- Novo Nordisk Inc. (Plainsboro, NJ)
- …not limited to changes in healthcare policy, government healthcare programs, managed care , payment models, comparative effectiveness, customer engagement, and ... or PBM, pharmaceutical market access strategy, channel strategy, market insights, analytics, pricing, contracting , managed markets OR a minimum of four (4) years… more
- Crozer Keystone Health System (Springfield, PA)
- Senior Director , Managed Care Contracting - CKHS The Senior Director , Managed Care Contracting , is responsible for the development, ... field with a minimum of 5-10 years of Director level or above managed care contracting in either a provider or payer setting required, Masters preferred.… 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 ... Ford Health. This position is responsible for leading the Managed Care Contracting team in...team accountable for completing work accurately and timely. Keep Director informed on issues and progress. 7. Maintain contracts,… 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
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- + GENERAL SUMMARY + The Leader, Managed Care Contracting , is responsible for all aspects of payer contract negotiations, network management, and strategic ... managed care organizations (MCOs). The Leader, Managed Care Contracting , works closely...teams to ensure alignment between contract requirements and clinical care delivery models. + Executive Director of… more
- Ascendis Pharma (Princeton, NJ)
- …administration of rebate programs, including government rebates (eg, Medicaid, Medicare), managed care rebates, and commercial rebates. Ensure accurate ... formulary validation processes accurately and before payment deadlines, oversee payments of managed care and government rebates, and manage Market Access… 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
- Scripps Health (San Diego, CA)
- …fee-for-service, partial risk, and full global risk HMO, PPO, and Ancillary services managed care agreements with health plans on behalf of Scripps Health's ... actively engage in the analysis, management, accounting, and budgeting of all managed care agreements. Establish effective lines of communication between Payer… more
- The Cigna Group (Scottsdale, AZ)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... with Providers AND several days work at Home_** The ** Director , Provider Contracting Network Management** serves as...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- CVS Health (Bloomington, MN)
- …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
- VNS Health (Manhattan, NY)
- …+ Minimum ten years' experience in health care , with a minimum eight years in managed care provider contracting and a minimum of two years in provider ... VNS Health's Health Plan Physician, Ancillary, Hospital provider networks. Includes contracting , rate setting, monitoring for and maintaining network adequacy of all… more
- Fairview Health Services (St. Paul, MN)
- … care payor terms and relationships. + Develop, recommend, and oversee annual managed care negotiation parameters and contracting plans and execute ... Management, Finance **Experience** *10+ years of healthcare experience in managed care , negotiating and contracting for integrated delivery systems.… more
- Roper St. Francis (Charleston, SC)
- …**Essential Job Functions** + Provides leadership direction and executive accountability for managed care contracting and network management initiatives with ... And much more *Benefits offerings vary according to employment status. **Department:** SS Managed Care - Contracting - Roper St Francis Healthcare _It is our… more
- Emanate Health (Covina, CA)
- …in a related field preferred. **Minimum Experience Requirement :** Five years' managed care negotiation experience. HMO hospital agreement negotiation experience ... at Emanate Health plays a vital role in the care we deliver. No matter what department you belong...Leads collaboration efforts with other business units to complete contracting , process improvements, and system enhancements on behalf of… 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
- Novo Nordisk (Plainsboro, NJ)
- …analysis, forecasting and reporting of contract profitability of customer segments (eg, Managed Care , Non-Federal Hospitals, Long-Term Care , Medicare Part ... Senior Manager, an Associate Director , or a Director in Strategic Pricing and Contracting . The...ad hoc basis, develops reports that monitor and evaluate Managed Markets performance at customer and channel levels +… more
- CSL Behring (King Of Prussia, PA)
- The Associate Director , Corporate Accounts (ADCA) is responsible for optimizing access, reimbursement, and profitability for CSL Behring's portfolio of brands in ... role in CSL Behring's commercial organization and reports to the Senior Director of Corporate Accounts. The ADCA is responsible for executing CSL Behring's… more
- WMCHealth (Valhalla, NY)
- …Experience: Minimum of two to four years of progressive experience in managed care contracting . Basic knowledge of reimbursement methodologies, ... The Managed Care Specialist under the direction of the Senior Director of Managed Care will assist in working with the participating managed … more
- The Cigna Group (Bloomfield, CT)
- …to, any and all of the following areas: + Partner with the Sr. Director of Pharma Strategy and Contracting in determining manufacturer, product class, and ... of the Pharmaceutical manufacturers for our Medicare, Commercial Government, LTC, and Managed Medicaid books of business as well as working with Ascent Health… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …leader that is responsible for oversight, leadership, management, and tactical execution of the Managed Care team. This person will focus and direct the strategy ... therapy and future products in the United States. The Director will be responsible for holding the team accountable...future products. + Set strategic and tactical objectives for managed care , develop, and implement strategies, and… more
Related Job Searches:
Care,
Contracting,
Director,
Director Contracting,
Director Managed Care,
Managed,
Managed Care,
Managed Care Contracting