- SSM Health (Oklahoma City, OK)
- …observations and action plans to address trends. + Serves as network contact for managed care contracting functions. Provides resolution to managed ... based on changes and trends in the area of managed care , reimbursement and applicable state and...direct employer payer contracts. Directs financial modeling specific to contracting efforts, ensuring negotiated rates meet desired objectives. +… more
- Stanford Health Care (Palo Alto, CA)
- …market and facilitates program development to meet strategic objectives relative to managed care contracting . **Education Qualifications** + Bachelor's ... working relationships with senior management, department administrators, physicians, etc., regarding managed care strategy, contracting and operational… more
- Nuvance Health (Danbury, CT)
- …payer contracting efforts for all affiliates of Nuvance Health. 5. Leads managed care efforts and collaborates with internal and external key stakeholder in ... and processes to monitor and manage utilization of health care services within value based contracting Works...working conditions Company: Nuvance Health Org Unit: 1783 Department: Managed Care Exempt: Yes Salary Range: $57.22… 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 ... Job Purpose: Manager of Payor Contracting is responsible for reviewing, auditing and negotiating...negotiation with strategy. Essential Functions: In collaboration with the Director of Managed Care , negotiate… more
- Hartford HealthCare (Wethersfield, CT)
- …programs and other common practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, ... Relationships_* . *Job Title of Individual(s) Reports To:* Sr Director of Managed Care Payer...* Managed Care Database Administ / Managed Care Contracting * **Location:** *Connecticut-Wethersfield-1290… 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 ... strategies in accordance with BSWH business objectives. A system Director translates and implements strategic plans and objectives for...implements strategic and operational plans and priorities for managed care contracting aligned to… 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 ... **_position aligned to the San Diego, CA market._** The ** Director ,** **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
- Cardinal Health (Columbus, OH)
- …in interpreting managed care contracts. + Direct the daily operations of managed care contracting and payer relations to include contracting ... passionate about helping oncology practices navigate the future. The Director , Managed Care is responsible...development, and contracting activities related to the Managed Care environment. They will be a… 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 ... based in Houston, Austin or San Antonio, TX** **PROVIDER CONTRACTING ADVISOR** This position serves as an integral member...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- CVS Health (Bloomington, MN)
- …based on experience. **Required Qualifications** *A minimum of 8 years experience in managed care which may include PBM, Pharma, market access, account ... to increasing access, lowering costs and improving quality of care . In this Director level role you...on high-value rebate contracts for Commercial, Health Exchange, and Managed Medicaid segments. This includes management of the business… more
- Centene Corporation (Jefferson City, MO)
- …experience. 7+ years of training experience, preferably in a healthcare provider, managed care , or insurance environment. Familiarity with computer based ... order to meet the expectations for the position. The Director , Training (Value Based Contracting ) is primarily...the position. The Director , Training (Value Based Contracting ) is primarily remote. Candidates will be considered nationally… more
- MaineGeneral Health (Waterville, ME)
- …We are actively seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects ... of reimbursement, managed care contracts, and payer enrollment. The successful candidate will...and manage payer relationships + Utilize Sorian and StrataJazz contracting modules + Perform contract modeling and troubleshoot payer… 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 ... therapeutic / franchise area(s). Relationships Reports to the Director /Senior Director of Value Communication and Contracting Strategy. Interacts frequently… more
- The Cigna Group (Scottsdale, AZ)
- …degree required; master's degree strongly preferred. + 5+ years of health care contracting experience required, including hospital payor contracting . ... + 2+ years team management/people leadership experience required. + Experience in managed care operations and facility network management including behavioral… more
- WMCHealth (Valhalla, NY)
- …Qualifications/Requirements: Experience: Minimum of four years of progressive experience in a managed care contracting setting. Basic knowledge of ... Care Specialist under the direction of the Senior Director of Managed Care will...of two to four years of progressive experience in managed care contracting . Basic knowledge… more
- ProMedica Health System (Toledo, OH)
- …network (ProMedica Health Network). Objective is to provide best in class managed care contracting , analytics, education, and service. ACCOUNTABILITIES ... Working with the Director and AVP of Managed Care , this position is responsible for developing and implementing managed care strategies and… more
- National Vision (Duluth, GA)
- …posting. What Would You Do? The Specifics. + Under the general direction of the Managed Care Operations Director , oversees the daily review of the integrity ... growth is a reality. National Vision is hiring a Managed Care QA Auditor to join our...a changing environment of inter-institutional agreements and special group contracting relationships. + Collaborates with multiple areas to initiate… more
- Stanford University (Stanford, CA)
- Senior Associate Director for Licensing and Strategic Transactions **Dean of Research, Redwood City, California, United States** Compliance Legal Post Date Feb 12, ... and dynamic professional to join our team as the Senior Associate Director for Licensing and Strategic Transactions. This leadership position offers a unique… more
- The Mount Sinai Health System (New York, NY)
- …to legal for compliance and enforcement of contact terms. + Aligned with managed care contracting , compliance, operations, ACO, and financial leadership ... in achievement of health system goals + Assist managed care contracting in the...system are met. + Works closely with Senior Medical Director , Managed Care and Billing… more
- Henry Ford Health System (Troy, MI)
- …knowledge of provider contracts and market strategies with subject matter expertise in managed care , provider reimbursement models, national health care ... The Director , Provider Network Management (PNM) with Health Alliance...Minimum of seven (7) years' experience in the health care field with three (3) years provider contracting… more