- Fresenius Medical Center (Waltham, MA)
- …* May be responsible for the direct supervision of Directors of Managed Care , Manager of Revenue support, Contract Managers, and other staff as ... care organizations. + Develops long-term strategies and tactics for managed care contract review and analysis. + Leads the initiation, negotiation, and… more
- Providence (Mission Hills, CA)
- …and screens phones. Schedules and coordinates all meetings attended by Administrative Director of Managed Care , Contract Manager , Case Managers and UM ... Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- HCA Healthcare (Nashville, TN)
- …for clinical and non-clinical audiences + Comprehensive knowledge of formulary managed care systems, principles and practices **What qualifications you ... join an organization that invests in you as a Senior Pharmacy Benefit Account Manager ? At HealthTrust, you come first. HCA Healthcare has committed up to $300… more
- Bristol Myers Squibb (Madison, NJ)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as all aspects with evaluating implications of and reporting Managed Care data required for US and...of contingent/portfolio agreements, legal requests, SOX compliance, deal analytics, contract performance analytics and ad hoc data analytics +… more
- HCA Healthcare (Nashville, TN)
- …alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As an AVP Managed Care with Surgery Ventures, you can be a manager in ... by location._** Come join our team as an AVP Managed Care . We care for...will be deployed in order to both (a) maximize contract performance/yield (eg, Net Revenue, Percentage of Charge Revenue,… more
- Fresenius Medical Center (Dallas, TX)
- … programs (HMOs, PPOs, POS, etc). Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position is On-Site The Behavioral Health Nurse - Managed Care is responsible for coordinating, monitoring, and delivering behavioral health services within a ... managed care environment. This role involves working...or master's degree in nursing (BSN/MSN) + Certified Case Manager (CCM) or similar certification + Fluent in Spanish… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street ... across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr....Minimum: BA/BS degree . Preferred: BA/BS degree in Health Care , MIS, Finance, Statistics or Mathematics *Experience* . Minimum:… more
- Elevance Health (Halifax, VA)
- ** Managed Care Coordinator** **Sign On Bonus-$1000** **Location:** The locations for this position will be Lynchburg, Roanoke, Pittsylvania, or Halifax Virginia. ... an accommodation is granted as required by law._ The ** Managed Care Coordinator** is responsible for the... Program, as required by applicable state law and contract . **How you will make an impact:** + Responsible… more
- Elevance Health (Robbinsville, NC)
- **CFSP Managed Care Coordinator** **Sign-on Bonus: $2500** **We are currently seeking people in the following counties and look forward to speaking with you!** ... thrive in safe, stable, and nurturing homes._ The **CFSP Managed Care Coordinator** is responsible for the...CFSP Program, as required by applicable state law and contract . **How you will make an impact:** + Provide… more
- Sedgwick (Helena, MT)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Managed Care Client Service Director (REMOTE) Are you looking for an ... and your career path. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. **ARE YOU AN IDEAL… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review ... * Identify and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). *… more
- US Tech Solutions (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, etc.). ... **Location: Columbia, SC 29229 (Remote after training)** **Duration: 3+ Months Contract (Possible Temp to Hire)** **Job Description:** + Must be an RN in SC and have… more
- UPMC (Pittsburgh, PA)
- …it will be a contract role employed by Strategic Consulting Partners (SCP). The Care Manager Associate (CMA) position will be part of the UPMC Health Plan's ... and psychosocial well-being of those being served. No license is required. + Managed care experience preferred. + Ability to interact with other health care … more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play a critical… more
- Henry Ford Health System (Detroit, MI)
- …learn more visit: www.MosaicCIN.org GENERAL SUMMARY: Under minimal supervision, the Network Contract Manager oversees the tracking and management of value-based ... effective communication and cooperation. Routinely collaborates with corporate departments including Managed Care Contracting/ Revenue Cycle. . Collaborates with… more
- US Physical Therapy (Houston, TX)
- …motivated, autonomous individual who has a positive attitude to join our company as a ** Contract Manager /Analyst.** This is a dual role that will support the ** ... Managed Care Operations Team** . The person...care contracts and government reimbursement methodologies to create contract modeling calculation. + Prepare pre-negotiation analysis to support… more
- J&J Family of Companies (Titusville, NJ)
- …Johnson & Johnson Innovative Medicine's Strategic Customer Group is recruiting for a Manager , Contract Strategy & Analytics, located in Titusville, NJ or ... leading health plans, pharmacy benefit managers, and government health care institutions. The company also provides contract ...functions for the major Johnson & Johnson franchises. The Manager , Contract Strategy & Analytics, is responsible… more
- Walgreens (Deerfield, IL)
- …in retail + Experience in pharmacy industry in areas such as Retail, PBM, Managed Care , Mail Service, and Specialty Pharmacy. We will consider employment of ... team members and communities. \#LI-TO1 **Job ID:** 1716269BR **Title:** Account Manager , Contract Development & PBM **Company Indicator:** Walgreens **Employment… more
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