- CVS Health (Columbus, OH)
- …issues. **Required Qualifications** + 7-10 years work experience in a provider contracting role, Medicaid and/or behavioral health experience preferred. + Proven ... affordable. **Position Summary** Reviews, analyzes, negotiates, and executes complex Medicaid contracts with health systems, physician groups, and behavioral health… 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 ... Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms and reimbursement… more
- BAYADA Home Health Care (Parsippany, NJ)
- **POSITION SUMMARY:** The Manager will be responsible for a portfolio of health plan agreements and through leading critical negotiations, grow the value of their ... keeping clients safe at home. In this role, the Manager will be accountable for the entirety of the...BAYADA Home Health Care's growth trajectory and the accelerating contracting activity and financial impact, the Manger will thrive… more
- Aspen Dental (Springfield, IL)
- …reflection of our current needs, we have an exciting opportunity to join our team as Manager , Contracting . The Manager , Contracting plays a vital role ... **Experience** + Bachelor's degree + 6-8 years' experience related to healthcare contracting required. Direct exposure to contracting in prior experience… more
- Centene Corporation (Iselin, NJ)
- …Jersey** **Position Purpose:** Implement development activities for the recruitment, contracting and retention of behavioral health providers. Negotiate contracts ... network development initiatives. + Monitor business processes related to provider contracting to determine their efficiency and protective value, and assure… more
- Healthfirst (NY)
- …point of contact for all plan related issues including marketing, enrollment, contracting , billing and reimbursement. + Responsible for the resolution of all issues, ... reporting on providers' clinical quality & financial performance, working with their manager and other internal departments to create strategic improvement plans. +… more
- Mount Sinai Health System (New York, NY)
- …within Mount Sinai. The team includes 400+ employees with clinical, contracting , finance, IT, analytics, operations, and product development expertise. MSHP is ... the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation,...to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's… more
- Robert Half Legal (Alpharetta, GA)
- …the organization. * Manage the compliance function within a healthcare or government contracting organization * Oversee the compliance with Medicaid and HIPAA ... industry. The hire will be responsible for maintaining compliance with Medicaid and HIPAA regulations and overseeing enterprise risk management processes. This… more
- WellSense (Boston, MA)
- …network, maintaining complex and geographically diverse contracts. Under the direction of the Manager of Hospital & Physician Contracting , the Senior Contract ... **Supervision Received:** . General supervision is received weekly from the Manager of Hospital & Physician Contracting . **Qualifications:** **Education… more
- Molina Healthcare (MS)
- …_** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of Complex contracts with Alternative Payment Methods… more
- LA Care Health Plan (Los Angeles, CA)
- …to comply with State and Federal requirements for all product lines of business ( Medicaid , Medicare, and Commercial). The Account Manager II is responsible for ... Provider Network Account Manager II Job Category: Provider Relations Department: Provider...for all aspects of the LA Care (LAC) provider contracting and relationship management process, including drafting, reviewing, negotiating… more
- LA Care Health Plan (Los Angeles, CA)
- …to comply with State and Federal requirements for all product lines of business ( Medicaid , Medicare, and Commercial). The Account Manager III is responsible for ... Provider Network Account Manager III Job Category: Provider Relations Department: Provider...for all aspects of the LA Care (LAC) provider contracting and relationship management process, including drafting, reviewing, negotiating… more
- Elevance Health (Middletown, NY)
- …fee schedule development using actuarial models strongly preferred. + Experience with Medicaid contracting preferred. + Travels to worksite and other locations ... Manager Sr** will be responsible for developing the Medicaid provider network through contract negotiations, relationship development, and servicing. Primary… more
- Sanofi Group (Cambridge, MA)
- …while helping to make an impact on millions around the world. As ** Manager , Contract Development** within our Contract Development and Administration team, you'll be ... + Responsible for the management and development of Medicare Part D, Managed Medicaid , and Commercial health plan contract documents, as well as financial modeling… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Senior Manager of Reimbursement and Fiscal Management Augusta , Maine , United States | Community & Social Services | Full-time Apply by: Nov. 25, 2024 Apply with ... Linkedin Apply Department of Health and Human Services (DHHS)Public Service Manager IIOpening Date:November 12, 2024 Closing Date: November 25, 2024Job Class… more
- Molina Healthcare (Ann Arbor, MI)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... result in high quality, cost effective and marketable providers. Contract/Re- contracting with large scale entities involving custom reimbursement. Executes… more
- AbbVie (Mettawa, IL)
- …Instagram, YouTube, LinkedIn and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description Manager will be responsible for the ongoing management of the contract ... customers are categorized within their correct business activities. Assist commercial contracting team with customer assignment to their designated contracts and/or… more
- Boehringer Ingelheim (Ridgefield, CT)
- …Part D group efforts as required in order to support the Contracting Department's efforts to maximize revenue and minimize liabilities. Within the Contract's ... and discount offerings according to mandated legislation (ie340B) and/or contracting guidelines. In addition, ensure compliance of member eligibility as… more
- Molina Healthcare (Beaumont, TX)
- …lead or support various Provider Services functions with an emphasis on contracting , education, outreach and resolving provider inquiries. * In conjunction with the ... Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on which to… more
- Omnicell (Grapevine, TX)
- **Summary** The Manager of Licensing & Credentialing supports the OSPS PSAO through various functions, including but not limited to providing day-to-day management ... and heat zones. + Oversees new pharmacy credentialing and enrollment. **PBM/Payor Contracting and Audit Team** + Provides oversight of daily activities to manage… more