- Merck & Co. (North Wales, PA)
- …& Experience- -Required- - BS/BA degree required. 3+ years business experience in Managed Care Contracting or Pharmaceutical industries. Accuracy, attention ... of MS Word and Excel - Preferred- 5+ years business experience in Managed Care Contracting or Pharmaceutical industries. Current Employees apply HERE Current… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …analysis, forecasting and reporting of contract profitability of customer segments (eg, Managed Care , Non-Federal Hospitals, Long-Term Care , Medicare Part ... a Senior Manager, an Associate Director, or a Director in Strategic Pricing and Contracting . The individual will partner and work closely with a number of internal… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …not limited to changes in healthcare policy, government healthcare programs, managed care , payment models, comparative effectiveness, customer engagement, and ... or PBM, pharmaceutical market access strategy, channel strategy, market insights, analytics, pricing, contracting , managed markets OR a minimum of four (4) years… more
- Crozer Keystone Health System (Springfield, PA)
- Senior Director, Managed Care Contracting - CKHS The Senior Director, Managed Care Contracting , is responsible for the development, ... implementation, coordination and oversight of fee-for-service and value-based managed care contracting and related activities for CKHS and PHSPA, under the… 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
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- + GENERAL SUMMARY + The Leader, Managed Care Contracting , is responsible for all aspects of payer contract negotiations, network management, and strategic ... relationships with managed care organizations (MCOs). The Leader, Managed Care Contracting , works closely with a wide range of internal and… more
- Children's Hospital Los Angeles (Glendale, CA)
- …payor models, as well as negotiation, communication, implementation and oversight of managed care contracting and collaboration with operative partners. ... relevant experience is required under fee for service as well as at-risk managed care contracting . 5+ years managing people or projects within a healthcare… more
- Elevance Health (Plano, TX)
- ** Managed Care Analyst (Payor Contracting )** A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing ... life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting. **Location:** This position will work a hybrid model (remote and office). The ideal candidate will live within 50… more
- Hackensack Meridian Health (Edison, NJ)
- …consolidations for assigned payers. **Candidates should be experienced in all aspects of Managed Care Contracting including a full and comprehensive ... change. The **Senior Contracting Specialist** position will support the Managed Care Team during system and new entities negotiations in accordance with… 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
- The Cigna Group (Hartford, CT)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… more
- The Cigna Group (Hartford, CT)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… more
- Roper St. Francis (Charleston, SC)
- …**Essential Job Functions** + Provides leadership direction and executive accountability for managed care contracting and network management initiatives with ... And much more *Benefits offerings vary according to employment status. **Department:** SS Managed Care - Contracting - Roper St Francis Healthcare _It is our… more
- WMCHealth (Valhalla, NY)
- …Experience: Minimum of two to four years of progressive experience in managed care contracting . Basic knowledge of reimbursement methodologies, ... Managed Care Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Managed Care -WMC… more
- VNS Health (Manhattan, NY)
- …+ Minimum ten years' experience in health care , with a minimum eight years in managed care provider contracting and a minimum of two years in provider ... 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
- e CancerCare (Nashville, TN)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... Job Purpose: Manager of Payor Contracting is responsible for reviewing, auditing and negotiating...compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
- BrightSpring Health Services (Oklahoma City, OK)
- …Contract Administration and Payer Implementation functions as well as PBM contracting and Managed Care contracting . This is a highly visible position and ... + Minimum of five (5) years of healthcare related experience, preferably with contracting and credentialing responsibilities ( managed care , government, PBM);… more
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