- Sun Pharma (Taro Pharma) (Princeton, NJ)
- …Immunology space with a strong preference for Oncology experience. * Additionally managed care experience, reimbursement and clinical expertise desired, as well ... delivery and management of customized training programs for each assigned contract . The candidate is the primary training contact/liaison for the assigned… 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 ... to ensure that finishes are being installed with proper care and by Erickson Senior Living standards and design...and Turnover progress.Ability to read and interpret plans and contract specifications for the type of work that QA… more
- Genmab (Remote, OR)
- …with corporate objectives/tactics, cross-functional medical support, and external health care professional engagements Provide guidance on collection of medical ... healthcare professionals Ability to travel and must live within managed region For US based candidates, the proposed salary...You You are passionate about our purpose and genuinely care about our mission to transform the lives of… more
- Genmab (Yardley, PA)
- …health, health policy Minimum of 5 years in the pharmaceutical industry or a managed care setting in the direct conduct of health economics, outcomes research, ... You You are passionate about our purpose and genuinely care about our mission to transform the lives of...in NL is initially to offer a fixed-term employment contract for a year, if the employee performs well… more
- e CancerCare (Nashville, TN)
- …data to provide in reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance, along with ... setting. Strong communication skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating experience with managed care… 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 ... higher quality or less costly care . Primary responsibilities of the Managed Care Contract Manager include performing contract analysis, developing… more
- Publix (Lakeland, FL)
- **29403BR** **Position Title:** Managed Care Contract Support Specialist **Department:** Pharmacy **Location:** Lakeland, FL **Description:** If you want to ... that plays a pivotal role in the success of Publix Pharmacy and the Managed Care Contract Support Specialist serves as the subject-matter expert in the… more
- Hackensack Meridian Health (Edison, NJ)
- …Specialist Managed Care ** at Hackensack Meridian Health includes: + Managed Care Contract Negotiation: Develop and negotiate owned and affiliated ... for assigned payer/partner companies within payer time frames. Demonstrate advanced managed care contract negotiation skills within a hospital, medical… more
- AdventHealth (Maitland, FL)
- …value you'll bring to the team:** . Provide documentation to internal departments on managed care contract requirements and changes including but not limited ... KS 66204** **This position is in Kansas City** **The role you'll contribute:** The Managed Care Coordinator is a responsible member of a multi-disciplinary team.… more
- Robert Half Accountemps (Van Nuys, CA)
- …DHCS, and CMS regulations. + Proven negotiation and leadership skills. + Experience with managed care contract rates for network providers, services, and ... Description We are seeking an experienced Managed Care Analyst to join our...JOC meetings. + Must possess the ability to do contract modelling and review and prepare documentation for CAP… 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... IPA and provider reimbursement methodologies. o Skill in contract interpretation and benefit interpretation. o In depth knowledge… more
- HCA Healthcare (Richmond, VA)
- …preferred. + 10 years of relevant experience is required. Strongly prefer experience with Managed Care contract negotiation for either a hospital or MCO. ... paying particular attention to those involving state Medicaid and managed care , CMS federal programs for FFS...will be deployed in order to both (a) maximize contract performance/yield (eg, Net Revenue, NRAA, Net Revenue relative… more
- Stanford Health Care (Palo Alto, CA)
- …entities in support of the department's strategic goals and objectives. Provides managed care contract implementation and operations support, together ... job.** **A Brief Overview** Under the general direction of the Director, Managed Care , the Senior Specialty Contract Manager, is responsible for negotiation… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …(PDL) to validate product placement complies with all terms and conditions of the managed care contract . Using critical thinking skills and data analytics, ... Sr. Contract Compliance Analyst III Date: Jun 14, 2024...identify and resolve compliance and eligibility issues with contracted managed care customers. This position works with… 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
- Hackensack Meridian Health (Edison, NJ)
- …Services, Physician Services, Home Care , Hospice, Infusion, and DME). Perform managed care contract modeling analytics; Revenue Integrity analytics; ... concern impacting revenue by closely monitoring financial performance and compliance with managed care contract terms to ensure revenue is maximized. +… more
- AdventHealth (Maitland, FL)
- …managed care contracting initiatives as directed by AHS leadership; managed care contract review, interpretation and analysis, negotiation, reporting, ... AHS strategic, tactical, and operational goals. Shows an understanding of managed care contract language related through interpretation of both operational… more
- RWJBarnabas Health (Oceanport, NJ)
- …Essential Functions + Analytical lead on modeling contract rates throughout the managed care contract negotiation process. + Assists in varying aspects ... Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department: Managed Care Location: SBC Corporation, Oceanport, Oceanport,… more
- Nuvance Health (Norwalk, CT)
- …of appeal as appropriate, in an effort to maximize reimbursement. Reviews and edits Managed Care Contract Language relating to Utilization Management Issues. ... Responsibilities Criteria D: Interfaces and coordinates services with Admission, Finance, Managed Care , Medical Records, Home Care , Rehabilitative and Risk… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …contractually compliant and consistently providing reliable dental care to Iowa's Medicaid managed care members. The Dental Contract Manager is a liaison ... interpret federal and state requirements and process requirements pertaining to Medicaid managed care and the Fee-for-Service dental program. * Detail oriented… more
