- 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
- 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
- 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
- Robert Half Office Team (Buffalo, NY)
- Description We are offering a long term contract employment opportunity for a Managed Care Contracting Specialist in Buffalo, New York. In this role, you ... format business letters as required Requirements * Proven experience as a Managed Care Contracting Specialist. * Ability to manage calendars efficiently,… 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
- Stanford Health Care (Palo Alto, CA)
- …lines in the development and facilitation of business development strategies relative to managed care contracting . + Performs special projects on behalf ... productive working relationships with internal and external customers to support managed care strategy, contracting and operational effectiveness. + Responds… 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
- University of Michigan (Ann Arbor, MI)
- Managed Care Payer/Operations Analyst Apply Now **Job Summary** The Managed Care Contracting and Operations (MCCO) Department is responsible for the ... Support Manager, Managed Care Operations and Senior Director, Managed Care Contracting and Operations with payer Joint Operating Committee meetings… 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
- 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
- AdventHealth (Altamonte Springs, FL)
- …for the Physician Enterprise (PE) and works closely with practice office operations staff, Managed Care (MC) contracting , MC Credentialing and Enrollment and ... Responsible for ensuring the providers are loaded timely and accurately with Managed Care contracted payers. Responsible for evaluating professional fee… 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
- 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
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