- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting * **Location:** *Connecticut-Hartford-100 Pearl ... across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst...Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary.… more
- Beth Israel Lahey Health (Wakefield, MA)
- … to manage key divisional initiatives that support Managed Care Contracting . The Contracting Program Manager will be responsible for managing ... within contracts to serve as the operational backbone for Managed Care Contracting . This...Department or Unit are identified and maintained by the Manager as an Addendum to the Job Description. **Pay… more
- Intermountain Health (Las Vegas, NV)
- …Proactive Care + Risk-based Contracting + Relationship Management + Managed Care + Legal Practices + Leadership **Required Qualifications** + Experience ... **Job Description:** The Payer Contracting Manager is responsible for effective...and Revenue Cycle leadership for the implementation of risk-based contracting , and proactive care , strategies and initiatives.… more
- The Cigna Group (Richmond, VA)
- **LOCATION:** **Virginia, Maryland or Washington, DC** The **Physician & Ancillary Contracting Manager ** serves as an integral member of the Provider ... Contracting Team and reports to the Provider Contracting Senior Manager or VP of ...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… 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...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …Contracting and Network Strategy and is responsible for supporting the negotiation of managed care contracts for all Aspirus Health and Aspirus Network Inc. ... Day. Aspirus Health in Wausau, WI is seeking a MANAGER - PAYOR CONTRACTING to join our...systems for monitoring and improving levels of reimbursement under managed care and total cost of … more
- Abbott (Abbott Park, IL)
- …for managing contract development and negotiation for the Market Access / Managed Care Channel. The position will work cross-functionally with Account ... measure, track and analyze glucose levels. As a Senior Manager of Strategic Pricing & Contracting , you...+ Lead the negotiation of complex contract terms for Managed Care / Market Access contracts across… more
- CareFirst (Baltimore, MD)
- …into clear and relevant information. + Working knowledge of medical insurance and managed care principles. + Excellent organizational skills and attention to ... to day activities regarding network development. Responsibilities include provider recruiting/ contracting for commercial business and government programs, new networks,… more
- Elevance Health (Lake Mary, FL)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Cost of Care /Provider Contracting Data Analyst** **Location** :...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… 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 ... Ensures adherence to all federal, state, and local regulations for governing payer contracting , stays informed of the health care regulatory environment to… 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 (Jersey City, NJ)
- …as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day ... contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages...and managing relationships + Understanding and experience with hospital, managed care , and provider business models a… more
- IQVIA (New Providence, NJ)
- …technical workstreams (eg, Medicaid, Master Data Management, Chargebacks, Government Pricing, Testing, Managed Care Contracting , Commercial Contracting , ... * Medicaid * Master Data Management * Chargebacks * Government Pricing * Testing * Managed Care Contracting * Commercial Contracting * Integration… 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 ... be responsible for the direct supervision of Directors of Managed Care , Manager of Revenue...SKILLS:** * 10 years of extensive, direct experience in managed care contracting . * 5+… more
- HCA Healthcare (Nashville, TN)
- …The AVP of Managed Care will have oversight responsibility for all managed care contracting activities for Surgery Ventures Group. **What you will do ... Care with Surgery Ventures, you can be a manager in an organization that is devoted to giving!...direction of the Regional VP of Managed Care Ambulatory Surgery, the CVP of Payer Contracting… more
- Bristol Myers Squibb (Madison, NJ)
- …the latest government contracting and reporting requirements, and ensure Managed Care government pricing calculation implications are identified and ... leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D...ability to think strategically about the impact of various contracting approaches and government regulations + Firm understanding of… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting , Reimbursement, or related ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting , or reimbursement… more
- Health Care Service Corporation (Philadelphia, PA)
- …+ Bachelor Degree and 5 years provider contracting experience OR 9 years managed care experience including 5 years provider contracting experience. + ... of strategies for provider HEDIS and STARS performance, recruitment and contracting of physicians, physician groups and facilities including large or complex… more
- Henry Ford Health System (Detroit, MI)
- …effective communication and cooperation. Routinely collaborates with corporate departments including Managed Care Contracting / Revenue Cycle. . Collaborates ... within a healthcare or clinically integrated network setting. . Strong understanding of managed care contracting language, value-based terms, and regulatory… more
- Boehringer Ingelheim (New Orleans, LA)
- …System Account setting. + Knowledge of Organized Customer, territory and reimbursement/ managed care experience preferred. + Ability to demonstrate excellent ... Boehringer Ingelheim's high regard for our employees. The Key Account Manager (KAM) is responsible for proactively creating mutually beneficial B2B relationships… more
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