- 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 ... Managed Care Operations and Senior Director, Managed Care Contracting and Operations with payer Joint Operating Committee meetings (JOCs) across… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …a related field is required. + 7-10 years of experience in managed care contracting , network management, or payer relations within an integrated ... in the payer systems. + Analysis and Strategy Development: Analyze managed care data to identify trends, and competitive intelligence, and financial… more
- BAYADA Home Health Care (Parsippany, NJ)
- …to create a competitive advantage in the market. + Complete all aspects of payer contracting and negotiations, from strategy collaboration through the close of ... in their given geographic territory and portfolio. Given BAYADA Home Health Care 's growth trajectory and the accelerating contracting activity and financial… more
- Scripps Health (San Diego, CA)
- …fee-for-service, partial risk, and full global risk HMO, PPO, and Ancillary services managed care agreements with health plans on behalf of Scripps Health's ... and actively engage in the analysis, management, accounting, and budgeting of all managed care agreements. Establish effective lines of communication between … 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:_* .… more
- Ascension Health (Batavia, IL)
- …departments the enterprise-wide strategic pricing analysis to support contract negotiations for all managed care payer contracting initiatives. + Ensures ... you join a diverse team united by our mission; to provide compassionate, personalized care to all - especially to those most in need. **Benefits** Paid time off… 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… more
- CommonSpirit Health (Phoenix, AZ)
- …leadership experience in the healthcare environment, of which five (5) years are in managed care contracting for a hospital, healthcare system, or health ... and Experience + Bachelor's Degree - equivalent education and experience in payer strategy, managed care or provider network senior level role may be… more
- HCA Healthcare (Brentwood, TN)
- …experience + Bachelor's Degree (Master's Preferred) + Supervisory experience + Significant Managed Care contracting experience, specifically in the areas ... invests in you as an Assistant Vice President of Payer Engagement? At HCA Healthcare, you come first. HCA...payment discrepancies and other claims adjudication issues from HCA's managed care book of business. Note: This… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …MS or PhD preferred + Minimum of 5 years in the pharmaceutical industry. Prior payer marketing, managed care / payer , or other commercial experience is ... for marketing tactics and materials that effectively communicate the payer value story + Inform pricing and contracting...payer accounts + Strong understanding of pricing and contracting , and reimbursement across multiple sites of care… more
- CommonSpirit Health (West Jordan, UT)
- …Strategy Relationship leadership, to support the negotiation of terms and conditions for Managed Care payer contracts for facility, professional, and ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US from clinics and hospitals...ancillary entities. The primary focus of this role is contracting support (specifically credentialing, payer / provider relations… more
- CVS Health (Columbus, OH)
- …population health management, value-based care arrangements, provider networks, managed care operations, network contracting , practice management, ... and will be responsible for nurturing and expanding the relationship with CVS Accountable Care 's Payer Partners. The LD will work closely across the Company to… more
- Trinity Health (Livonia, MI)
- …will be considered. In-depth knowledge and experience of analysis and reporting regarding health care costs within a managed care organization. This should ... of the organization. **ESSENTIAL FUNCTIONS** 1.Provide ongoing analysis and determination of health care costs and trends to the payer strategy and product… more
- HCA Healthcare (Nashville, TN)
- …**What you will do in this role includes:** + Provides leadership in the area of managed care to contribute to the GPO's overall strategic plan + Assess and ... an organization that invests in you as a Manager Payer Access? At HealthTrust, you come first. HCA Healthcare...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- GetWellNetwork, Inc. (Bethesda, MD)
- …part of transforming our countries' healthcare system. + Significant knowledge of the managed care industry and previous experience selling to health plans of ... Title: Enterprise Payer Sales Executive Reporting to: VP, Sales Opportunity:...healthcare industry with a background working with Value Based Care (VBC) organizations and payers. The ideal candidate has… more
- Meta (Columbus, OH)
- …and/or health technology 4. Manage strategy, relationship and escalations with managed vision care companies to co-develop innovative reimbursement structures ... and negotiating complex partnership agreements on their own 11. Experience working in managed vision care (vision insurance) companies in a business development,… more
- Fairview Health Services (St. Paul, MN)
- …resolution processes. + Maintain effective working relationships with all of Fairview's managed care payer relationships. + Consistently demonstrate timely ... care payor terms and relationships. + Develop, recommend, and oversee annual managed care negotiation parameters and contracting plans and execute… 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 ... various other SHC and SMCH departments on matters of managed care strategy, reimbursement, cost, payer...working relationships with internal and external customers to support managed care strategy, contracting and… more
- Ascendis Pharma (Princeton, NJ)
- …administration of rebate programs, including government rebates (eg, Medicaid, Medicare), managed care rebates, and commercial rebates. Ensure accurate ... formulary validation processes accurately and before payment deadlines, oversee payments of managed care and government rebates, and manage Market Access… 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