• Managed Care Contract

    CAIPA MSO LLC (New York, NY)
    Managed Care Contract Specialist...Specialist, you will be expected to assist the Contracting Manager with all issues related to health plans and ... and internal departments to communicate and implement the terms of the managed care contracts *Job Responsibilities coordinates and support contracting… more
    CAIPA MSO LLC (10/11/24)
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  • Manager - Managed Care

    Roper St. Francis (Ladson, SC)
    …the performance of managed care initiatives. + Support (and lead certain) managed care contract negotiations and contract related issues and ... Office Park, Ladson, SC** **Shift: 8:00am-5:00pm** **Job Summary:** The Manager of Managed Care is...Contract Management:** + Oversee the daily operations of managed care arrangements, including value-based arrangements, ensuring… more
    Roper St. Francis (09/12/24)
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  • Director - Managed Care Transplant…

    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 ... as assigned. + Researches options for participation in new managed care and Pharmacy Benefit Manager...with implementing process improvement initiatives on behalf of the Managed Care department. + Directs contract more
    Stanford Health Care (11/22/24)
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  • Manager Managed Care

    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 ... physicians of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract more
    Henry Ford Health System (10/05/24)
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  • Program Manager - Managed

    Cedars-Sinai (CA)
    …people throughout Los Angeles and beyond. **Req ID** : 5668 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting all facets of...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
    Cedars-Sinai (11/07/24)
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  • Managed Care Data Platform…

    CommonSpirit Health (Englewood, CO)
    …a remote position. Seeking a strong manager of technical healthcare teams for Managed Care .** **Job Summary / Purpose** The System Manager , Data ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US from clinics and hospitals...Health's Payer Strategy, Analytics & Innovation capability. The System Manager , Data Engineering oversees complex data design and the… more
    CommonSpirit Health (11/08/24)
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  • Specialist, Managed Care Operations

    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
    Sanofi Group (11/22/24)
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  • Customer Relationship Manager

    Capgemini (Austin, TX)
    …**Job:** _Infrastructure_ **Organization:** _CIS US MS_ **Title:** _Customer Relationship Manager - Infrastructure Managed Services Austin, TX_ **Location:** ... is a hands on individual contributor role.** **Job Title** :Customer Relationship Manager **Location** :Austin, United States or in driving distance of Austin.… more
    Capgemini (11/06/24)
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  • Reimbursement Analyst Managed Care

    AdventHealth (Altamonte Springs, FL)
    …Responsible for ensuring the providers are loaded timely and accurately with Managed Care contracted payers. Responsible for evaluating professional fee ... the Physician Enterprise (PE) and works closely with practice office operations staff, Managed Care (MC) contracting, MC Credentialing and Enrollment and billing… more
    AdventHealth (11/26/24)
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  • Managed Care Coordinator - LSW,…

    Elevance Health (Ashburn, VA)
    ** Managed Care Coordinator** Location: Candidate must reside in Northern Virginia. While primarily remote, occasional travel is required to meet with members ... face to face. The ** Managed Care Coordinator** , as required by applicable state law and contract , contributes to the care coordination process by… more
    Elevance Health (11/24/24)
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  • Managed Care Coordinator UM II

    ManpowerGroup (Columbia, SC)
    + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site work required for the first week, followed by remote work. + **Hours:** ... + Ensure accurate documentation of clinical information to determine medical necessity and contract benefits. + Collaborate with Care Management and other areas… more
    ManpowerGroup (10/30/24)
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  • Managed Care Coordinator - Foster…

    Elevance Health (Topeka, KS)
    **Location:** Candidate must live within the state of Kansas The ** Managed Care Coordinator - Foster Care ** is responsible for performing telephonic or ... tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high risk… more
    Elevance Health (10/09/24)
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  • Coordinator, Managed Care II/CM-DM

    ManpowerGroup (Columbia, SC)
    **Job title: Coordinator, Managed Care II/CM-DM** ** Contract on W2** **Work type REMOTE but need to be onsite from (Columbia SC 29203) for 4-6 weeks for ... must be obtained within 4 years of hire as a Case Manager . + Preferred Education: Bachelor's degree- Nursing Preferred Work Experience: 7 years-healthcare… more
    ManpowerGroup (11/22/24)
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  • Coordinator, Managed Care II/CM-DM

    ManpowerGroup (Columbia, SC)
    Job Title: Clinical Case Manager Location: 17 Technology Circle Columbia SC 29203 Job Type: Full-Time **Job Description:** + We are seeking a dedicated Clinical Case ... Manager to join our team and play a crucial...for benefits, and ensure quality, cost-effective outcomes through personalized care plans. **Key Responsibilities:** **Case Management:** + Conduct active… more
    ManpowerGroup (10/12/24)
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  • IT Governance Contract & Compliance…

    Mount Sinai Health System (New York, NY)
    **Job Description** **IT Governance Contract & Compliance Manager II - Digital and Technology Partners Governance - Remote , Req#3020493** The Mount Sinai Health ... commitments + Provide transition support to teams to ensure understanding of Managed Services Governance processes + Provide contract and procurement process… more
    Mount Sinai Health System (10/30/24)
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  • Sr Care Manager - Short Term…

    IQVIA (New York, NY)
    **S** **r Care Manager ** As the only global...a **remote** position. This role will be a short-term contract role with IQVIA managed by an ... **Position Summary:** AllCare Plus Pharmacy, an IQVIA company, is seeking a Sr Care Manager Responsibilities will vary by program and its lifecycle. Sr Care more
    IQVIA (09/30/24)
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  • Health Plan Administration Contract

    State of Massachusetts (Quincy, MA)
    …(ACBH) and is tasked with the oversight and management of MassHealth's Accountable Care Organizations (ACOs), Managed Care Organization (MCOs), Primary ... outcomes and driving innovation. ACOs are the central managed care delivery system of MassHealth's current...to ACBH and MassHealth Leadership. The Health Plan Administration Contract Manager will be expected to support… more
    State of Massachusetts (11/15/24)
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  • Manager , Contract Development

    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 ... for the management and development of Medicare Part D, Managed Medicaid, and Commercial health plan contract ...your contribution and amplifies your impact. + Take good care of yourself and your family, with a wide… more
    Sanofi Group (09/29/24)
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  • Senior Contract Manager

    WellSense (Boston, MA)
    Senior Contract Manager WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, ... for our members, no matter their circumstances. **Job Summary:** The Senior Contract Manager is responsible for the development, implementation and management… more
    WellSense (11/15/24)
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  • Construction Representative 4 ( Contract

    CDM Smith (Miami, FL)
    …performed by the construction contractors. **Job Title:** Construction Representative 4 ( Contract Compliance Manager ) **Group:** CEI **Employment Type:** Regular ... Transportation and Public Works has awarded our team the contract to provide Construction Engineering and Inspection services for...Where it's a priority that the company takes good care of you and your family. Our employees are… more
    CDM Smith (10/21/24)
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