- Novo Nordisk Inc. (Plainsboro, NJ)
- …not limited to changes in healthcare policy, government healthcare programs, managed care , payment models, comparative effectiveness, customer engagement, and ... ready to realize your potential? The Position The Senior Manager Market Access Channel Strategy is part of a...market access strategy, channel strategy, market insights, analytics, pricing, contracting , managed markets OR a minimum of… more
- 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 ... of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms… more
- e CancerCare (Nashville, TN)
- …(ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review, ... Job Purpose: Manager of Payor Contracting is responsible...compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
- Elevance Health (Plano, TX)
- ** Managed Care Analyst (Payor Contracting )** A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- The Cigna Group (Richmond, VA)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... office or visit Providers 3 days per week The ** Manager , Provider Contracting ** serves as an integral...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- Novo Nordisk (Plainsboro, NJ)
- …analysis, forecasting and reporting of contract profitability of customer segments (eg, Managed Care , Non-Federal Hospitals, Long-Term Care , Medicare Part ... therapy products. Relationships The position reports to a Senior Manager , an Associate Director, or a Director in Strategic...Associate Director, or a Director in Strategic Pricing and Contracting . The individual will partner and work closely with… more
- The Cigna Group (Hartford, CT)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… more
- Corewell Health (Grand Rapids, MI)
- …with direct management of staff + 3 years of strong contextual knowledge ( managed care , provider reimbursement models, national health care trends, ... Job Summary Responsible for leading and managing the provider contracting team to develop and maintain strong provider networks...emphasis on improving quality and the patients' experience of care , while reducing the cost of care .… more
- Port of Seattle (Seattle, WA)
- …interviews may be conducted prior to the application close date._** As a Senior Manager - Remediation and Contracting Environmental Programs, you will manage a ... a particular specialization in remediation, contaminated site cleanup and contracting . + You will oversee or participate in the...staff in assigned programs to ensure that projects/programs are managed smoothly and in a coordinated effort. + You… more
- Providence (Irvine, CA)
- …retain the best people, we must empower them._** **Providence is calling a Senior Manager Contracting who will:** + Be responsible for leading, or participating ... Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here,… 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
- UT Health (Houston, TX)
- …facility credentialing, recredentialing, and enrollment. + Oversees completion of managed care provider enrollment applications (new, changes, revalidations) ... Manager , Facility Contracting and Provider Enrollment...healthcare education, innovation, scientific discovery, and excellence in patient care . That's where you come in. **Once you join… 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
- The Cigna Group (Mclean, VA)
- …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
- Covenant Health Inc. (Knoxville, TN)
- … web-based tools and sites for provider contracts. This position reports to the Manager of Managed Care . Recruiter: Kathleen Rice || ###@covhlth.com || ... Overview Managed Care Financial Analyst, Managed...physicians, surgery centers, diagnostic centers, behavioral professionals, and home care . The position will oversee the contracting ,… more
- Cedars-Sinai (CA)
- …people throughout Los Angeles and beyond. **Req ID** : 5668 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting all facets of...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- Mount Sinai Health System (New York, NY)
- …as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other institutional departments to ensure ... **Job Description** The Nursing Clinical Manager (NCM) for Case Management is responsible for...supports the mission of efficient and clinically appropriate patient care . 4. Demonstrates integral involvement in the Nursing Department… more
- Elevance Health (KS)
- …and provider utilization patterns. + Conducts seminars to support the understanding of managed care policies and procedures. + Identifies network access and ... deficiencies and develops recruitment and contracting strategies. + Coordinates and conducts provider training including...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- LA Care Health Plan (Los Angeles, CA)
- …Minimum of 4 years of experience in contracting and/or regulatory analysis in managed care or healthcare industry. At least 4 years of healthcare experience ... III is responsible for all aspects of the LA Care (LAC) provider contracting and relationship management...is responsible for the initial on-board training of new managed care contract provider partners, and for… more
- LA Care Health Plan (Los Angeles, CA)
- …At least 3 years of experience in contracting and/or regulatory analysis in managed care or healthcare industry. At least 3 years of healthcare experience in ... II is responsible for all aspects of the LA Care (LAC) provider contracting and relationship management...is responsible for the initial on-board training of new managed care contract provider partners, and for… more
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