- Merck & Co. (KY)
- …understanding of their current practice structure, business model, and key influencers ( Managed Care Organization /payers , employers, state policy ) , and ... to support customer operational and financial needs such as reimbursement information and contract adherence in an effort to help the provider or system increase… more
- Merck & Co. (Los Angeles, CA)
- …feedback and adjust plans on a regular basisDevelop Customer Account plans aligned with Managed Care and brand strategies over a 3-5-year time horizon. -Solicits ... product access within our Company product strategyOptimizing Net Sales and Contract Performance across a portfolio of our Company products-Ensuring proper oversight… more
- Erickson Senior Living (Baltimore, MD)
- … Retirement Communities and long term care is strongly preferredErickson Senior Living, its affiliates, and managed communities are Equal Opportunity ... headquartered in Baltimore, Maryland is a national provider of senior living and health care with campuses...and Turnover progress.Ability to read and interpret plans and contract specifications for the type of work that QA… more
- New Standard Equities (Lynnwood, WA)
- …effective communication and follow through. We are customer service focused by demonstrating care as an organization and at every level and in every position. Skills ... providers to ensure top quality work is performed in compliance of the contract and in a timely manner.Proactively resolves resident requests and issues.Ensures the… more
- Stanford Health Care (Palo Alto, CA)
- …**A Brief Overview** Under the general direction of the Director, Managed Care , the Senior Specialty Contract Manager, is responsible for negotiation ... entities in support of the department's strategic goals and objectives. Provides managed care contract implementation and operations support, together… more
- Hackensack Meridian Health (Edison, NJ)
- …Specialist Managed Care ** at Hackensack Meridian Health includes: + Managed Care Contract Negotiation: Develop and negotiate owned and affiliated ... and serve as a leader of positive change. The ** Senior Contracting Specialist Managed Care **...assigned payer/partner companies within payer time frames. Demonstrate advanced managed care contract negotiation skills… more
- Hartford HealthCare (Wethersfield, CT)
- …this is *yourmoment.* **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** * Senior Payer Analyst / Managed Care Contracting* ... *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a modeling...develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops… more
- Prime Healthcare (Lynwood, CA)
- …Responsibilities The Senior Managed ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/157568/ senior - managed - care -biller-collector/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare… more
- AdventHealth (Maitland, FL)
- …role you'll contribute:** This position will be responsible for execution of the managed care payor dispute resolution processes for all AdventHealth providers ... an extensive knowledge and library of state regulations related to insurance and managed care regulations in all states where AdventHealth has a presence.… more
- SSM Health (Oklahoma City, OK)
- … care contracting functions. Provides resolution to managed care contractual issues pertaining to contract interpretation and coding with payers. ... standards. Makes recommendations based on changes and trends in the area of managed care , reimbursement and applicable state and federal regulatory environment.… more
- HCA Healthcare (Richmond, VA)
- …preferred. + 10 years of relevant experience is required. Strongly prefer experience with Managed Care contract negotiation for either a hospital or MCO. ... plan and PC&A policies and procedures. This is a senior level position within the Company, with significant revenue...paying particular attention to those involving state Medicaid and managed care , CMS federal programs for FFS… more
- Point32Health (Canton, MA)
- …we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Contract Manager will support all Lines of Business, including ... Commercial, Senior Products and Public Plans. The Senior Contract Manager will serve as the...equivalent experience. + 5-7 years' work experience, preferred in managed care or other health care… 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
- Atrius Health (Newton, MA)
- …management fees. . Interfaces between Utilization Analysis and Clinical Programs (UACP), Managed Care Finance (MCF), Sites and Specialties to coordinate ... and welfare benefit package. **Job:** **Supervisors/Managers/Directors* **Organization:** **Administration* **Title:** * Senior Contract Manager * **Location:** *Newton MA… more
- Cleveland Clinic (Cleveland, OH)
- …rewarding career with one of the most respected healthcare organizations in the world. Senior Contract Managers are continuously working with a team, focused on ... Cleveland Clinic's institutes access patients' insurance plants. As a Senior Contract Manager, you will: + Negotiate...Likes to keep up to date with all things managed care and payer contracting related. This… more
- The Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... within MSHP team * Opportunity to work directly with senior leaders from across the Mount Sinai Health System...work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is… more
- Fresenius Medical Center (Franklin, TN)
- …coordination, and administration of contracting and pricing procedures. This includes contract terms and conditions, products and prices for various market segments ... supporting analysis, documentation and reports + to support negotiations of contract terms and department administration. + Maintains complete, accurate, and… more
- Highmark Health (Columbus, OH)
- …processing error to the payor. **ESSENTIAL RESPONSIBILITIES** + Provides support to senior analysts in building hospital, professional, and ASC contracts in Epic. ... accounts. (25%) + Collaborates with Revenue Cycle and Finance Teams on contract building and analysis requests. (25%) + Provides assistance in performing analyses… more
- The Mount Sinai Health System (New York, NY)
- …and Enforcement. That the operations and objectives of the Health Systems Managed Care Contracting objectives and goals are achieved. **Strength Through ... We share a common devotion to delivering exceptional patient care . When you join us, you become a part...a lens of equity in all aspects of patient care delivery, education, and research to promote policies and… 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