- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting * **Location:** *Connecticut-Hartford-100 Pearl ... across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst...Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary.… more
- Beth Israel Lahey Health (Wakefield, MA)
- … to manage key divisional initiatives that support Managed Care Contracting . The Contracting Program Manager will be responsible for managing ... within contracts to serve as the operational backbone for Managed Care Contracting . This...Department or Unit are identified and maintained by the Manager as an Addendum to the Job Description. **Pay… more
- Beth Israel Lahey Health (Wakefield, MA)
- …Contracting Analytics will be responsible for the analyses of financial terms of managed care contracts for BILHPN and BILH system providers (eg Hospitals, ... Manager will collaborate with cross-functional leadership in finance, contracting , and medical economics and may serve as a...provide input and/or oversee analysis of financial terms of managed care agreements, including valuation of terms… more
- Intermountain Health (Las Vegas, NV)
- …Proactive Care + Risk-based Contracting + Relationship Management + Managed Care + Legal Practices + Leadership **Required Qualifications** + Experience ... **Job Description:** The Payer Contracting Manager is responsible for effective...and Revenue Cycle leadership for the implementation of risk-based contracting , and proactive care , strategies and initiatives.… more
- The Cigna Group (Richmond, VA)
- **LOCATION:** **Virginia, Maryland or Washington, DC** The **Physician & Ancillary Contracting Manager ** serves as an integral member of the Provider ... Contracting Team and reports to the Provider Contracting Senior Manager or VP of ...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …Contracting and Network Strategy and is responsible for supporting the negotiation of managed care contracts for all Aspirus Health and Aspirus Network Inc. ... Day. Aspirus Health in Wausau, WI is seeking a MANAGER - PAYOR CONTRACTING to join our...systems for monitoring and improving levels of reimbursement under managed care and total cost of … more
- Abbott (Abbott Park, IL)
- …for managing contract development and negotiation for the Market Access / Managed Care Channel. The position will work cross-functionally with Account ... measure, track and analyze glucose levels. As a Senior Manager of Strategic Pricing & Contracting , you...+ Lead the negotiation of complex contract terms for Managed Care / Market Access contracts across… more
- Centene Corporation (Lansing, MI)
- …years of Provider Contracting or Provider Affairs in a healthcare and/or managed care environment. Knowledge of contracting language and the principles ... markets. + Initiate and manage provider data process improvements including contracting models, provider reimbursement, and risk modeling. Collect, track, prepare,… more
- CareFirst (Baltimore, MD)
- …into clear and relevant information. + Working knowledge of medical insurance and managed care principles. + Excellent organizational skills and attention to ... to day activities regarding network development. Responsibilities include provider recruiting/ contracting for commercial business and government programs, new networks,… more
- Elevance Health (Lake Mary, FL)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Cost of Care /Provider Contracting Data Analyst** **Location** :...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Albany Medical Center (Albany, NY)
- …and payer relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting , as well as the provision and ... Ensures adherence to all federal, state, and local regulations for governing payer contracting , stays informed of the health care regulatory environment to… 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 ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- Amgen (Washington, DC)
- …the Senior Associate is integral to Amgen's financial performance and will lead contracting activities for Amgen's Managed Care Organization (MCO) customers. ... and Medicaid customers. This role reports to a Senior Manager of Payer Contracting . The Senior Associate...us** As we work to develop treatments that take care of others, we also work to care… more
- Fresenius Medical Center (Waltham, MA)
- …high-performing team, fostering collaboration and innovation to achieve organizational goals in managed care contracting , quality outcomes, and marketing ... be responsible for the direct supervision of Directors of Managed Care , Manager of Revenue...SKILLS:** * 10 years of extensive, direct experience in managed care contracting . * 5+… more
- IQVIA (New Providence, NJ)
- …technical workstreams (eg, Medicaid, Master Data Management, Chargebacks, Government Pricing, Testing, Managed Care Contracting , Commercial Contracting , ... * Medicaid * Master Data Management * Chargebacks * Government Pricing * Testing * Managed Care Contracting * Commercial Contracting * Integration… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting , Reimbursement, or related ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting , or reimbursement… more
- Health Care Service Corporation (Philadelphia, PA)
- …+ Bachelor Degree and 5 years provider contracting experience OR 9 years managed care experience including 5 years provider contracting experience. + ... of strategies for provider HEDIS and STARS performance, recruitment and contracting of physicians, physician groups and facilities including large or complex… more
- Boehringer Ingelheim (New Orleans, LA)
- …System Account setting. + Knowledge of Organized Customer, territory and reimbursement/ managed care experience preferred. + Ability to demonstrate excellent ... Boehringer Ingelheim's high regard for our employees. The Key Account Manager (KAM) is responsible for proactively creating mutually beneficial B2B relationships… more
- Molina Healthcare (Jackson, MS)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care environment. * 3+ years ... in negotiating different provider contract types, ie physician, group and hospital contracting , etc. * Working familiarity with various managed healthcare… more
- HCA Healthcare (Richmond, VA)
- **Description** **Job Summary and Qualifications** The Care Manager RN supports the patient and primary care relationship through care delivery ... care management, preventive services, and self-management. The Care Manager acts as an integral member...Coordinators + Facilitates specialty referrals, as appropriate, for conditions/needs managed outside the primary care realm +… more