- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Contracts Administrator / Managed Care Contracting * **Location:** *Connecticut-Hartford-100 ... ICP on designated key committees and task forces relating to provider contracting and payer relations within HHC. *_Requirements and Specifications:_* . Preferred… more
- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 217 **Position:** Manager Managed Care Contracting **Union Code:** 00 - Non ... - KH Reimbursement **Job Description:** Primarily responsible to manage third party contracting . Include being the lead contact for third party contracting ,… more
- Baylor Scott & White Health (Dallas, TX)
- …or supervisors reporting to the role. **ESSENTIAL FUNCTIONS OF THE ROLE** 1. Directs managed care contracting and operations for BSWH. 2. Recommends and ... implements strategic and operational plans and priorities for managed care contracting aligned to BSWH overall business objectives. 3. Directs all managed… more
- 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 ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- 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 ... for improving and optimizing performance collaborating with key stakeholders inclusive of Managed Care Contracting , Population Health leadership, Clinical… more
- University of Miami (Medley, FL)
- …recommend contract rates and methodologies that meet the strategic and financial goals of Managed Care contracting and business development for the UHealth ... The Senior Healthcare Contracting Manager oversees the Business Development and Managed Care Department, and supervises the architecture and quality control… 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 ... of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms… more
- Roper St. Francis (Ladson, SC)
- …+ And much more *Benefits offerings vary according to employment status. **Department:** SS Managed Care - Contracting - Roper St Francis Healthcare _It ... Park, Ladson, SC** **Shift: 8:00am-5:00pm** **Job Summary:** The Manager of Managed Care is responsible for implementing and overseeing the daily operations of… more
- CAIPA MSO LLC (New York, NY)
- …Specialist New York, NY (http://maps.google.com/maps?q=202+Canal+Street+New+York+NY+USA+10013) Description As a Managed Care Contracting Specialist, you ... internal departments to communicate and implement the terms of the managed care contracts *Job Responsibilities coordinates and support contracting … more
- CaroMont Health (Gastonia, NC)
- … managed care leadership experience within a major payor and/or health system. Managed care contracting experience in health care or managed ... activities on behalf of CaroMont Health System. Includes insurance products, managed care contracts, wellness products and care management products. This… more
- VNS Health (Manhattan, NY)
- …Experience:Minimum ten years' experience in health care , with a minimum eight years in managed care provider contracting and a minimum of two years in ... VNS Health's Health Plan Physician, Ancillary, Hospital provider networks. Includes contracting , rate setting, monitoring for and maintaining network adequacy of all… more
- Fairview Health Services (St. Paul, MN)
- … care payor terms and relationships. + Develop, recommend, and oversee annual managed care negotiation parameters and contracting plans and execute ... Management, Finance **Experience** *10+ years of healthcare experience in managed care , negotiating and contracting for integrated delivery systems.… more
- MetroHealth (Brooklyn Heights, OH)
- **Value Based Contracting Attribution Specialist- Managed Care ** **Location:** **BROOKLYN HEIGHTS** **Biweekly Hours:** **80.00** **Shift:** **8am-5pm** **The ... payer partners, and transitions from Pre-Medicare coverage. Collaborates with Payer Strategy, Managed Care , and ACO leadership teams and conducting efforts… more
- American Endovascular & Amputation Prevention LLC (Glen Rock, PA)
- …with third-party commercial payers to provide necessary documentation and information needed for managed care contracting to proceed* Report on performance ... * High School Diploma/GED required.* Minimal five years' experience in a managed care credentialing and contracting preferred. Will consider candidate with… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …finance, or a related field is required. + 7-10 years of experience in managed care contracting , network management, or payer relations within an ... goals. The role is primarily responsible for fostering collaborative relationships with managed care organizations (MCOs). The Leader of Contract Management… more
- CareOregon (Portland, OR)
- …Experience and/or Education Required + Minimum 5 years' progressive experience in managed care contracting , provider relations, network/business development, ... Senior Contract Specialist is a key contributor to the Contracting team. This position negotiates, develops, and maintains Letters...Skills and Abilities Required Knowledge + Extensive knowledge of managed care and the Oregon Health Plan… more
- Molina Healthcare (Starkville, MS)
- …SKILLS & ABILITIES** : * 7+ years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to… more
- Molina Healthcare (MS)
- …SKILLS & ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including ... sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members, in...different provider contract types, ie physician, group and hospital contracting , etc. * Working experience with various managed… more
- HCA Healthcare (Nashville, TN)
- …with business and operational leaders. + Provide legal guidance and advice regarding managed care contracting and dispute resolution, as well as ... to join an organization that invests in you as a Managing Counsel, Managed Care Litigation? At HCA Healthcare, you come first. HCA Healthcare has committed up… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …High level knowledge of drug formulary structure (PA, QL, Tiers, ST), understanding of Managed Care contracting as it relates to formulary access and ... Pharmaceutical related business or finance experience. * Experience in Pharmaceutical Managed Care modeling, analytics, or contracting for a manufacturer,… more
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