- 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 ... Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms and reimbursement… more
- Trinity Health (Boise, ID)
- …in cooperation with internal departments including shared services, data analytics, finance, credentialing , and contracting . Leads the process for completion of ... certification and strictly adheres to industry criteria (NCQA) required by insurance companies for delegated credentialing services. Supports insurance… more
- The Cigna Group (Glendale, CA)
- …an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting . This role assists in ... The **Director,** **Provider Contracting ** serves as...including but not limited to, Claims Operations, Medical Management. Credentialing , Legal, Medical Economics, Compliance, Sales and Marketing and… more
- Roper St. Francis (Ladson, SC)
- …St. Francis Office 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 managed care programs and initiatives and the provider credentialing and enrollment program. This role ensures effective management of relationships… more
- VNS Health (Manhattan, NY)
- …starting at 30 days of paid time off and 9 company holidays + Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life Disability + ... within those departments and increase membership. + Collaborates with the Credentialing Subcommittee and program staff in quality assurance monitoring and evaluation… more
- State of Georgia (Fulton County, GA)
- Regional Prevention Specialist Manager Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/59731/other-jobs-matching/location-only) New ... located in downtown Atlanta. Job Description Job Title: Regional Prevention Specialist Manager Pay Grade: K Job Summary: The Regional Prevention Specialist … more
- Teva Pharmaceuticals (New York, NY)
- Biosimilar Regional Account Manager - Manhattan, NY Date: Oct 19, 2024 Location: New York, United States, New York, 10002 Company: Teva Pharmaceuticals Job Id: 58249 ... to make a difference with. **The opportunity** The Biosimilar Regional Account Manager (BRAM) will manage targeted customer accounts in the institutional, clinic,… more
- Medical Mutual of Ohio (OH)
- …health care or a health plan organization, which includes exposure to provider contracting and/or provider payment structures and health insurance claims, or ... health care or a health plan organization, which includes exposure to provider contracting and/or provider payment structures and health insurance claims, or… more
- Central Maine Medical Center (Lewiston, ME)
- …to standards supporting IP and Materials management policy. + Collaborates with the contracting , credentialing and medical affairs offices. + Interact daily with ... day. Central Maine Healthcare is looking for a Practice Manager to join the Manchester, ME Care Center team!...plan + Health Savings Account (HSA) + Basic Life insurance at no cost + Supplemental Life insurance… more
- Medtronic (San Francisco, CA)
- …in a more connected, compassionate world. **A Day in the Life** The Associate Territory Manager (ATM) will partner with the field sales and clinical teams and act as ... growth within our business. The ATM will report directly to the District Manager and support specific territories and business initiatives in tandem with Territory… more
- UCHealth (Loveland, CO)
- …to internal UCHealth candidates who have an understanding/background in recruitment, credentialing , contracting , compensation and/or legal + Other information: ... UCHealth with PTO in your bank + Employer-paid life and disability insurance with additional buy-up coverage options + Tuition and continuing education reimbursement… more
- Sharp HealthCare (San Diego, CA)
- …implements an Orientation Program for all new providers who meet the credentialing requirements and who are recommended for acceptance by the Network/UM/ ... Contracting Committee. The orientation should include a complete education...new developments to the Network Development and Application Optimization Manager .Effectively analyzes, synthesizes and graphically presents complex information and… more
- RWJBarnabas Health (West Orange, NJ)
- …This position will report to the Service Line VP, collaborate with Service Line Program Manager and Contracting Coordinator, as well as liaison with HR, MSO and ... Onboarding Management + Partner with HR, MSO and Payor Credentialing to ensure all steps are met for effective...Responsible for all new hire communication and coordination + Contracting Liaison + Works with service line contracting… more
- ERP International (San Antonio, TX)
- …professional with knowledge of and experience in recruiting, screening, credentialing and onboarding a variety of Healthcare Professionals (Physician, Nursing ... and Ancillary) and Medical Administrative staff within Government Contracting . This position will report to the Clinical Recruiting.... This position will report to the Clinical Recruiting Manager and work closely with the Director of Clinical… more
- Rowan University (Glassboro, NJ)
- …and Director of The Wellness Center, and in collaboration with the Office Manager , this PSS4 will oversee programming operations for the work that the Wellness ... of goods and services; assisting with the review and submission of insurance billing and coding; as well as coordinating professional staff credentialing… more
- HCA Healthcare (Fort Lauderdale, FL)
- …communities. As a Director of Revenue with HCA Healthcare, you can be a manager in an organization that is devoted to giving! **Benefits** HCA Healthcare, offers a ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- Medtronic (San Antonio, TX)
- …internal and external customers written and verbally. + Advanced knowledge of insurance contracting , payor regulations, insurance benefits, coordination of ... Life** Careers That Change Lives As the Supervisor of Insurance Verification in PFS is responsible for leading a...computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions… more
- Marshfield Clinic (Marshfield, WI)
- …**JOB SUMMARY** The Provider Relations Specialist works in cooperation with the Contracting Manager - Marshfield Clinic Health System Provider Network and ... Three years' experience in a medical group practice or health insurance /Health Maintenance Organization (HMO) environment. Experience with healthcare claims and … more
- Medtronic (RI)
- …Corporate Accounts, and CVG partnerships to capitalize on partnership and contracting opportunities + Probes to understand and confirm customer needs, effectively ... regarding product pricing or account activity to District Sales Manager and other appropriate company personnel + Contribute to...Must have a valid driver's license and active vehicle insurance policy. In addition, your driving record will be… more
- VNS Health (Manhattan, NY)
- …Relations Representative! In this role you will support the Hospital Relations Manager by onboarding providers and addressing inquiries. You will also collaborate ... paid time off and 9 company holidays + Health insurance plan for you and your loved ones, Medical,...What You Will Do + Support the Hospital Relations Manager by onboarding providers and addressing inquiries. + Collaborate… more