- 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
- BAYADA Home Health Care (Parsippany, NJ)
- …in their given geographic territory and portfolio. Given BAYADA Home Health Care 's growth trajectory and the accelerating contracting activity and financial ... **POSITION SUMMARY:** The Manager will be responsible for a portfolio of...the goal of advancing the delivery of home-based health care services and keeping clients safe at home. In… 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
- 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
- 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
- Stanford Health Care (Palo Alto, CA)
- …lines in the development and facilitation of business development strategies relative to managed care contracting . + Performs special projects on behalf ... as assigned. + Researches options for participation in new managed care and Pharmacy Benefit Manager...working relationships with internal and external customers to support managed care strategy, contracting and… more
- Roper St. Francis (Ladson, SC)
- …Roper St. Francis Office Park, Ladson, SC** **Shift: 8:00am-5:00pm** **Job Summary:** The Manager of Managed Care is responsible for implementing and ... And much more *Benefits offerings vary according to employment status. **Department:** SS Managed Care - Contracting - Roper St Francis Healthcare _It is our… more
- University of Michigan (Ann Arbor, MI)
- Managed Care Payer/Operations Analyst Apply Now **Job Summary** The Managed Care Contracting and Operations (MCCO) Department is responsible for the ... involving Out of State Payers. The Managed Care Payer Analyst will report to the Manager...Managed Care Operations and Senior Director, Managed Care Contracting and Operations… 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
- 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
- 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, you ... will be expected to assist the Contracting Manager with all issues related to...and implement the terms of the managed care contracts *Job Responsibilities coordinates and support contracting… more
- AdventHealth (Altamonte Springs, FL)
- …for the Physician Enterprise (PE) and works closely with practice office operations staff, Managed Care (MC) contracting , MC Credentialing and Enrollment and ... Responsible for ensuring the providers are loaded timely and accurately with Managed Care contracted payers. Responsible for evaluating professional fee… 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
- 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
- Molina Healthcare (MS)
- …SKILLS & ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including ... sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members, in...different provider contract types, ie physician, group and hospital contracting , etc. * Working experience with various managed… more
- Molina Healthcare (NV)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... Nevada _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more
- Stanford Health Care (Palo Alto, CA)
- …including claims files, membership files and settlement reporting via the CMS and Managed Care portals (when applicable) + Support vendor partnerships regarding ... (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Manager ,...across the enterprise + Centralize requirements for hospital related Managed Care quality programs, CMS hospital-based programs,… more
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