- Merck & Co. (North Wales, PA)
- …& Experience- -Required- - BS/BA degree required. 3+ years business experience in Managed Care Contracting or Pharmaceutical industries. Accuracy, attention ... Job DescriptionThe Central Contract Services (CCS) Senior Specialist will function as a vital member of...and Excel - Preferred- 5+ years business experience in Managed Care Contracting or Pharmaceutical… more
- 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
- 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
- WMCHealth (Valhalla, NY)
- Managed Care Specialist Company: NorthEast...of two to four years of progressive experience in managed care contracting . Basic knowledge of ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/28110) Internal Applicant link Job Details: Job Summary: The Managed Care Specialist under the direction… more
- 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
- 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
- CareOregon (Portland, OR)
- …Preferred + Project coordination or management experience + Experience in a managed care /insurance sector Knowledge, Skills and Abilities Required Knowledge + ... Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Vendor Relationship Specialist Department Clinical Operations Exemption Status Exempt Requisition # 24768… more
- Molina Healthcare (Fresno, CA)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care field. **PREFERRED EDUCATION** ... or an equivalent combination of education and experience **PREFERRED EXPERIENCE** : 1-3 Years Managed Care experience To all current Molina employees: If you are… more
- Intermountain Health (Broomfield, CO)
- …rules, payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. Log findings and provides ... **Job Description:** No Summary Available Scope As a Reimbursement Specialist you need to know how to: Evaluate payment...feedback to Hospital Billing AR Management, Cash Management, and Managed Care leadership. Perform root cause analysis… more
- 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
- Merck (North Wales, PA)
- …Experience** **Required** + BS/BA degree required. + 3+ years business experience in Managed Care Contracting or Pharmaceutical industries. + Accuracy, ... **Job Description** The Central Contract Services (CCS) Senior Specialist will function as a vital member of...and Excel **Preferred** + 5+ years business experience in Managed Care Contracting or Pharmaceutical… more
- BayCare Health System (Tampa, FL)
- …will resolve errors and issues by coordinating with the plans, the CBO and the Managed Care contracting department. Why BayCare? Our network consists of 16 ... in Florida. Responsibilities + Responsible for initiating and maintaining credentialing, managed care provider enrollment and hospital privileges for BayCare… more
- 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
- Staffing Solutions Organization (Albany, NY)
- …Preferred: Experience or knowledge of NYS public health insurance programs (eg, Medicaid, Managed Long Term Care , CHPlus or Health Benefit Exchange. **Additional ... LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed...our clients and the people they serve. **Healthcare Program Specialist - Albany, NY** **DHPCO - 1347** **Summary** The… more
- 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 ... clients and the people they serve. **Senior Healthcare Program Specialist - Albany, NY** **DHPCO - 1049** **Summary** This...are not limited to, responsibilities relating to reviews of Managed Long Term Care plans' provider networks,… more
- 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 ... and insight to support the Bureau's complaint investigations; research and analyze Managed Care Organization (MCO) business process data to prevent/ensure… more
- EAB (Richmond, VA)
- …awards. For more information, visit our Careers page. The Role in Brief: Specialist , Event Sourcing and VIP Event Support Working with teams and leaders across ... level of attention to detail, and unparalleled level of service. Events managed by the team include industry tradeshows, largescale summits, international programs,… more
- Staffing Solutions Organization (Albany, NY)
- …and evaluating health reform initiatives with a primary focus on quality oversight of Managed Long Term Care plans. **Specific duties include:** + Assist senior ... Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse… more
- Cedars-Sinai (CA)
- …Corporation's Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's ... We offer an amazing benefits package that includes health care , paid time off, and a 403(B). Join us!...will be doing in this role:** The Sales Outreach Specialist , supporting the Pediatrics service line, is responsible for… more
- RTX Corporation (Fulton, MD)
- …This position reports to Solipsys Corporation, a wholly owned subsidiary of RTX, managed by Collins Aerospace, an RTX company. This is a unique opportunity to ... You Will Learn: Solipsys Corporation is actively seeking an experienced Principal Specialist , Contracts professional to join our team. The successful candidate will… more
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