• Managed Care Contracting

    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 ... and format business letters as required Requirements * Proven experience as a Managed Care Contracting Specialist . * Ability to manage calendars… more
    Robert Half Office Team (11/21/24)
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  • Managed Care Contract…

    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 , ... to communicate and implement the terms of the managed care contracts *Job Responsibilities coordinates and support contracting activities, including… more
    CAIPA MSO LLC (10/11/24)
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  • Value Based Contracting Attribution…

    MetroHealth (Brooklyn Heights, OH)
    **Value Based Contracting Attribution Specialist - Managed Care ** **Location:** **BROOKLYN HEIGHTS** **Biweekly Hours:** **80.00** **Shift:** **8am-5pm** ... payer partners, and transitions from Pre-Medicare coverage. Collaborates with Payer Strategy, Managed Care , and ACO leadership teams and conducting efforts… more
    MetroHealth (10/25/24)
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  • Senior Contracting Specialist

    Hackensack Meridian Health (Edison, NJ)
    …change. The **Senior Contracting Specialist ** position will support the Managed Care Team during system and new entities negotiations in accordance with ... payers. **Candidates should be experienced in all aspects of Managed Care Contracting including a...**Responsibilities** A day in the life of a **Senior Contracting Specialist ** at **Hackensack Meridian** **_Health_** includes:… more
    Hackensack Meridian Health (11/05/24)
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  • Network Account Manager ( Contracting

    Healthfirst (NY)
    …Healthfirst, its Members, and Providers **Minimum Qualifications:** + Medicare and/or Medicaid managed care experience + Excellent oral and written communication ... point of contact for all plan related issues including marketing, enrollment, contracting , billing and reimbursement. + Responsible for the resolution of all issues,… more
    Healthfirst (10/17/24)
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  • Managed Care Technology…

    State of Colorado (Denver, CO)
    …and provide support to leadership and staff for various managed care enrollment/eligibility activities. * Oversee RAE provider contracting operations and ... Managed Care Technology Administrator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4730377) Apply  Managed Care Technology… more
    State of Colorado (11/19/24)
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  • Senior Provider Contracts Specialist

    Molina Healthcare (Grand Rapids, MI)
    …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated delivery… more
    Molina Healthcare (11/15/24)
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  • Senior Contract Specialist

    CareOregon (Portland, OR)
    …Experience and/or Education Required + Minimum 5 years' progressive experience in managed care contracting , provider relations, network/business development, ... the listed 9 states. Job Summary The Senior Contract Specialist is a key contributor to the Contracting...Skills and Abilities Required Knowledge + Extensive knowledge of managed care and the Oregon Health Plan… more
    CareOregon (10/22/24)
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  • Provider Contract Specialist (Remote Option…

    Marshfield Clinic (Marshfield, WI)
    …Working knowledge of health care delivery systems and concepts of managed care . Demonstrated proficiency with the Microsoft Office suite. Excellent written ... (United States of America) **Job Description:** **JOB SUMMARY** The Provider Contract Specialist works in cooperation with the Contracting Manager - Marshfield… more
    Marshfield Clinic (10/24/24)
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  • Senior Healthcare Program Specialist

    Staffing Solutions Organization (Albany, NY)
    …Health Plan Contracting and Oversight (DHPCO). Working within the Bureau of Managed Long-Term Care (MLTC), the candidate will be performing various MLTC ... Senior Healthcare Program Specialist Albany, NY, USA Req #1073 Wednesday, November...are not limited to, responsibilities relating to reviews of Managed Long Term Care plans' provider networks,… more
    Staffing Solutions Organization (11/21/24)
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  • Senior Healthcare Program Specialist

    Staffing Solutions Organization (Albany, NY)
    …and analysis associated with the transition and monitoring of vulnerable populations into managed care . Additional duties include: provide data analysis for the ... Senior Healthcare Program Specialist Albany, NY, USA Req #1066 Tuesday, November...to support the Bureau's complaint investigations; research and analyze Managed Care Organization (MCO) business process data… more
    Staffing Solutions Organization (11/12/24)
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  • Contracts Specialist II

