- Cardinal Health (Columbus, OH)
- …there are specific managed care operations questions including contract questions and analysis related to reimbursement . Support sales including ... lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the relationship… more
- Fresenius Medical Care North America (Franklin, TN)
- …(HMO, PPO, POS, etc.) for Payor Relations. Oversees contractual relationships with managed care organizations and other third party payors regarding rate ... Plans, Government Payors and other large payors Oversees contractual relationships with managed care organizations and other third party payors regarding rate… more
- Kaiser Permanente (Pasadena, CA)
- …(7) years of experience in health care delivery or operations in a managed care environment, customer relationship management, or a directly related field OR ... years of experience in health care delivery or operations in a managed care environment, customer relationship management, or a directly related field.… more
- Highmark Health (Washington, DC)
- …years Healthcare, Healthcare Insurance, Consulting or related area 3 years Value-based reimbursement , through managed care contracting, provider ... This job supports the matrixed strategic design and analytical approach to reimbursement . To be successful, the incumbent will work closely with stakeholders across… more
- Kaiser Permanente (Atlanta, GA)
- …years of experience in health care delivery or operations in a managed care environment, customer relationship management, or a directly related field. ... Management; Quality Assurance Process; Computer Literacy; Presentation Skills; Health Care Reimbursement ; Training; Business Acumen; Business Planning; Project… more
- Insight Global (Eden Prairie, MN)
- …requires deep knowledge of reimbursement methodologies of government payors, managed care commercial payors, software functionality and the revenue cycle ... Job Description The Epic Government Payors Contract Configuration Analyst is responsible for the loading, maintenance, and troubleshooting of all payor contracts… more
- The Cigna Group (Sugar Land, TX)
- …involving complex delivery systems and organizations required. Experience in a Managed Care , Healthcare, Health Insurance environment Experience in developing ... external relationships with provider partners. Intimate understanding and experience with hospital, managed care , and provider business models. Team player with… more
- Centene Corporation (Oklahoma City, OK)
- …live in Oklahoma. Schedule: M-F, 8-5 CST; occasional after-hours based on plan needs. Managed care + clinical experience in L&D, OB, or NICU. Strong ... maternal-child clinical knowledge to support compliance and care quality. Experience guiding teams. Able to adjust quickly...Clinical Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMSW, LMFT, LMHC, and RN… more
- Health Care Service Corporation (Tulsa, OK)
- …least one year experience developing and negotiating provider contracts OR 5 years managed care operations experience handling independent work with at least one ... providers for assigned territory. Specific responsibilities include small to mid-size contract negotiations for small hospitals, physicians and physician groups and… more
- Merck & Co. (San Diego, CA)
- …of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients' ... Customer Strategy, Health Economics, Immunizations, Interpersonal Relationships, Lead Generation, Managed Care , Market Analysis, Medical Affairs, Product… more
- Bausch + Lomb (Memphis, TN)
- …have worked with a pharmaceutical, biotech, or device manufacturer sales team in a reimbursement capacity or as a contract position through a reimbursement ... to Bausch + Lomb products across relevant sites of care . Educate office staff and Providers on the use...reimbursement activities are required to be conducted and managed within all appropriate legal and regulatory guidelines and… more
- Baylor Scott & White Health (Boston, MA)
- …correspondence to collect inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts ... to resolve payment difficulties and penalties owed to BSWH in accordance with Managed Care contracts. Contacts insurance company representatives by telephone or… more
- Abbott (North Chicago, IL)
- …adaptable to constantly shifting priorities. What You'll Do Lead the negotiation of complex contract terms for Managed Care / Market Access contracts across ... managing contract development and negotiation for the Market Access / Managed Care Channel. The position will work cross-functionally with Account… more
- Centene Corporation (Frankfort, KY)
- …investigations with audit and risk analysis. 1+ year of experience in managed care or health insurance company. Candidate Skills: In-depth knowledge ... approve all reports submitted to the state Monitor state contract and regulatory changes that may arise Works quickly,...of government programs, the managed care industry, Medicare, Medicate laws and… more
- Insight Global (Los Angeles, CA)
- …able to read and understand each contract ) Experience with high-dollar commercial managed care collections with a production of 40+ claims per day ... in California. This person will be responsible for the reimbursement of claims from various insurance companies for all...facility claims. Must have strong knowledge of commercial and managed care contracts and have knowledge of… more
- Amgen (Milwaukee, WI)
- …hospital, access environment, applicable competitors, specialty experience District Management / Reimbursement / managed care experience Demonstrates solid ... and executes innovative market strategies to reach difficult to access health care providers and accounts in a compliant manner. Amgen Bone Health contracting… more
- Humana (Denver, CO)
- …an impact Required Qualifications 2 - 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts. ... courses of action. The Dental Network Field Contractor communicates contract terms, payment structures, and reimbursement rates...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- The Cigna Group (New York, NY)
- …external relationships with provider partners. Intimate understanding and experience with hospital, managed care , and provider business models. Team player with ... projects financial impact of larger or complex provider contracts and alternate contract terms. Creates "HCP" agreements that meet internal operational standards and… more
- The Cigna Group (Cleveland, OH)
- …Intimate understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. Team player with proven ... impact of high spend or increasingly complex provider contracts and alternate contract terms. Manages key provider relationships and is accountable for interface… more
- Medtronic (Northridge, CA)
- …to drive meaningful innovation and enhance our impact on patient care . Position Key Responsibilities: Strategic Sourcing & Category Management Lead global ... Manage end-to-end sourcing processes including RFPs, negotiations, vendor evaluation, and contract development. Lead complex negotiations for IT and R&D Services,… more
