- Cardinal Health (Columbus, OH)
- …team is passionate about helping oncology practices navigate the future. The Director, Managed Care is responsible for strategy and management of managed ... responsible to implement strategic initiatives related to payer contracts. The Director, Managed Care contributes to practice growth and profitability by… more
- WTW (Atlanta, GA)
- …across our two business segments, Health, Wealth and Career and Risk and Broking. The Managed Care Growth Leader is the primary client lead managing the totality ... of the Willis Towers Watson (WTW) relationship for clients within the Managed Care Industry. This individual is accountable for profitable Managed Care … more
- Health First (Rockledge, FL)
- The Vice President of Managed Care is responsible and accountable for providing Uncompromised Safety, Superior quality, Memorable Patient/Customer Experiences, ... Stewardship by being responsible for creating, leading, and conducting all managed care activities for Health First. Support and further the organizations in… more
- ProMedica Health System (Toledo, OH)
- Working with the Director and AVP of Managed Care , this position is responsible for developing and implementing managed care strategies and relationships ... (ProMedica Health Network). Objective is to provide best in class managed care contracting, analytics, education, and service. ACCOUNTABILITIES 1. Operate as… more
- e CancerCare (Nashville, TN)
- …related to ION network and providers. Team member will work closely with the Managed Care department team in generating and reviewing system data, while making ... other internal teams with reimbursement related concerns and acting as a liaison to managed care plans. Essential Functions: . Support Managed Care team… more
- City of New York (New York, NY)
- …NM-III, to function as the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under the ... Assistance Program (MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and Third-Party Health Insurance. Ensuring that the three… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Senior Counsel, Managed Care ? At HCA Healthcare, you come first. HCA Healthcare has committed up to ... a dedicated Senior Counsel like you to be a part of our Managed Care Contracting team. **Job Summary and Qualifications** Provide legal advice regarding … more
- Roper St. Francis (Ladson, SC)
- …**Shift: 8:00am-5:00pm** Primary Function/General Purpose of Position Responsible for managed care initiatives & performance, including contracting, reporting, ... Manages the functions of the Credentialing/Provider Enrollment Team. Works with RSFH Managed Care leadership to develop managed care strategy then… 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, committed, ... Language (MSSQL) Database skills to lead/execute the development of the complex Managed Care / Payer Analytics platform. The Payer Analytics team is primarily… more
- HCA Healthcare (Nashville, TN)
- …a part of our team. **Job Summary and Qualifications** The Managing Counsel for Managed Care Litigation is a leadership role within HCA's 270-person global legal ... leader of a high-performing team of lawyers and staff members who handle managed care disputes for HCA that require litigation or arbitration. In this context, … more
- Vanderbilt University Medical Center (Nashville, TN)
- …modifies Business Intelligence solutions independently for finance-related content, including Managed Care Contracting, Revenue Cycle, and Compliance. Designs ... BI and analytics solutions, transforming data into valuable insights for our Managed Care Contracting, Revenue Cycle, and Finance teams. Implements… more
- UCLA Health (Los Angeles, CA)
- Description The Assistant Director, Managed Care Operations is responsible for the collaborative development, implementation and ongoing operations of financial ... systems to achieve the goals set by leadership for UCLA Medical Group managed care contract performance. In this role, you will assist the Director, Managed… more
- AdventHealth (Maitland, FL)
- …Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including governmental ... for summarizing key contract data elements which are populated into the Managed Care database including addition of new payers, auto increases, renewals and… more
- Beth Israel Lahey Health (Boston, MA)
- … care or specialty physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations for patient care ... services, complying with BIDCO's and BIDMC's contractual rules for multiple managed care insurance payers. **Job Description:** **Essential Responsibilities:**… more
- The New Jewish Home (Bronx, NY)
- The Finance Department in Waters Place, Bronx is seeking a full time Managed Care Billing Specialist to join our team. The Managed Care Specialist is ... responsible for resolving managed care denied and underpaid claims timely. Responsibilities + Must...claims timely. Responsibilities + Must be able to understand managed care contracts, create project spreadsheets for… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Managed Care Rebate Analyst Date: Sep 13, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57682 **Who we ... new people to make a difference with. **The opportunity** The Senior Managed Care Rebate Analyst is responsible for managing the reimbursement process for Teva's… more
- The Cigna Group (Nashville, TN)
- **The Cigna Group - Managed Care Leadership Development Program (MCLDP) - Early Career Full-Time Associate** Are you an aspiring business leader? Do you want to ... make an impact in the healthcare industry? Cigna's Managed Care Leadership Development Program (MCLDP) develops future leaders through a two-year intensive… more
- Burrell Behavioral Health (Springfield, MO)
- Job Description: Job Title: Managed Care Enrollment Specialist ILocation: Springfield, MO (Remote eligibility)Department: Managed CareEmployment Type: ... and providers, streamlining communication and simplifying processes wherever possible. The Managed Care Enrollment Specialist I position offers + All-Inclusive… more
- Prime Healthcare (Kansas City, KS)
- …Responsibilities This position can sit in any Prime Healthcare Hospital Regional Manager, Managed Care - Health Plan Operations is responsible for the management ... and data integrity of the managed care agreements in place at all hospital facilities and employed physicians. The Regional Manager effectively interacts with… more
- Hawaii Pacific Health (Honolulu, HI)
- …The department also performs additional services in collaboration with the managed care services department including referral management, patient steerage, ... auditing. As the Specialist, you will be responsible for providing comprehensive managed care information related to Hawai'i Pacific Health contracted health… more
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