Credentialing Rep - PRN **Location** Clearwater:BayCare… more
- Sutter Health (Sacramento, CA)
- …**Position Overview:** Provides analysis and research to support the payer contracting process and ongoing contract relationship, including payer contract compliance ... revenue projection and modeling. + Must have thorough knowledge of the hospital accounting systems and audit processes in order to assess payer performance.… more
- Community Hospital Corporation (Springfield, CO)
- …and the region. The CEO provides leadership, guidance and management direction for the Acute Care Hospital , Long Term Care Center, and Alzheimer's Care ... Southeast Colorado Hospital District (SECHD) in Springfield, CO is seeking...and external resources. + Takes a proactive approach to managed care , healthcare reform and related issues.… more