- Novo Nordisk Inc. (Plainsboro, NJ)
- …internal and external stakeholders to leverage and implement knowledge of reimbursement, managed care and healthcare policy to develop execution strategies and ... frequently in collaboration with internal management and senior level managed markets customer representatives. Interacts internally with team representatives from… more
- University Medical Center of El Paso (El Paso, TX)
- Job Summary The Manager of Managed Care provides strategic, tactical, operational oversight and coordination for developing, recommending and executing the ... Hospital's Managed Care agreements, contract performance analysis and ensuring provisions of high quality, customer focused, and cost-effective contract … more
- ConsultNet (North Kingstown, RI)
- The Customer Care Manager supervises daily operations and team members while ensuring efficiency, cost-effectiveness, and absolute customer satisfaction in a ... complex, inbound Customer Care center. Customer Care Manager ,...talent and solutions, our expertise spans across project services, contract -to-hire, direct placement, and managed services both… more
- Staffing Now (Carson City, NV)
- …broad range of experience with complex psychiatric/substance abuse cases required. Prior managed care experience required. For URAC accredited areas, the ... expertise to ensure our members are directed to the appropriate level of care . Will be Responsible for managing psychiatric and substance abuse or substance abuse… more
- Drees Homes (Raleigh, NC)
- …implement pricing strategy that generates profitable upgrades and options.Work with Customer Care and Production Manager to maintain positive and prompt service ... homes easy. For over 95 years, we have taken care of our employees and our customers. It s...of being named a 2023 and 2024 US Best Managed Company, a program sponsored by Deloitte Private and… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …act as resource for questions, and manage expectations. Work closely with our Contract Manager handling contract -related activities Maintain and improve ... HHS Technology Group and State Government guidelines, processes, and contract stipulations. This highly valued Project Manager ...a new system being built in which you project managed it from project kickoff to go-live. Project Management… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …and accountability for access and control throughout NGHS continuum. Facilitates a managed care process that analyzes, orchestrates, and delivers a medicine ... the case management and interdisciplinary healthcare team in facilitating patient care through the continuum. Monitors department activities to ensure optimum case… more
- Community Hospital Corporation (Plano, TX)
- …supply chain processes, cost-savings initiatives, materials management efficiencies, and contract negotiations for owned, managed , and affiliate healthcare ... Community Hospital Corporation (CHC), a DFW Top 100 Employer, is looking for a Manager of Supply Chain, Account Management based our of our home office in Plano, TX.… more
- Senior Living Communities (Charlotte, NC)
- …and manages luxury retirement communities along with other related senior living care entities in Connecticut, Florida, Georgia, Indiana, North Carolina, and South ... Carolina. Now accepting applications for a Procurement/Purchasing Manager . This position oversees and facilitates all aspects of the Company's purchasing, vendor… more
- Blanchard Valley Health System (Findlay, OH)
- …or changes that directly impact the accounts receivable. Works closely with the managed care department to resolve identified payment patterns which result in ... underpayments, and/or the contract accuracy rate as identified in Contract Manager . Duty 7: Manages, verifies, and monitors refund requests and overpaid… more
- Rose International (Oxnard, CA)
- …and written instructionsPreferred Qualifications: Knowledge of eligibility/insurance verification and managed care administration MS SQLEnrollment and Capitation ... of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably.… more
- VNS Health (Manhattan, NY)
- …and medical director meetings as stipulated by the State BH contract manager . Serves as the principal behavioral health/social care expert and liaison for ... and care management Director or above leadership role within a managed care organization requiredProven experience in developing and implementing Behavioral… more
- AdventHealth (Maitland, FL)
- …adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including ... for the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred ...contract data elements which are populated into the Managed Care database including addition of new… more
- AdventHealth (Maitland, FL)
- …vendors, and leadership after identifying and quantifying the issue. * Supports the Managed Care Contract Administration, AH Central Denials team, and ... issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst. * Responsible for...contract management systems as they relate to building managed care government and state contracts. *… more
- Roper St. Francis (Ladson, SC)
- …+ MHA/MBA (preferred) Work Experience + Three years of experience in managed care , including contract negotiation, financial/operation analysis ... **Shift: 8:00am-5:00pm** Primary Function/General Purpose of Position Responsible for managed care initiatives & performance, including contracting, reporting,… more
- CommonSpirit Health (Englewood, CO)
- …a remote position. Seeking a strong manager of technical healthcare teams for Managed Care .** **Job Summary / Purpose** The System Manager , Data ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US from clinics and hospitals...Health's Payer Strategy, Analytics & Innovation capability. The System Manager , Data Engineering oversees complex data design and the… more
- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 217 **Position:** Manager Managed Care Contracting **Union Code:** 00 - ... developing payer strategy, preparation of financial analysis of new contract language and terms, review of contract ...new contract language and terms, review of contract language and the preparation of analysis to support… more
- UCLA Health (Los Angeles, CA)
- …procedures and systems to achieve the goals set by leadership for UCLA Medical Group managed care contract performance. In this role, you will assist the ... Description The Assistant Director, Managed Care Operations is responsible for...Each employee must complete a FlexWork Agreement with their manager which will outline arrangement parameters and aids both… more
- BayCare Health System (Bartow, FL)
- …+ Responsible for monitoring, maintenance, negotiation, and renegotiation of Managed Care contracts under the direction of the manager and/or director. + ... superior health care throughout the communities we serve. **Title:** Managed Care Negotiator II (Must reside in Florida) **Facility:** BayCare System Office… more
- ManpowerGroup (Columbia, SC)
- **Title: Coordinator, Managed Care I** **Location: Columbia SC** **Duration: 06 Month's Contract ** **Pay Range $25.00 to $31.00/hr.** We are looking for a ... "Coordinator, Managed Care I" to join one of...and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care … more
