- 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
- 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
- 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
- Pfizer (San Diego County, CA)
- …marketplace + Experience in account management or account management support functions + Managed Care or Customer Strategy experience and in depth understanding ... with very complex but different distribution and provider cost recovery dynamics. The Director , Contract Strategy & Modeling is a key member of the Oncology… more
- The Cigna Group (Glendale, CA)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... **_HYBRID_** **_position aligned to the Glendale, 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 engages in the analysis, management, accounting and budgeting of all managed care agreements. Establishes effective lines of communications between… more
- The Cigna Group (Chattanooga, TN)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... market. Must reside within Chattanooga, Knoxville or TriCities.** 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
- CVS Health (Downers Grove, IL)
- …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
- Point32Health (Canton, MA)
- …+ Required (minimum): 10-15 years of progressive business experience in health care and/or managed care , ,including demonstrated contract negotiation ... Under the direction of the Vice President, Pharmacy, the Director , Pharmacy Strategy & Contracting is responsible...total cost of care and affordability of care priorities The Director is responsible for… more
- CVS Health (Bloomington, MN)
- …assigned manufacturers. **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...contracts and value based agreements for Medicare Part B, Managed Medicaid, and Commercial segments. This includes management of… more
- VNS Health (Manhattan, NY)
- …Experience:Minimum ten years' experience in health care , with a minimum eight years in managed care provider contracting and a minimum of two years in ... 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
- CaroMont Health (Gastonia, NC)
- … managed care leadership experience within a major payor and/or health system. Managed care contracting experience in health care or managed ... customers. The Senior Director initiates and maintains relationships with managed care organizations, providers, governmental payors and employers. Develops… more
- AdventHealth (Maitland, FL)
- …**Monday-Friday - This position is based in Killeen, Texas.** **The role you'll contribute:** The Director of Managed Care is the primary contact in ... care leadership experience required in managed care with an emphasis on contracting , contract...managed care with an emphasis on contracting , contract administration and strategic planning for hospital, ancillary… more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals ... **within California** **.** Working in a collaborative environment, the Director will be a hands-on leader to the Enrollment...growth of the department. Experience with IPA or network managed care , EZCAP and analytics strongly preferred.… 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
- Gilead Sciences, Inc. (Foster City, CA)
- …Join Gilead and help create possible, together. **Job Description** As the Director of Trade Strategy within Gilead's US Managed Markets, Cross-Portfolio ... on-site (3-days a week) in Foster City, CA and reports to the Sr. Director , Pricing and Trade Strategy, Cross-Portfolio, Managed Markets As the ** Director… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …payor contacts and internal constituents. + Participate in payor contract operations meetings. Managed Care Operations + Lead payor contact for single case ... with amazing partners, including other Harvard Medical School-affiliated hospitals. Payor Contracting + Collaborate with Director and other senior department… 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 ... hormone therapy products. Relationships The position reports to the Director , Strategic Pricing and Contracting . The individual...reports to the Director , Strategic Pricing and Contracting . The individual will partner and work closely with… more
- Molina Healthcare (Starkville, MS)
- …SKILLS & ABILITIES** : * 7+ years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to… more
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