- Sanofi Group (Bridgewater, NJ)
- …the Job** The Managed Care Specialist is responsible for contract management for various markets including Commercial Contracts, Medicare Part D and ... This position will analyze and pay rebates based on contract language, formulary placement and utilization management ...will work in close cooperation with Managed Care Operations colleagues and counterparts in Contract … more
- Hackensack Meridian Health (Hackensack, NJ)
- …Receipt & posting to Finance. + Trend, analyze & report issues on Managed Care Contracts, Contract Management and other Payer related topics to be ... all existing contracts are loaded correctly into Epic's Reimbursement Contract Management module for the Network. **Responsibilities**...included in weekly Managed Care & Supervisors meeting in order… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …role is primarily responsible for fostering collaborative relationships with managed care organizations (MCOs). The Leader of Contract Management works ... managed care dynamics within a health care setting and is skilled in contract ...field is required. + 7-10 years of experience in managed care contracting, network management ,… more
- e CancerCare (Nashville, TN)
- …data to provide in reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance, along with ... role includes loading and maintaining reimbursement rates in ION contract management system. Additional responsibilities include collaborating...skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating… more
- McLaren Health Care (Auburn Hills, MI)
- We are looking for a Managed Care Contract Assistant to join us in leading our organization forward. McLaren Health Care is one of Michigan's fastest ... of care delivery and operations including clinical integration, contracting, quality, care coordination and care management , across all settings.… more
- CAIPA MSO LLC (New York, NY)
- Managed Care Contract Specialist New York, NY (http://maps.google.com/maps?q=202+Canal+Street+New+York+NY+USA+10013) Description As a Managed Care ... and internal departments to communicate and implement the terms of the managed care contracts *Job Responsibilities coordinates and support contracting… more
- Stanford Health Care (Palo Alto, CA)
- …cost, payer mix, and other contract specific issues. + Represents the Managed Care department on cross-functional committees across the SHC and SMCH ... the SHC and SMCH Enterprise. + Collaborates with senior management and service lines in the development and facilitation...with implementing process improvement initiatives on behalf of the Managed Care department. + Directs contract… more
- UNC Health Care (Goldsboro, NC)
- …the cost accounting system for analysis of product lines related to managed care contract , rate setting, case management , and cost containment. Makes ... Officer of the hospital and is responsible for directing the financial planning, management and control systems and programs to ensure both the short and long-term… more
- State of Colorado (Denver, CO)
- …the Section as needed on all contract related issues related to managed care eligibility, enrollment, UAT testing, and RAE provider network management ... Managed Care Technology Administrator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4730377) Apply Managed Care Technology… more
- Fairview Health Services (St. Paul, MN)
- …This position has ultimate accountability for effective and timely execution of all managed care contract negotiations and contract execution ... stakeholders to assure efficient and effective communication and implementation of Fairview's managed care contract relationships, including but not limited… more
- Roper St. Francis (Ladson, SC)
- …the efficiency of care delivery. **Key Responsibilities:** + ** Contract Management :** + Oversee the daily operations of managed care arrangements, ... care initiatives. + Support (and lead certain) managed care contract negotiations and...Contribute to the development of organizational strategies related to managed care and population health management… more
- Alameda Health System (Oakland, CA)
- …regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case Management functions. + Works closely with ... Director, Inpatient System Care Management + Oakland, CA + Highland General Hospital + SYS Care Coordination + Full Time - Varies + Management + Req… 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 the ... physicians of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract… more
- Hackensack Meridian Health (Edison, NJ)
- …leader of positive change. The **Senior Contracting Specialist** position will support the Managed Care Team during system and new entities negotiations in ... under the direction of the Sr. Vice President and Vice President - Managed Care . Will be responsible for addressing operational, financial and services… more
- Dignity Health (Bakersfield, CA)
- …risks or escalations. - Manage the relationship with the Managed Care Platform vendor, managing and monitoring the contract , coordinating issue resolution, ... the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is...pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to… more
- Nuvance Health (Danbury, CT)
- …and policies, payer market share, etc. 6. Liaison between billing/ managed care departments, the payer, Business Office, Practice Management and other ... *Description* Summary: The Managed Care Analyst compiles, validates, and...and analyzes utilization and reimbursement data to aid in contract negotiations for all Nuvance entities. In addition to… more
- MaineGeneral Health (Waterville, ME)
- …a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects of reimbursement, managed ... contract modeling and troubleshoot payer issues + Oversee contract management and reporting + Ensure compliance...of 7 years of experience in healthcare reimbursement and managed care - some leadership experience is… 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 ... user or client acceptance. + Well versed within the various components that comprise Managed Care and its key concepts including but not limited to eligibility,… more
- Hartford HealthCare (Hartford, CT)
- …**Hartford HealthCare Corp.* **Title:** *Senior Contracts Administrator / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.… more
- Molina Healthcare (MI)
- …portfolio of growth projects for the company - including new market launches, complex managed care contract procurement wins, and M&A integrations. This ... **Job Summary** The Vice President, Managed Care Enterprise Integration is responsible...Oversee and undertake business analysis, business requirement gathering, project management , project governance, and execution. + Partner with corporate… more
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