- WTW (Chicago, IL)
- …Wealth and Career and Risk and Broking. The Managed Care Growth Leader is the primary client lead managing the totality of the Willis Towers Watson ... (WTW) relationship for clients within the Managed Care Industry. This individual is accountable...business while managing existing revenue and profit streams + Lead the development and execution of client account plans… more
- Hackensack Meridian Health (Edison, NJ)
- …** at Hackensack Meridian _Health_ includes: + **Contract Negotiation & Network Management:** + Lead all managed care contract negotiations for HMH and its ... our mission to transform healthcare and serve as a leader of positive change. The **Senior Vice President (SVP)...+ Lead the development and execution of managed care contracting policies and strategies. Monitor… more
- University of Miami (Medley, FL)
- …. The Department of Business Development and Managed Care is currently seeking an ... Executive Director, Managed Care Operations to work at our offices in Medley,...and/or supervise the work of others. + Ability to lead , motivate, develop, and train others. + Ability to… more
- Cedars-Sinai (CA)
- …Best Hospitals. **What will I be doing in this role?** The Manager, MN Managed Care Enrollment and Benefits is responsible for processes associated with health ... of enrollment, eligibility and benefit files associated with all Managed Care coverage (eg Commercial HMO, Medicare...needs using available resources. + Acts as a team lead to include supervising the work of others, assigning,… more
- AccentCare, Inc. (TX)
- …of terms and conditions. Develop negotiation strategy and related financial projection for managed care payers Lead the negotiation process for assigned ... Overview Find Your Passion and Purpose as a Director Managed Care Contracting-Remote Reimagine Your Career in Corporate Healthcare As a professional, you know… more
- St. Luke's Health System (Boise, ID)
- **Overview** The Associate Vice President (AVP), Payer Relations and Managed Care Contracting, is responsible for developing, executing and overseeing ... comprehensive payer relations, strategic reimbursement, and managed care contracting strategies for St. Luke's...years of relevant experience. This individual will be a leader , team builder, culture contributor, and partner within the… more
- Cedars-Sinai (Beverly Hills, CA)
- …for decision-makers. + Lead complex or special assignments related to managed care financial analysis. + Provide analytic support across various departments ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and ... of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute...timely filing of all managed care claims on their assigned caseload… 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 evaluating, analyzing,...rates with health plans. PRINCIPLE DUTIES AND RESPONSIBILITIES: 1. Lead payor negotiations and manage team that will evaluate… more
- Hawaii Pacific Health (Honolulu, HI)
- …organizational and communication skills, you might be the ideal candidate to be our next Managed Care Representative. In this role, you will provide managed ... pediatric specialty hospital. It is well recognized as Hawai'i's leader in the care of women, infants...equivalent. One (1) year clerical experience in a health care setting. Experience with managed care… more
- Cedars-Sinai (CA)
- …service the network's membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star ratings, access, physician network ... user or client acceptance. + Well versed within the various components that comprise Managed Care and its key concepts including but not limited to eligibility,… more
- Covenant Health (Lubbock, TX)
- …and ministries. + **Master Negotiator:** Lead the charge in negotiating favorable managed care rates and contractual terms for all Texas Region CHS entities, ... Area. In this pivotal role, you will spearhead the Managed Care Contracting Program, guiding our organization...the Future of Healthcare?** If you are a visionary leader with a passion for healthcare, we encourage you… more
- MaineGeneral Health (Waterville, ME)
- …a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects of reimbursement, managed ... oversee the Charge Description Master (CDM) rate setting + Lead contract negotiations and manage payer relationships + Utilize...of 7 years of experience in healthcare reimbursement and managed care - some leadership experience is… more
- CVS Health (Wellesley, MA)
- …short-term, and long-term goals. + 3+ years of analytical experience within pharmacy, healthcare, managed care , or related field + 3+ years of experience using ... + 5+ years of analytical experience within pharmacy, healthcare, managed care , or related field + 5+...attendance during normal working hours, as established by the leader + Any additional tasks as directed by supervisor… more
- Elevance Health (Charlottesville, VA)
- ** Managed Care Coordinator (VA Foster ...is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... Albemarle, Halifax, Roanoke, Franklin, Hopewell, Augusta, Highland and Danville._** The ** Managed Care Coordinator** is responsible for the overall management… more
- Kelsey-Seybold Clinic (Houston, TX)
- …and coaching and other duties as assigned. **Job Title: Supervisor, Managed Care Claims** **Location: Pearland Administrative Office** **Department:** **Claims** ... Bachelor's Degree **Experience** Required: 5 years of working experience in a Managed Care environment as Senior Analyst, Coordinator, OR Supervisor or… more
- AmeriHealth Caritas (Columbia, SC)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care ,… more
- St. Luke's Health System (Boise, ID)
- …collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both ... all third party payer contract meetings. + Take the lead role in coordinating select major payer contract negotiations,...beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical… more
- Cleveland Clinic (Cleveland, OH)
- …in this role will: + Act as the single point of contact for customers. + Lead and assist in the development of roadmaps, engagement plans and programs. + Keep up ... business development, account management or equivalent topics + Knowledge of health care topics in general Preferred qualifications for the ideal future caregiver… more
- Option Care Health (Salt Lake City, UT)
- …negotiations, preparation, financial analysis, business review, and implementation of assigned Managed Care clients, 340B, and Health System Partnership ... home and alternate site infusion services provided by Option Care . . Responsible for managed care...in order to facilitate clean claim billing. Initiate and lead meetings with health plans and corporate teams, including… more