    Mom's Meals (Ankeny, IA)
    …, paralegal experience in a regulated environment, preferably healthcare or managed care + Experience negotiating, drafting, and implementing moderately ... Position SummaryThe Contract Specialist II works closely with corporate leadership to...complex contracts for managed care plans, health systems, or government… more
    Mom's Meals (11/01/24)
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  • Contract Specialist

    Aspen Dental (Springfield, IL)
    …maintains effective working relationships with insurance company and managed care company personnel responsible for contracting with healthcare providers. + ... offices across 48 states in four distinct categories: dental care , urgent care , medical aesthetics, and animal...exciting opportunity to join our team as a Contract Specialist . The Contract Specialist plays a vital… more
    Aspen Dental (10/11/24)
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  • Senior Healthcare Program Specialist

    Staffing Solutions Organization (Albany, NY)
    …evaluating health reform initiatives with a primary focus on quality oversight of Managed Long Term Care plans. **Specific duties include:** + Assistsenior ... Senior Healthcare Program Specialist - Quality Oversight One Commerce Plaza, Albany,...LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed… more
    Staffing Solutions Organization (10/21/24)
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  • Pharmacy Specialist - Cell & Gene Therapy…

    Henry Ford Health System (Detroit, MI)
    …line operations leaders, finance, IT, pharmacy, nursing, lab, radiology, revenue cycle, managed care contracting , etc]; +/- clinical formulary review, ... GENERAL SUMMARY: The Pharmacy Specialist is a pharmacist who, by virtue of...for each individual therapy [workstream] + Develops all CGT care pathways or algorithms for pharmaceutical use within the… more
    Henry Ford Health System (11/04/24)
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  • Utilization Management Specialist (Remote)

    CareFirst (Baltimore, MD)
    …2 years Care Management. **Preferred Qualifications:** + Working knowledge of managed care and health delivery systems. + Thorough knowledge of CareFirst ... Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent and retrospective reviews for… more
    CareFirst (11/07/24)
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  • Payer Strategy Contract Specialist

    CommonSpirit Health (West Jordan, UT)
    …Relationship leadership, to support the negotiation of terms and conditions for Managed Care payer contracts for facility, professional, and ancillary entities. ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US from clinics and hospitals...The primary focus of this role is contracting support (specifically credentialing, payer/ provider relations and payer… more
    CommonSpirit Health (10/25/24)
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  • Contract Specialist - Onsite Atlanta, GA.

    Gentiva (Atlanta, GA)
    …andbe responsible for preparing, reviewing, analyzing, and responding to requests for managed care , provider, and other related healthcare agreements. + Prepares ... leader in hospice, palliative, home health, and personal home care . Our place is by the side of those...lives every day. **Overview** We're looking for a **Contract Specialist ** to join our team.You will report directly to… more
    Gentiva (10/24/24)
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  • Provider Relations Specialist (Remote…

    Marshfield Clinic (Marshfield, WI)
    …Working knowledge of health care delivery systems and concepts of managed care . Demonstrated proficiency with the Microsoft Office suite. Excellent written ... (United States of America) **Job Description:** **JOB SUMMARY** The Provider Relations Specialist works in cooperation with the Contracting Manager - Marshfield… more
    Marshfield Clinic (11/20/24)
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  • Specialist - Rebate Operations…

    Novo Nordisk (Plainsboro, NJ)
    Contracting , and other field and home office stakeholders. External relationships include Managed Care & Medicare customers, Market Access and System Vendors. ... 's degree or equivalent experience required + Advanced PC skills required + Contracting and Pricing Knowledge and Expertise Required - Understands contracting more
    Novo Nordisk (11/21/24)
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