- Hackensack Meridian Health (Edison, NJ)
- …positive change. The ** Senior Contracting Specialist** position will support the Managed Care Team during system and new entities negotiations in accordance ... for addressing operational, financial and services issues and facilitate contract implementation within key operational areas throughout the organization...of Senior Vice President and Vice President Managed care to support the Managed… more
- Hartford HealthCare (Hartford, CT)
- …is *your moment.* **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** * Senior Contracts Administrator / Managed Care ... Integrity and other HHC entities to provide updates and clarification on contract rate renewals and interpretation. The Senior Contracts Administrator will… more
- Stanford Health Care (Palo Alto, CA)
- …cost, payer mix, and other contract specific issues. + Represents the Managed Care department on cross-functional committees across the SHC and SMCH ... for the SHC and SMCH Enterprise. + Collaborates with senior management and service lines in the development and...with implementing process improvement initiatives on behalf of the Managed Care department. + Directs contract… more
- Sanofi Group (Bridgewater, NJ)
- … Operations **Location** : Bridgewater, NJ **About the Job** The Managed Care Specialist is responsible for contract management for various markets including ... and issues. The Specialist will work in close cooperation with Managed Care Operations colleagues and counterparts in Contract Development, the Account team,… more
- Dignity Health (Bakersfield, CA)
- …risks or escalations. - Manage the relationship with the Managed Care Platform vendor, managing and monitoring the contract , coordinating issue resolution, ... care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals… more
- Elevance Health (Woburn, MA)
- **Provider Contract Cost of Care Analyst Senior ** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... Wilmington, DE, Tampa, FL or Nashville, TN. The **Provider Contract Cost of Care Analyst Senior...a minimum of 3 years' experience in broad-based analytical, managed care payor or provider environment as… more
- CareOregon (Portland, OR)
- …Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Senior Contract Specialist Exemption Status Exempt Department Contract ... one of the listed 9 states. Job Summary The Senior Contract Specialist is a key contributor...Education Required + Minimum 5 years' progressive experience in managed care contracting, provider relations, network/business development,… more
- CommonSpirit Health (Englewood, CO)
- …is a remote position. Seeking a strong manager of technical healthcare teams for Managed Care .** **Job Summary / Purpose** The System Manager, Data Engineering ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US from clinics and hospitals...PSR data needs. + Translate data into information for senior leadership reports, presentations, and communications. + Lead the… more
- Abbott (Livermore, CA)
- …Our 114,000 colleagues serve people in more than 160 countries. **Job Title** ** Senior Contract Support Analyst** **Working at Abbott** At Abbott, you can ... some of the World's greatest healthcare challenges. As the Senior Contract Support Analyst, you'll have the...to competing high priority tasks effectively + Commercial payor contract review experience + Managed Medicare and… more
- WellSense (Boston, MA)
- Senior Contract Manager WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, ... that works for our members, no matter their circumstances. **Job Summary:** The Senior Contract Manager is responsible for the development, implementation and… more
- Mount Sinai Health System (New York, NY)
- …Health Partners, Mount Sinai's population health organization, working closely with both Managed Care Contracting and Population Health clinical and operational ... **Job Description** The Senior Director, Contract Performance is responsible...and optimizing performance collaborating with key stakeholders inclusive of Managed Care Contracting, Population Health leadership, Clinical… more
- Elevance Health (St. Louis, MO)
- …related field and a minimum of 3 years of experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... **Provider Contract Analyst Senior ** **Location:** This position...group. Provides advice and analytic support to Medical Directors, contract negotiators and management on cost of care… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …is primarily responsible for fostering collaborative relationships with managed care organizations (MCOs). The Leader of Contract Management works closely ... managed care dynamics within a health care setting and is skilled in contract ... terms, reimbursement trends, and other key metrics to senior leadership, offering insights and recommendations for strategic decision-making.… more
- AdventHealth (Maitland, FL)
- …and strong analytical skills The Senior Medical Economics Analyst will work with managed care staff for both in the Florida and Multi-State Divisions of ... contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst...that achieve net revenue targets developed by the Regional Managed Care Directors and Contract … more
- LifePoint Health (Brentwood, TN)
- …to create environments where employees find purpose and fulfillment. *What you'll do:* As a * Senior Financial Analyst - Managed Care *, you will provide ... * Senior Financial Analyst - REMOTE* *Who we are:*...network strategy. The Sr. Financial Analyst works closely with Managed Care leaders to prioritize what-if modeling… 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
- CVS Health (Tallahassee, FL)
- …application of business requirements **Required Qualifications** * At least 3 years experience in managed care quality and/or 5 years in Medicaid managed ... and activities, including support of all accreditation activities and contract requirements. Analyzes and reports on findings on health...stakeholders * Bachelor's degree or equivalent work experience in managed care quality * Must live in… more
- City of New York (New York, NY)
- … Monitoring and Compliance who will: Under the general direction of the Senior Director, Contract Monitoring and Compliance unit and with wide latitude ... Cash Assistance (CA), Supplemental Nutrition Assistance Program (SNAP), child care , eviction prevention services, adult protective services, job training, employment… more
- Staffing Solutions Organization (Albany, NY)
- …**OMH - 1234** **Summary:** The incumbent of this position will assist the Bureau of Managed Care Oversight and its stakeholders (eg, Medicaid managed ... and clients) in transitioning the children's behavioral health services system into Medicaid Managed Care . Special emphasis will be placed on managed … more
- Surgery Care Affiliates (Chicago, IL)
- …attention to detail and strong analytical and critical thinking skills + Experience with managed care contract terms analysis + Strong written and verbal ... for YOU. Responsibilities SCA Health is currently seeking a Senior Payer Analytics Analyst on the Catalyst Analytics team....field + 3+ years of analytical experience in a Healthcare/ Managed Care environment required + Travel to… more