• Manager of Payor Contracting

    e CancerCare (Nashville, TN)
    Job Purpose: Manager of Payor Contracting is responsible for reviewing, auditing and negotiating existing and new Payor contracts with Health Insurance ... etc). Reporting to the Director of Managed Care, the Manager of Contracting is responsible for managing...tracking of all various managed care payors. Advances company payor strategy and aligns negotiation with strategy. Essential Functions:… more
    e CancerCare (08/06/24)
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  • Provider Contracting Senior Manager

    The Cigna Group (Nashville, TN)
    …years of health care contracting experience required, including hospital payor contracting . + 2+ years team management/people leadership experience required. ... The System Contract Senior Manager will have oversight of a region of...to develop facility affordability action plans, align with medical contracting as well as partner with large regional and… more
    The Cigna Group (07/20/24)
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  • Care Manager WFH

    HCA Healthcare (Nashville, TN)
    … quality initiatives + Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to achieve the ... an organization that invests in you as a Care Manager WFH? At HCA Healthcare, you come first. HCA...and value-based care programs such as MIPS, ACOs, and payor pay-for-performance contracts. Assists in educating practice staff on… more
    HCA Healthcare (07/19/24)
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  • Program Implementation Manager

    American Heart Association (Nashville, TN)
    …The American Heart Association has an opportunity for **Program Implementation Manager , Hypertrophic Cardiomyopathy** supporting our National Center in Dallas, TX. ... X (formerly Twitter), and at heart.jobs. **Responsibilities** The Program Implementation Manager will be responsible for the day-to-day site recruitment, site… more
    American Heart Association (09/18/24)
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  • Sr. Program Manager , Hypertrophic…

    American Heart Association (Nashville, TN)
    …American Heart Association has an excellent opportunity for a **Senior Program Manager , Hypertrophic Cardiomyopathy.** This position can be home-based. This is a ... customers for enrollment in the Hypertrophic Cardiomyopathy Registry. Oversee contracting process. Coordinate efforts among hospitals and hospital systems on… more
    American Heart Association (09/18/24)
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  • Value Based Contract / Cost of Care Consultant

    Elevance Health (Nashville, TN)
    …analytical support to the Cost of Care and/or Provider Contracting organizations. This position will support pre-negotiation modeling, reconciliation questions ... modeling of programmatic changes. Partners with provider contractors to develop contracting strategy and supports all aspects of the contract negotiation process.… more
    Elevance Health (09/11/24)
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  • Provider Contract/Cost of Care Analyst…

    Elevance Health (Nashville, TN)
    …Senior** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality ... optimize cost of care. + Educates provider contractors on contracting analytics from a financial impact perspective. + May...of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in… more
    Elevance Health (09/17/24)
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