- Cedars-Sinai (CA)
- …people throughout Los Angeles and beyond. **Req ID** : 5668 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting all facets of...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- Roper St. Francis (Ladson, SC)
- …the performance of managed care initiatives. + Support (and lead certain) managed care contract negotiations and contract related issues and ... Office Park, Ladson, SC** **Shift: 8:00am-5:00pm** **Job Summary:** The Manager of Managed Care is...Contract Management:** + Oversee the daily operations of managed care arrangements, including value-based arrangements, ensuring… 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
- Stanford Health Care (Palo Alto, CA)
- …VP as assigned. + Researches options for participation in new managed care and Pharmacy Benefit Manager contracts . + Identifies, researches, and ... cost, payer mix, and other contract specific issues. + Represents the Managed Care department on cross-functional committees across the SHC and SMCH… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the ... physicians of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract… more
- University of Michigan (Ann Arbor, MI)
- …which are patient specific most often involving Out of State Payers. The Managed Care Payer Analyst will report to the Manager , Managed Care ... the department with the day-to-day operations of all payer contracts for all three health systems, which includes: Joint...together enhance our contribution to society. **Responsibilities + Support Manager , Managed Care Operations and… more
- e CancerCare (Nashville, TN)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... contract retention and administrative tracking of all various managed care payors. Advances company payor strategy...In collaboration with the Director of Managed Care , negotiate and manage assigned contracts , including… more
- CAIPA MSO LLC (New York, NY)
- Managed Care Contract Specialist...departments to communicate and implement the terms of the managed care contracts *Job Responsibilities ... New York, NY (http://maps.google.com/maps?q=202+Canal+Street+New+York+NY+USA+10013) Description As a Managed Care Contracting Specialist, you will be expected to… more
- Sanofi Group (Bridgewater, NJ)
- …the Job** The Managed Care Specialist is responsible for contract management for various markets including Commercial Contracts , Medicare Part D and ... will work in close cooperation with Managed Care Operations colleagues and counterparts in Contract ...understanding the terms and conditions to appropriately set up contracts , update for contract amendments and adjudicate… more
- Molina Healthcare (Ann Arbor, MI)
- …knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts , negotiates Complex Provider contracts including ... Relationship Contracts . * Develops and maintains provider contracts in contract management software. * Targets...care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting… more
- Hoffman Construction Company (Portland, OR)
- …our team; could you be the next employee of Hoffman? Position Summary:The Project Contracts Manager will work within the Operations Department and will report to ... compliance with legal requirements, project specifications, and company policies. The Project Contracts Manager will work closely with the clients, project… more
- Molina Healthcare (MS)
- …SKILLS & ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including 2+ years ... a direct or matrix leadership position * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different… more
- Molina Healthcare (NV)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... Contract Specialists on negotiation of individual provider and routine ancillary contracts . * Identified as contract system lead by developing and… more
- Boehringer Ingelheim (Ridgefield, CT)
- …Compliance by: developing a comprehensive discount accrual forecasts and by providing support for Managed Care / Medicare Part D group efforts as required in ... to managing the terms and conditions of complex contractual rebate obligations to managed care , institutional, retail and wholesale customers for the life of… more
- AdventHealth (Altamonte Springs, FL)
- …Responsible for ensuring the providers are loaded timely and accurately with Managed Care contracted payers. Responsible for evaluating professional fee ... the Physician Enterprise (PE) and works closely with practice office operations staff, Managed Care (MC) contracting, MC Credentialing and Enrollment and billing… more
- CGI Technologies and Solutions, Inc. (Knoxville, TN)
- ** Contracts Manager ** **Category:** Legal Affairs **Main location:** United States, Virginia, Fairfax **Alternate Location(s):** United States, Colorado, Denver ... for proposal preparation, contract execution, and performance. * Lead contract negotiations independently and support senior contracts professionals and… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Contracts and Compliance Manager ** **Job Class: Human Services Manager 2** **Agency: Human Services Dept** + **Job ID** : 81748 + ... **Hiring Agency/Seniority Unit** : Human Services Dept / DHS Manager + **Division/Unit** : DHS-Central Office / BHDH Central...of Human Services (DHS). The incumbent ensures that all contracts are properly managed , programs and services… more
- Capgemini (Austin, TX)
- …**Job:** _Infrastructure_ **Organization:** _CIS US MS_ **Title:** _Customer Relationship Manager - Infrastructure Managed Services Austin, TX_ **Location:** ... is a hands on individual contributor role.** **Job Title** :Customer Relationship Manager **Location** :Austin, United States or in driving distance of Austin.… more
- ManpowerGroup (Columbia, SC)
- + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site work required for the first week, followed by remote work. + **Hours:** ... + Ensure accurate documentation of clinical information to determine medical necessity and contract benefits. + Collaborate with Care Management and other areas… more
- World Wide Technology (St. Louis, MO)
- …/ projects. + Selling, managing, designing, implementing and/or supporting large Managed Services offerings. + Experience in driving successful customer engagements. ... and cost mechanics. + Experience in reviewing and writing contracts and legal process. + Excellent writing skills with...critical. + Other Skills - + A successful Engagement Manager will be instrumental in successfully building and closing… more