- Novo Nordisk Inc. (Plainsboro, NJ)
- …profitability of customer segments (eg, Managed Care, Non-Federal Hospitals, Long-Term Care, Medicare Part D, Medicaid (FFS & MM), Exchanges and Federal), including ... The position reports to the Director, Strategic Pricing and Contracting . The individual will partner and work closely with...and volume) Provides regular updates for Brand Teams and Senior Management on deal and contract activity Responsible for… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …but not limited to, areas of GPO/PBM and trade/distribution agreements, Medicare , Medicaid, product pricing, and government price reporting. Coordination with, and ... Company and/or departmental expectations and goals as identified by senior management.Responsibilities- Lead drafting and negotiating contracts for commercial,… more
- The Cigna Group (Bloomfield, CT)
- This job posting encompasses two **Regional Medicare ** **Provider Contracting Senior Managers** serves as an integral member of the Network Development and ... Solutions Team, supporting the Northeast Region. This role reports to the Medicare Provider Contracting Regional Vice President. This role is a key contributor… more
- Mount Sinai Health System (New York, NY)
- …for all Commercial and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include: analyzing medical and pharmacy ... contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team...across the Mount Sinai Health System. MSHP seeks a ** Senior Contracting Analyst** to analyze and report… 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 ... within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System...the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation,… more
- Humana (Sacramento, CA)
- …part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex… more
- Humana (Atlanta, GA)
- …part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... and/or other provider contracts and agreements. The Senior Provider Contracting Professional work assignments involve moderately complex to complex issues where… more
- The Cigna Group (Bloomfield, CT)
- The National Value-Based Partnerships Senior Analyst position is an integral member of the National Partnerships team and will be responsible for ensuring ... level materials for Joint Operations Committees, Provider Growth Summits, Health System Senior Leadership meetings, and Cigna Medicare and Commercial leaders. +… more
- Humana (Atlanta, GA)
- …Humana areas such as Provider Engagement, Network Operations for contract loads, National Contracting , and other functional leaders across the organization. + ... in a timely and effective manner. + Provide regular reports and updates to senior management on contracting activities, performance, and outcomes. + Other duties… more
- Healthfirst (NY)
- …delegated vendors and other key procurement needs such as outsourcing and IT contracting . + Provide senior leadership-level oversight and guidance across all ... with Medicare /Medicaid and Commercial Healthcare + Experience communicating to senior leadership and cross-functional groups within an organization + History of… more
- The Cigna Group (Atlanta, GA)
- …Sales, Clinical Operations, Stars & Risk Adjustment, Finance , Cross-Segment Contracting , Provider Relations, and Network Development & Solutions). Reporting to the ... Network Operations Senior Manager or Director, this individual ensures the effective...the market. Often this includes multi-site health systems and national primary care clinic partners. The Provider Performance Enablement… more
- WellSense (Boston, MA)
- …diverse contracts. Under the direction of the Manager of Hospital & Physician Contracting , the Senior Contract Manager assists in the development of network-wide ... Senior Contract Manager WellSense Health Plan is a...company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25… more
- CareOregon (Portland, OR)
- …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Senior Contract Specialist Exemption Status Exempt Department Contract Management Manager Title ... one of the listed 9 states. Job Summary The Senior Contract Specialist is a key contributor to the... Contract Specialist is a key contributor to the Contracting team. This position negotiates, develops, and maintains Letters… more
- Humana (Clearwater, FL)
- …sell Life, Annuity, Indemnity, Dental, Vision, Prescription plans, and more. The Senior Manager, MarketPoint Sales will supervise Medicare Sales Field Agents ... caring community and help us put health first** Our Senior Manager, MarketPoint Sales motivates and drives a team...Manager, MarketPoint Sales motivates and drives a team of Medicare Sales Field Agents who sell individual health plan… more
- CVS Health (Richmond, VA)
- …role? Join Aetna/CVS Health, a Fortune six company, as the Network Management Senior Manager. In this individual contributor role, you will negotiate with, execute ... formulate, and implement the provider network strategic plans to achieve contracting targets and manage medical costs through effective provider contracting… more
- Dr. Reddy's Laboratories (Remote, OR)
- …with a less traditional background. **Job Description** We are seeking a Director / Senior Director National & Regional Payer Accounts to lead the execution of ... assigned National Accounts. + Demonstrate knowledge and experience in Medicare Part A-D, Medicaid, and commercial payer policies, reimbursement process, health… more
- Mount Sinai Health System (New York, NY)
- …is responsible for evaluating and driving performance for value-based contracts including Medicare , Medicaid and commercial arrangements. The Senior Director is ... Sinai's population health organization, working closely with both Managed Care Contracting and Population Health clinical and operational teams providing leadership,… more
- MetLife (New York, NY)
- …strategic advice on regulatory and transactional matters for Versant Health, a national managed vision care company. The successful attorney will advise on how ... the company may meet its business needs while complying with applicable Medicare Advantage, Medicaid Managed Care, and state health insurance laws. The attorney will… more
- LA Care Health Plan (Los Angeles, CA)
- Associate Counsel III Senior Director Health Care Legal Services Job Category: Management/Executive Department: Health Care Legal Services Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Associate Counsel III Senior Director Health Legal Services is responsible for diverse legal activities. This… more
- Penn State Health (Hershey, PA)
- …the following core areas: Revenue and Reimbursement; General Accounting; Third Party Contracting ; Medicare / Medicaid Cost Reports; Financial and Statistical ... C. Kieffer at ###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** The Senior Financial Analyst is a member of the Finance… more
