- Crozer Keystone Health System (Springfield, PA)
- Senior Director, Managed Care Contracting - CKHS The Senior Director, Managed Care Contracting , is responsible for the development, ... implementation, coordination and oversight of fee-for-service and value-based managed care contracting and related...ability as well as the ability to coordinate and lead activities using a collaborative team approach. * Ability… more
- 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 ... Ford Health. This position is responsible for leading the Managed Care Contracting team in...understand performance and assist in identifying necessary course correction. 10. Lead contracting functions to support Henry Ford… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- + GENERAL SUMMARY + The Leader , Managed Care Contracting , is responsible for all aspects of payer contract negotiations, network management, and ... managed care organizations (MCOs). The Leader , Managed Care Contracting...Lead the revalidation efforts to maintain compliance with managed care organizations, Medicaid, and other payer… more
- Children's Hospital Los Angeles (Glendale, CA)
- …payor models, as well as negotiation, communication, implementation and oversight of managed care contracting and collaboration with operative partners. ... whom the Enterprise provides facility and professional services. This leader oversees strategic development of Medi-Cal reimbursement and alternative...required under fee for service as well as at-risk managed care contracting . 5+ years… more
- Hackensack Meridian Health (Edison, NJ)
- …consolidations for assigned payers. **Candidates should be experienced in all aspects of Managed Care Contracting including a full and comprehensive ... as a leader of positive change. The **Senior Contracting Specialist** position will support the Managed Care Team during system and new entities… more
- VNS Health (Manhattan, NY)
- …+ Minimum ten years' experience in health care , with a minimum eight years in managed care provider contracting and a minimum of two years in provider ... a recognized leader and innovator in patient-centered and community-focused health care . At VNS Health, you'll have the opportunity to meaningfully impact lives.… more
- Fairview Health Services (St. Paul, MN)
- … care payor terms and relationships. + Develop, recommend, and oversee annual managed care negotiation parameters and contracting plans and execute ... Care Management, Finance **Experience** *10+ years of healthcare experience in managed care , negotiating and contracting for integrated delivery systems.… more
- CareOregon (Portland, OR)
- …Experience and/or Education Required + Minimum 5 years' progressive experience in managed care contracting , provider relations, network/business development, ... advanced data gathering, analysis, and reporting in alignment with Contracting policies and procedures. + Lead the...Skills and Abilities Required Knowledge + Extensive knowledge of managed care and the Oregon Health Plan… more
- Molina Healthcare (CA)
- …SKILLS & ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including ... collaboratively with other operational departments and functional business unit stakeholders to lead or support various Provider Contracting functions. This role… more
- Hackensack Meridian Health (Edison, NJ)
- …experience in financial/business analytics, healthcare pricing, healthcare systems management, and/or managed care contracting . + Strong problem-solving and ... our mission to transform healthcare and serve as a leader of positive change. The **Revenue Operations and Contract...Systems Analyst II with communication between Rev Ops Leaders, Managed Care Team, and Digital Technology Services… more
- Medical Mutual of Ohio (OH)
- …Analyst or equivalent health care administration experience, preferably in managed care . . Provider Contracting /Network Management experience a ... Provider Reimbursement Analyst** Under minimal supervision, acts as thought leader in Provider Contracting . Conceptualizes new approaches to reimbursements… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …care . Experience with managed care and commercial insurance, including managed care contracting and reimbursement analysis in either a provider or ... also be responsible for collaboration and communication between commercial insurance and managed care companies and key internal stakeholder within NYU… more
- HCA Healthcare (Brentwood, TN)
- …experience + Bachelor's Degree (Master's Preferred) + Supervisory experience + Significant Managed Care contracting experience, specifically in the areas ... payment discrepancies and other claims adjudication issues from HCA's managed care book of business. Note: This...primary responsibility of the AVP is to be a leader in the centralized Payer Engagement "HUB" and with… more
- Mount Sinai Health System (New York, NY)
- …reporting or medical economics departments or healthcare provider analytics related to managed care contracting , population management, clinical or financial ... **Job Description** The Lead Data Science Analyst is a senior-most analyst,...as scheduled or requested. 11. Engages with the MSHP Managed Care Contracting and Commercialization… more
- Mount Sinai Health System (New York, NY)
- …? Experience working in healthcare provider analytics related to revenue modeling, managed care contracting , population management, case management, clinical ... others in the Data Science team and takes the lead role in project initiatives. **Qualifications** BA or BS...identify trends in performance to inform our clinical or contracting staff to improve contract outcomes. b. Care… more
- Trinity Health (Des Moines, IA)
- …of financial and reimbursement processes, including Medicare DRG payment, case rates, and managed care risk contracting . + Coordinate and conduct patient ... **Employment Type:** Full time **Shift:** **Description:** **Summary:** The Care Coordinator develops, coordinates, and oversees the implementation of… more
- Ascension Health (Austin, TX)
- …Managed Care Department for the purpose of providing appropriate assistance in managed care contracting from the perspective of value based contract ... The Medical Director of Population Health is a key leader for the advancement of value-based care ...of Population Health and Director of Population Health to lead and manage care management, quality and… more
- Johns Hopkins University (Baltimore, MD)
- …and Contracting_ + Serves as a point-person to the Office of Managed care , the CPA and the hospital regarding contracting related to divisional surgery ... to Surgery hospital operations and quality improvement. Acts as a team leader by bringing together nurse, surgeon, data management, financial, and other… more
- Beth Israel Lahey Health (Burlington, MA)
- …practices on finance, revenue cycle, care management, accounting, insurance, managed care contracting , patient access (registration), patient financial ... services, internal controls, contracting /purchasing, auditing, and health information management. Responsible for the...capital and staff expansions. + Serves as the finance lead for the hospital in contract negotiations for hospital… more
- Henry Ford Health System (Detroit, MI)
- …line operations leaders, finance, IT, pharmacy, nursing, lab, radiology, revenue cycle, managed care contracting , etc]; +/- clinical formulary review, ... potential relevance for the organization. + Serves as a lead for the Cell & Gene Therapy (CGT) Workgroup...for each individual therapy [workstream] + Develops all CGT care pathways or algorithms for pharmaceutical use within the… more