- 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
- 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
- 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 engage in the analysis, management, accounting, and budgeting of all managed care agreements. Establish effective lines of communication between Payer… more
- Humana (Indianapolis, IN)
- …**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 (Columbus, OH)
- …an impact** **Required Qualifications** + 2+ years of experience in negotiating managed care contracts with physicians, hospitals and/or other provider ... Contracting Professional who initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements related to Medicaid health… more
- Fairview Health Services (St. Paul, MN)
- …ultimate accountability for effective and timely execution of all managed care contract negotiations and contract execution for hospital , physician and ... payor terms and relationships. + Develop, recommend, and oversee annual managed care negotiation parameters and contracting plans and execute negotiations… 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
- Cedars-Sinai (CA)
- …service the network's membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star ratings, access, physician network ... Medical Center, the Cedars-Sinai Medical Network, Marina del Rey Hospital , and other Cedars-Sinai Health System entities and affiliates,...+ Well versed within the various components that comprise Managed Care and its key concepts including… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …finance, or a related field is required. + 7-10 years of experience in managed care contracting , network management, or payer relations within an ... goals. The role is primarily responsible for fostering collaborative relationships with managed care organizations (MCOs). The Leader of Contract Management… more
- VNS Health (Manhattan, NY)
- …required required Master's Degree preferred Work Experience: Minimum five years in managed care or provider/ hospital back-office required. preferred ... customers or clients required. required Comprehensive understanding of provider network or hospital and ancillary contracting required. Minimum of two years… more
- Mount Sinai Health System (New York, NY)
- … personnel as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other institutional departments to ... in nursing or healthcare-related field or be enrolled in a program preferred Hospital In-Patient Experience Required Minimum of 5 years of case management experience… more
- LA Care Health Plan (Los Angeles, CA)
- …At least 3 years of experience in contracting and/or regulatory analysis in managed care or healthcare industry. At least 3 years of healthcare experience in ... II is responsible for all aspects of the LA Care (LAC) provider contracting and relationship management...is responsible for the initial on-board training of new managed care contract provider partners, and for… more
- LA Care Health Plan (Los Angeles, CA)
- …Minimum of 4 years of experience in contracting and/or regulatory analysis in managed care or healthcare industry. At least 4 years of healthcare experience ... III is responsible for all aspects of the LA Care (LAC) provider contracting and relationship management...is responsible for the initial on-board training of new managed care contract provider partners, and for… more