- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 217 **Position:** Manager Managed Care Contracting **Union Code:** ... - KH Reimbursement **Job Description:** Primarily responsible to manage third party contracting . Include being the lead contact for third party contracting ,… 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
- Baptist Memorial (Memphis, TN)
- …and expand provider network. In-depth understanding of health care and managed care contracting concepts, reimbursement, methodologies, and health ... control, and renewal process for payor contracts. Responsibilities + Identifies and evaluates managed care contracting opportunities to grow the existing… more
- Point32Health (Canton, MA)
- …who we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Sr. Manager of Ancillary Contracting oversees a team of Sr. or Lead ... within the organization's established legal, financial, and operational guidelines. The Sr. Manager , Ancillary Contracting will work closely with the Director, … more
- Novo Nordisk (Plainsboro, NJ)
- …internal and external stakeholders to leverage and implement knowledge of reimbursement, managed care and healthcare policy to develop execution strategies and ... ready to realize your potential? The Position Develops and executes the pricing and contracting strategy for a key Novo Nordisk product category. Collaborates with… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …payor contacts and internal constituents. + Participate in payor contract operations meetings. Managed Care Operations + Lead payor contact for single case ... The Associate Contract Manager is responsible for providing contracting ,...and commercial health plan payors for patients undergoing cancer care . The role will assist in the preparation and… more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals ... gain experience from multiple healthcare lenses. **Position Summary:** The Manager Contracting reports to the Director of...- 5 years experience preferred with background in a managed care facility, IPA or health plan.… more
- The Cigna Group (Bloomfield, CT)
- …+ Intimate understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with ... This job posting encompasses two **Regional Medicare** **Provider Contracting Senior Managers** serves as an integral member...+ Proficient in contract building software such as Contract Manager If you will be working at home occasionally… more
- Takeda Pharmaceuticals (Columbus, OH)
- …is true to the best of my knowledge. **Job Description** Join Takeda as a Manager of Payer Contracting . Where you will lead the development and implementation of ... will also act as the key business partner with Managed Markets, Legal and Finance to guide the evaluation...within contracts and advise appropriate action to maintain the contracting integrity. **How you will contribute:** + Responsible for… more
- Roper St. Francis (Ladson, SC)
- …measurement tools. Essential Job Functions + Negotiate, evaluate, and provide ongoing support of managed care contracting activities for: + a. employed and ... and maintain tools and reports to facilitate decision-making processes related to managed care contracting Activities shall include the identification… more
- Baylor Scott & White Health (Dallas, TX)
- …or supervisors reporting to the role. **ESSENTIAL FUNCTIONS OF THE ROLE** 1. Directs managed care contracting and operations for BSWH. 2. Recommends and ... implements strategic and operational plans and priorities for managed care contracting aligned to BSWH overall business objectives. 3. Directs all managed… more
- CVS Health (Trenton, NJ)
- …internal departments. **Required Qualifications** + Minimum of 3 to 4 years recent Managed Care Network Value Based Contacting experience with 2-3 years Medicaid ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… 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
- Bon Secours Mercy Health (Richmond, VA)
- …position is responsible for developing, managing, and leading the day-to-day activities associated with managed care contracting for both fee for service and ... and profitability of fee for service and value based managed care contracting initiatives. +...with applicable laws and regulations, and reporting to designated Manager (or employer hotline) any suspected unethical, fraudulent, or… more
- The Cigna Group (San Diego, CA)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... Contracting Team and reports to the Provider Contracting Senior Manager or VP of ...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- The Cigna Group (Plano, TX)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... Development and Strategy Team and reports to the Provider Contracting Senior Manager . This role is a...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- The Cigna Group (Springfield, IL)
- …relationships with provider partners * Intimate understanding and experience with hospital, managed care , and provider business models * Team player with ... Contracting Team and reports to the **Provider Contracting Senior Manager ** . This role assists...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- The Cigna Group (Houston, TX)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- The Cigna Group (Anaheim, CA)
- …+ Intimate understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with ... **_AND_** **_several days working from Home_** The **AVP, Provider Contracting Network Management** serves as an integral member of...+ Proficient in contract building software such as Contract Manager . If you will be working at home occasionally… more
- Prime Healthcare (Kansas City, KS)
- …Responsibilities This position can sit in any Prime Healthcare Hospital Regional Manager , Managed Care - Health Plan Operations is ... #healthinsurance companies is a must. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/175258/regional- manager managed - care pmc-admin-corporate/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityProvidence… more
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