- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Director Managed Care ? At HCA Healthcare, you come first. HCA Healthcare ... and you have the opportunity to make a difference. We are looking for a dedicated Director Managed Care like you to be a part of our team. **Job Summary and… more
- Crozer Keystone Health System (Springfield, PA)
- Senior Director , Managed Care Contracting - CKHS The Senior Director , Managed Care Contracting, is responsible for the development, ... degree in a related field with a minimum of 5-10 years of Director level or above managed care contracting in either a provider or payer setting required,… more
- Roper St. Francis (Charleston, SC)
- …of America) **Primary Function/General Purpose of Position** Manages the overall operations of managed care including managed care contract negotiations, ... analysis, and compliance activities in support of the managed care strategies, business and financial plans. Develops strategy to support the growth of the… more
- Fairview Health Services (St. Paul, MN)
- …position has ultimate accountability for effective and timely execution of all managed care contract negotiations and contract execution for hospital, physician ... partners. Is accountable for achieving budgeted net revenue expectations for all managed care contracts; assesses, evaluates, and directs the application of… 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
- WMCHealth (Valhalla, NY)
- …Job Summary: The Managed Care Specialist under the direction of the Senior Director of Managed Care will assist in working with the participating ... managed care payers. Responsibilities . In coordination with the Senior Director of Managed Care , will escalate to the managed care … more
- Kepro (Indianapolis, IN)
- …Preferred Qualifications/Experience: + 10+ years of clinical practice. + 2+ years as a Medical Director in a managed care company. + Board certification in a ... + Experience as a physician executive with significant accomplishments in developing managed care strategies, integrating delivery systems, improving quality and… more
- City of New York (New York, NY)
- …to function as the Executive Director , of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under the ... for independent initiative, decision making, and judgement, the Executive Director (ED) is responsible for the administration of three...(MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and Third-Party Health… more
- e CancerCare (Nashville, TN)
- …with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible ... aligns negotiation with strategy. Essential Functions: In collaboration with the Director of Managed Care , negotiate and manage assigned contracts, including… more
- Gateway-Longview (Williamsville, NY)
- …set forth in the client's treatment plan. + In collaboration with the program supervisor/ director , Managed Care Organization (MCO) and the child and family, ... pride in offering an amazing benefits package to take care of our most important asset- our employees! We...Work collaboratively with the child and family system of care which could include, Residential, Behavioral Health Clinic, Foster… more
- Centers Plan for Healthy Living (Margate, FL)
- …scheduling log. + Alerts Director of Intake, Patient Services Manager, and Director of Managed Care with anticipated staffing shortages. + Collects ... nursing services. + Staffs each case appropriately, following guidelines set by the Director of Intake. + Forwards all pertinent intake information to COC prior to… more
- Mount Sinai Health System (New York, NY)
- …the MSAHC Medical Director ; + Working knowledge and understanding of managed care and healthcare financing; + Personal qualities of integrity, credibility, ... School Based Health Centers **Grade:** Faculty **Reports to:** Deputy Medical Director of Primary Care , Mount Sinai Adolescent Health Center **Primary… more
- Banner Health (Mesa, AZ)
- …quality, cost, reporting, regulatory and compliance initiatives. Experience in a pharmacy managed care environment in a health plan or Pharmacy Benefit ... this role, you will serve as the **Pharmacy Medicaid Director for Managed Pharmacy Services.** You will...software. PREFERRED QUALIFICATIONS 2-3 years' experience in a pharmacy managed care environment in a health plan… more
- Elara Caring (Worcester, MA)
- …of licensure + Reliable transportation to perform job tasks You will report to the Director of Managed Care Clinical Operations. _This is not a comprehensive ... huge role in the growth of an entire home care industry. Here, each employee has the chance to...our elite team of healthcare professionals, providing the Right Care , at the Right Time, in the Right Place.… more
- Comcast (Philadelphia, PA)
- …successful candidate will be responsible for the Experience practice domain on managed devices supporting partners throughout APAC. A strong collaborator with a ... connect you to the support you need when it matters most, and should help you care for those who matter most. That's why we provide an array of options, expert… more
- VNS Health (Manhattan, NY)
- … care management Director or above leadership role within a managed care organization required + Proven experience in developing and implementing ... regular audits and other evaluative measures to maintain high-quality care standards. + Plans leadership and medical director... care standards. + Plans leadership and medical director meetings as stipulated by the State BH contract… more
- JPMorgan Chase (New York, NY)
- As Executive Director of the ConnectWealth UMA Program, you will provide strategic leadership for one of the industry's most significant transformations, managing a ... meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a retirement savings plan,… more
- Sea Mar Community Health Centers (Bellevue, WA)
- …education, and public health coverage case management. Under the direction of the Managed Care Director and Regional Coordinator, they pro-actively contact ... Position Summary: Full-Time Customer Service Rep position available for our Managed Care Department located at our Bellevue Medical Clinic. The Customer Service… more
- Omaha Children's Hospital (Omaha, NE)
- …audits with representatives of third-party agencies and negotiate equitable settlements. Involving Director of Managed Care when appropriate. + Analyzes ... Qualifications** + Minimum 5 years experience of clinical nursing required, intensive care /med surg experience in a pediatric setting Required and + Experience in… more
- Scotland Health Care System (Laurinburg, NC)
- This position works with government agencies, third party payers, Medical Staff Coordinator and Managed Care Director , CHS MHR, and our medical providers to ... initiate enrollment and credentialing applications, maintain recredentialing and updates for individual providers and entities and subgroups of SMH, SRHN, and EMC. Qualifications include high school graduate; Associate's degree preferred; excellent computer… more
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