- Merck & Co. (Rahway, NJ)
- …for study-related contracting , budgets, and vendor/partner management.Develop American Managed Care Pharmacy (AMCP) dossiers for US payers, and ... Global Value Dossiers.Develop supplementary clinical data package for submission to Health Technology Assessment (HTA) agencies in close partnership with country affiliates and HTA statistics group.Support country affiliates to understand local evidence… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... information including budget for individual meetings.Manage and influence site selection, contracting and negotiation process for the venue.Oversees the timeline for… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Managed Care Contracting and Rates (MCCR) Director** **Job Class: Human Services Manager 4** **Agency: Human Services Dept** + **Job ID** : ... Dept / DHS Manager + **Division/Unit** : Health Care Administration / Managed Care Contracting and Rates + **Work Shift/Work Hours** : Day Shift /… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting * **Location:** *Connecticut-Hartford-100 Pearl ... of Payer Contract Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary. Reviews and monitors… more
- Beth Israel Lahey Health (Wakefield, MA)
- …the Executive Director, Contracting to manage key divisional initiatives that support Managed Care Contracting . The Contracting Program Manager will ... and obligations within contracts to serve as the operational backbone for Managed Care Contracting . This position is responsible for aggregating relevant… more
- Albany Medical Center (Albany, NY)
- …and payer relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting , as well as the provision and ... all federal, state, and local regulations for governing payer contracting , stays informed of the health care ...payer contracting , stays informed of the health care regulatory environment to mitigate risks. + Engages staff… more
- Walmart (Bentonville, AR)
- …finance, accounting, economics, or related area with 7 years' experience in managed care contracting /negotiations, healthcare billing, healthcare finance, or ... healthcare compliance/legal; or Ten years of relevant experience in managed care contracting /negotiations, healthcare billing, healthcare finance, or… 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
- The Cigna Group (Sunrise, FL)
- …lieu of a bachelor's degree **.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... The **Provider Contracting Manager** serves as an integral member of...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- The Cigna Group (Los Angeles, CA)
- …will be considered in lieu of a bachelor's degree.** + **3+ years of 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 (Oakland, CA)
- …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
- IQVIA (New Providence, NJ)
- …technical workstreams (eg, Medicaid, Master Data Management, Chargebacks, Government Pricing, Testing, Managed Care Contracting , Commercial Contracting , ... * Master Data Management * Chargebacks * Government Pricing * Testing * Managed Care Contracting * Commercial Contracting * Integration Development *… more
- Point32Health (NH)
- …responsible management experience in a complex healthcare setting. Experience in managed care contracting and experience working collaboratively ... and lead teams to achieve goals. + Strong working knowledge of managed care /risk contracting payment methodologies. + Savvy negotiator with experience in… more
- Fresenius Medical Center (Waltham, MA)
- …high-performing team, fostering collaboration and innovation to achieve organizational goals in managed care contracting , quality outcomes, and marketing ... AND REQUIRED SKILLS:** * 10 years of extensive, direct experience in managed care contracting . * 5+ years direct supervisory experience. * Competency… more
- Mount Sinai Health System (New York, NY)
- … contracting , finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is responsible for ... related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts on:… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting , Reimbursement, or related ... + Five to seven (5-7) years of experience in healthcare finance, managed care contracting , or reimbursement in a professional capacity including experience… more
- Humana (Hattiesburg, MS)
- …. He/she will have extensive business leadership experience, with several years in a managed care environment leading contracting for Medicare products. This ... healthcare leader for the position of Regional Vice President (RVP) Provider Contracting . The RVP will provide executive leadership to the Provider Contracting… more
- Centene Corporation (Carson City, NV)
- …years of contracting experience or provider relations in a healthcare and/or managed care environment. Knowledge of contracting language and the ... principles of negotiation. Familiarity with managed care , State and/or Federal health ...health care programs. Preferred Experience: Value Based Care contracting experience is ideal. **License/Certification:** Current… more
- Centene Corporation (Lansing, MI)
- …years of Provider Contracting or Provider Affairs in a healthcare and/or managed care environment. Knowledge of contracting language and the principles ... markets. + Initiate and manage provider data process improvements including contracting models, provider reimbursement, and risk modeling. Collect, track, prepare,… more
- Cardinal Health (Hartford, CT)
- …-National Accounts is responsible for regional retail (chain) pharmacy accounts from a managed care contracting perspective. The primary purpose of this ... relationships with national account (regional retail chain pharmacy) customers regarding managed care contracting + Take ownership of customer issues and… more
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