- Children's Hospital Los Angeles (Glendale, CA)
- …payor models, as well as negotiation, communication, implementation and oversight of managed care contracting and collaboration with operative partners. ... the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care...required under fee for service as well as at-risk managed care contracting . 5+ years… 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 ... relationships with managed care organizations (MCOs). The Leader, Managed Care Contracting , works closely with a wide range of internal and… more
- RWJBarnabas Health (Jersey City, NJ)
- …on business and clinical operations, nursing, social work, hospital networks and managed care contracting + Works collaboratively with local executive ... processes. + Maintains a thorough understanding of clinical reimbursement and managed care issues specific to an oncology service line. Identifies opportunities… more
- The Cigna Group (Richmond, VA)
- …strong external relationships with provider partners. + Intimate understanding and experience with hospital , managed care , and provider business models. + ... Washington, DC or the Baltimore, MD area.** This **Manager, Hospital Contracting ** serves as an integral member...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- Mount Sinai Health System (New York, NY)
- …transformation + Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
- Mount Sinai Health System (New York, NY)
- …transformation + Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...and optimizing performance collaborating with key stakeholders inclusive of Managed Care Contracting , Population Health… more
- The Cigna Group (Richmond, VA)
- …strong external relationships with provider partners. + Intimate understanding and experience with hospital , managed care , and provider business models. + ... work in the office or visit Providers 3 days per week The **Manager, Provider Contracting ** serves as an integral member of the Provider Contracting Team and… more
- The Cigna Group (Mclean, VA)
- …+ Experience in developing and managing relationships + Understanding and experience with hospital , managed care , and provider business models a plus ... of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare Hospital /Provider/Ancillary group...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
- 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 ... development and implementation of VNS Health's Health Plan Physician, Ancillary, Hospital provider networks. Includes contracting , rate setting, monitoring for… more
- Fairview Health Services (St. Paul, MN)
- …ultimate accountability for effective and timely execution of all managed care contract negotiations and contract execution for hospital , physician and ... payor terms and relationships. + Develop, recommend, and oversee annual managed care negotiation parameters and contracting plans and execute negotiations… more
- Emanate Health (Covina, CA)
- …degree in a related field preferred. **Minimum Experience Requirement :** Five years' managed care negotiation experience. HMO hospital agreement negotiation ... 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
- UT Health (Houston, TX)
- …facility credentialing, recredentialing, and enrollment. + Oversees completion of managed care provider enrollment applications (new, changes, revalidations) ... Manager, Facility Contracting and Provider Enrollment Services **Location:** Houston, Texas...healthcare education, innovation, scientific discovery, and excellence in patient care . That's where you come in. **Once you join… more
- WMCHealth (Valhalla, NY)
- …Experience: Minimum of two to four years of progressive experience in managed care contracting . Basic knowledge of reimbursement methodologies, ... Managed Care Specialist Company: NorthEast Provider...issues on behalf of WMC Health Network for the Hospital 's, Physician Groups and Ancillary Providers. The incumbent will… more
- Cedars-Sinai (CA)
- …service the network's membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star ratings, access, physician network ... Medical Center, the Cedars-Sinai Medical Network, Marina del Rey Hospital , and other Cedars-Sinai Health System entities and affiliates,...+ Well versed within the various components that comprise Managed Care and its key concepts including… more
- Sutter Health (Sacramento, CA)
- …**Position Overview:** Provides analysis and research to support the payer contracting process and ongoing contract relationship, including payer contract compliance ... revenue projection and modeling. + Must have thorough knowledge of the hospital accounting systems and audit processes in order to assess payer performance.… more
- Intermountain Health (Murray, UT)
- …care systems orientation including: managed care , retail and hospital pharmacy, pharmacy contracting , pharmaceutical company contracting . + Strong ... pharmacy and dispense controlled substances. Five years of pharmacy practice experience in a managed care and hospital environment. - and - Five years… more
- Community Hospital Corporation (Plano, TX)
- …+ Working knowledge of tax-exempt matters. + Working knowledge of reimbursement and managed care contracting , including CMS Conditions of Participation. + ... , privacy laws and medical staff relations. + Extensive experience in health care contracting , including professional services, equipment leases, IT, real estate… more
- Mount Sinai Health System (New York, NY)
- … personnel as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other institutional departments to ... in nursing or healthcare-related field or be enrolled in a program preferred Hospital In-Patient Experience Required Minimum of 5 years of case management experience… more
- LA Care Health Plan (Los Angeles, CA)
- …Minimum of 4 years of experience in contracting and/or regulatory analysis in managed care or healthcare industry. At least 4 years of healthcare experience ... III is responsible for all aspects of the LA Care (LAC) provider contracting and relationship management...is responsible for the initial on-board training of new managed care contract provider partners, and for… more
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