- 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...to communicate and negotiate terms and provision related to hospital , physician and clinic contracts with insurance companies and… more
- University Medical Center of El Paso (El Paso, TX)
- …available. Minimum Job Requirements Work Experience Five years of related experience in Managed Care Contracting . Three years of management experience are ... operational oversight and coordination for developing, recommending and executing the Hospital 's Managed Care agreements, contract performance analysis… more
- Community Hospital Corporation (Plano, TX)
- …that are assignedManages Corporate Supply Chain Functions to include custom contracting , hospital level Materials Management, Corporate Department Operations and ... Community Hospital Corporation (CHC), a DFW Top 100 Employer,...cost-saving initiatives, and materials management efficiencies for our owned, managed , and affiliated healthcare facilities. This is an exciting… 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, ... and evolving provider payment methodologies with a focus on hospital and physician . Preferred experience on billing and...* Managed Care Database Administ / Managed Care Contracting * **Location:** *Connecticut-Wethersfield-1290… 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 ... a career, it's a calling.** OK-SSM Health St. Anthony Hospital - Oklahoma City **Worker Type:** Regular **Job Highlights:**...based on changes and trends in the area of managed care , reimbursement and applicable state 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 (Plano, TX)
- …strong external relationships with provider partners. + Intimate understanding and experience with hospital , managed care , and provider business models. + ... for multiple local geographies. **DUTIES AND RESPONSIBILITIES** + Manages hospital system contracting and negotiations for fee...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- RWJBarnabas Health (New Brunswick, NJ)
- …on business and clinical operations, nursing, social work, pharmacy, hospital networks and managed care and contracting + Serves as a key member of ... and function of the departments for overall quality of care delivered through the hospital organization. This...overall quality of care delivered through the hospital organization. This leader will oversee the development, implementation… more
- WellSpan Health (York, PA)
- …including new hospital additions as applicable, in accordance with System Care Contracting Team. Includes all traditional medical components ( hospital , ... Senior Director-Payor Contracting Location: WellSpan Health, York, PA Schedule: Full...market payment rates and methods for various types of managed care payors: including Medicare, Medical Assistance,… more
- The 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
- The 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 (San Diego, CA)
- …strong external relationships with provider partners. + Intimate understanding and experience with hospital , managed care , and provider business models. + ... **_position aligned to the San Diego, CA market._** The **Director,** **Provider Contracting ** serves as an integral member of the Provider Contracting … more
- The Cigna Group (Bloomfield, CT)
- …+ Intimate understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with ... organizations required. Medicare Advantage experience required. + Experience with Physician, Hospital and Ancillary group contracting and negotiations. + Prior… more
- The Cigna Group (Bloomfield, CT)
- …strong external relationships with provider partners. + Intimate understanding and experience with hospital , managed care , and provider business models. + ... The **Provider Contracting Senior Advisor** serves as an integral member...and other providers for Cigna's Medicare product lines (eg, Hospital systems, Ancillaries, and large physician groups) for Texas,… more
- The Cigna Group (Houston, TX)
- …strong external relationships with provider partners. + Intimate understanding and experience with hospital , managed care , and provider business models. + ... **LOCATION:** **Can be based in Houston, Austin or San Antonio, TX** **PROVIDER CONTRACTING ADVISOR** This position serves as an integral member of the Provider … more
- The Cigna Group (Scottsdale, AZ)
- …Bachelor's degree required; master's degree strongly preferred. + 5+ years of health care contracting experience required, including hospital payor ... + 2+ years team management/people leadership experience required. + Experience in managed care operations and facility network management including behavioral… more
- Humana (Phoenix, AZ)
- …+ 6 or more years of progressive network management experience including hospital contracting and network administration in a healthcare company + ... and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital...Experienced in negotiating managed care contracts with large physician groups,… more
- Merck (North Wales, PA)
- **Job Description** The Director, US Market Access Contracting sits within the National Contract Operations and Supply Chain Team (NCOSC), which delivers ... direct account and contract responsibility across the entire US health care system: Pharmacy Benefit Managers, Health Plans, State Medicaid agencies, Integrated… more
- The Cigna Group (Anaheim, CA)
- …+ Intimate understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with ... complex delivery systems and organizations required.** + **Experience with Physician, Hospital and Ancillary group contracting and negotiations.** + **Experience… more
- Cardinal Health (Columbus, OH)
- …in interpreting managed care contracts. + Direct the daily operations of managed care contracting and payer relations to include contracting ... development, and contracting activities related to the Managed Care environment. They will be a...care delivery systems, the local and national health care environment, and the dynamics of hospital /physician… more
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