- 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
- 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
- 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
- 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
- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 217 **Position:** Manager Managed Care Contracting **Union Code:** 00 - ... developing payer strategy, preparation of financial analysis of new contract language and terms, review of contract ...new contract language and terms, review of contract language and the preparation of analysis to support… more
- ManpowerGroup (Columbia, SC)
- **Title: Coordinator, Managed Care I** **Location: 4101 Percival Road Columbia SC 29229 US (Hybrid)** **Duration: 04+ Contract ** **Pay Range $25.00 to ... - 5:00 PM)** We are looking for a "Coordinator, Managed Care I" to join one of...cases to appropriate internal departments (eg, Medical Director, Case Manager , Quality of Care Referrals). + Participate… more
- Capgemini (Austin, TX)
- **Job Title** :Customer Relationship Manager **Location** :Austin, United States **Travel** :25% **Job description:** The Customer Relationship Manager (CRM) ... work experience * 5 years' experience in a customer account/relationship/success manager role * ITIL certification and relevant recent experience * Diverse… more
- BayCare Health System (Clearwater, FL)
- …+ Responsible for monitoring, maintenance, negotiation, and renegotiation of Managed Care contracts under the direction of the manager and/or director. + ... superior health care throughout the communities we serve. **Title:** Managed Care Negotiator II (Must reside in Florida) **Facility:** BayCare System Office… more
- Elevance Health (Richmond, VA)
- ** Managed Care Coordinator** Location: Candidate must reside within 50 miles of Richmond, VA. While primarily remote, occasional travel to meet with members face ... to face is required. The ** Managed Care Coordinator** is responsible for overall...of position, as required by applicable state law and contract . **How you will make an impact:** + Responsible… more
- 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
- 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
- AdventHealth (Maitland, FL)
- …adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including ... for the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred ...contract data elements which are populated into the Managed Care database including addition of new… more
- 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
- Teva Pharmaceuticals (Parsippany, NJ)
- …to formulary access and tier position for biosimilars and pharmacy drugs (Medical Claims/ Managed Care ), and Pharmaceutical contract language. Ability to ... Manager , Contract & Formulary Compliance Date:...responsible for supporting the development, performance and analysis of Managed Care data, post audit disputes, and… more
- 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 (Portland, OR)
- Care Manager As the only global provider of...is a **remote** position. This role will be a short-term contract role with IQVIA managed by an external ... **Position Summary:** AllCare Plus Pharmacy, an IQVIA company, is seeking a Care Manager ! Responsibilities will vary by program and its lifecycle. Care … 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 ... 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
- Point32Health (Canton, MA)
- …the direction of the Point32Health Manager , Allied Health Contracting, the Contract Manager , Allied Health Contracting negotiates and manages contracts with ... strategies, and contract negotiation and administration. The Contract Manager must maintain industry-specific knowledge and...+ Required: minimum 5-7 years related experience in a managed health care environment, with a thorough… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …maintain relationships with payor contacts and internal constituents. + Participate in payor contract operations meetings. Managed Care Operations + Lead ... The Associate Contract Manager is responsible for providing...Foster positive relationships with new and existing clinical cancer care affiliates. Contract surveillance and monitoring +… more
- Love's Travel Stops & Country Stores (Oklahoma City, OK)
- …Insurance after 30 days * Hiring Immediately *_ **BASIC PURPOSE:** The IT Contract Manager plays a key role in orchestrating and administering agreements ... compliant, and in harmony with the organization's strategic and operational imperatives. The IT Contract Manager will also play a pivotal role in the attainment… more
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