- OU Health (Oklahoma City, OK)
- …Description:Position Title: Dir Managed Care ContractingGeneral Description: The Director , Managed Care Contracting has responsibility for ... payers. Under the direction of the SVP, Managed Care , the Director , Managed Care Contracting will analyze, negotiate, and implement new and… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …internal and external stakeholders to leverage and implement knowledge of reimbursement, managed care and healthcare policy to develop execution strategies and ... therapeutic / franchise area(s). Relationships Reports to the Director /Senior Director of Value Communication and Contracting Strategy. Interacts frequently… more
- University Medical Center of El Paso (El Paso, TX)
- …services available. Minimum Requirements: Work Experience: Five years of related experience in Managed Care Contracting required. Five years of management ... Job Summary: The Director of Managed Care provides strategic and operation expertise in negotiating managed care contracts. Models and analyzes … more
- Merck & Co. (North Wales, PA)
- …environment.Knowledge of the healthcare environment including current trends in healthcare, managed care , and retail segment.Understanding of commercial and ... Pharmacy Team in US Vaccines is seeking an Associate Director Marketing, who will be responsible for developing key...healthcare landscape and how it is affecting the retail care environment (pharmacy and clinics).- They should be able… more
- Merck & Co. (North Wales, PA)
- …for study-related contracting , budgets, and vendor/partner management.Develop American Managed Care Pharmacy (AMCP) dossiers for US payers, and ... meta-analyses, and economic modelling. Key responsibilities also include development of American Managed Care Pharmacy (AMCP) dossiers for US payers, and Global… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …internal and external stakeholders to leverage and implement knowledge of reimbursement, managed care and healthcare policy to develop execution strategies and ... for aligned therapeutic / franchise area(s). Relationships Reports to the Senior Director of Value Communication and Contracting Strategy. Interacts frequently… more
- SSM Health (Oklahoma City, OK)
- …observations and action plans to address trends. + Serves as network contact for managed care contracting functions. Provides resolution to managed ... based on changes and trends in the area of managed care , reimbursement and applicable state and...direct employer payer contracts. Directs financial modeling specific to contracting efforts, ensuring negotiated rates meet desired objectives. +… more
- Nuvance Health (Danbury, CT)
- …payer contracting efforts for all affiliates of Nuvance Health. 5. Leads managed care efforts and collaborates with internal and external key stakeholder in ... and processes to monitor and manage utilization of health care services within value based contracting Works...working conditions Company: Nuvance Health Org Unit: 1783 Department: Managed Care Exempt: Yes Salary Range: $57.22… more
- Henry Ford Health System (Troy, MI)
- …units. PRINCIPAL DUTIES AND RESPONSIBILITIES: 1. Under supervision of Director or Managed Care Contracting , works directly with Payors to negotiate ... or extreme temperatures. Additional Information + Organization: Corporate Services + Department: Managed Care Contracting + Shift: Day Job + Union Code: Not… more
- e CancerCare (Nashville, TN)
- …(ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal ... Job Purpose: Manager of Payor Contracting is responsible for reviewing, auditing and negotiating...negotiation with strategy. Essential Functions: In collaboration with the Director of Managed Care , negotiate… more
- Providence (Irvine, CA)
- **Description** **THE ROLE** The Regional Contracting Director is the managed care leader for Providence Health & Services. The leader is responsible to ... physician group, and ancillary entity relations with respect to managed care , and in the development, implementation...objectives. + Works with key Region leadership to define Contracting Principles and contracting strategies that further… more
- Hartford HealthCare (Wethersfield, CT)
- …programs and other common practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, ... Relationships_* . *Job Title of Individual(s) Reports To:* Sr Director of Managed Care Payer...* Managed Care Database Administ / Managed Care Contracting * **Location:** *Connecticut-Wethersfield-1290… more
- UCHealth (Denver, CO)
- Description Managed Care Contract Coordinator, Hospital Contracting Location: UCHealth UCHlth Lowry Admin, US:CO: Denver Department: UCHlth Hospital ... Contracting FTE: Full Time, 1.0, 80.00 hours per pay...party payors and system departments. Maintains operational standards of managed care contracts, including facility credentialing. +… more
- Baylor Scott & White Health (Dallas, TX)
- …or supervisors reporting to the role. **ESSENTIAL FUNCTIONS OF THE ROLE** 1. Directs managed care contracting and operations for BSWH. 2. Recommends and ... strategies in accordance with BSWH business objectives. A system Director translates and implements strategic plans and objectives for...implements strategic and operational plans and priorities for managed care contracting aligned to… more
- The Cigna Group (San Diego, CA)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... **_position aligned to the San Diego, CA market._** The ** Director ,** **Provider Contracting ** serves as an integral...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- Cardinal Health (Columbus, OH)
- …in interpreting managed care contracts. + Direct the daily operations of managed care contracting and payer relations to include contracting ... passionate about helping oncology practices navigate the future. The Director , Managed Care is responsible...development, and contracting activities related to the Managed Care environment. They will be a… more
- The Cigna Group (Houston, TX)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... based in Houston, Austin or San Antonio, TX** **PROVIDER CONTRACTING ADVISOR** This position serves as an integral member...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- CVS Health (Bloomington, MN)
- …considered based on experience. Required Qualifications*A minimum of 8 years experience in managed care which may include PBM, Pharma, market access, account ... to increasing access, lowering costs and improving quality of care . In this Director level role you...on high-value rebate contracts for Commercial, Health Exchange, and Managed Medicaid segments. This includes management of the business… more
- Gilead Sciences, Inc. (Foster City, CA)
- … Managed Markets Analytics** you will have responsibility to develop the US managed care strategy across government and private insurance markets for in-line ... HIV, or Oncology therapeutic areas desired + Experience in Managed Markets / Contracting / Payer Analytics preferred **People Leader Accountabilities** + Create… more
- MaineGeneral Health (Waterville, ME)
- …We are actively seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects ... of reimbursement, managed care contracts, and payer enrollment. The successful candidate will...and manage payer relationships + Utilize Sorian and StrataJazz contracting modules + Perform contract modeling and troubleshoot payer… more
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