- 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 ... of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms… 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 review, ... Job Purpose: Manager of Payor Contracting is responsible...compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
- BAYADA Home Health Care (Parsippany, NJ)
- …in their given geographic territory and portfolio. Given BAYADA Home Health Care 's growth trajectory and the accelerating contracting activity and financial ... **POSITION SUMMARY:** The Manager will be responsible for a portfolio of...the goal of advancing the delivery of home-based health care services and keeping clients safe at home. In… more
- The Cigna Group (Richmond, VA)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... office or visit Providers 3 days per week The ** Manager , 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
- 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 ... implements strategic and operational plans and priorities for managed care contracting aligned to BSWH overall business objectives. 3. Directs all managed… more
- Mount Sinai Health System (New York, NY)
- …transformation + Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- Roper St. Francis (Ladson, SC)
- …Roper St. Francis Office Park, Ladson, SC** **Shift: 8:00am-5:00pm** **Job Summary:** The Manager of Managed Care is responsible for implementing and ... And much more *Benefits offerings vary according to employment status. **Department:** SS Managed Care - Contracting - Roper St Francis Healthcare _It is our… more
- The Cigna Group (Glendale, CA)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... Contracting Team and reports to the Provider Contracting Senior Manager or VP of ...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- Healthfirst (NY)
- …Healthfirst, its Members, and Providers **Minimum Qualifications:** + Medicare and/or Medicaid managed care experience + Excellent oral and written communication ... point of contact for all plan related issues including marketing, enrollment, contracting , billing and reimbursement. + Responsible for the resolution of all issues,… more
- The Cigna Group (Mclean, VA)
- …as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day ... contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages...and managing relationships + Understanding and experience with hospital, managed care , and provider business models a… more
- Cedars-Sinai (CA)
- …people throughout Los Angeles and beyond. **Req ID** : 5668 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting all facets of...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- Point32Health (Canton, MA)
- …+ Required (minimum): 10-15 years of progressive business experience in health care and/or managed care , ,including demonstrated contract negotiation ... a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are… more
- Mount Sinai Health System (New York, NY)
- …as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other institutional departments to ensure ... **Job Description** The Nursing Clinical Manager (NCM) for Case Management is responsible for...supports the mission of efficient and clinically appropriate patient care . 4. Demonstrates integral involvement in the Nursing Department… more
- CAIPA MSO LLC (New York, NY)
- …Specialist New York, NY (http://maps.google.com/maps?q=202+Canal+Street+New+York+NY+USA+10013) Description As a Managed Care Contracting Specialist, you ... will be expected to assist the Contracting Manager with all issues related to...and implement the terms of the managed care contracts *Job Responsibilities coordinates and support contracting… more
- LA Care Health Plan (Los Angeles, CA)
- …Minimum of 4 years of experience in contracting and/or regulatory analysis in managed care or healthcare industry. At least 4 years of healthcare experience ... III is responsible for all aspects of the LA Care (LAC) provider contracting and relationship management...is responsible for the initial on-board training of new managed care contract provider partners, and for… more
- LA Care Health Plan (Los Angeles, CA)
- …At least 3 years of experience in contracting and/or regulatory analysis in managed care or healthcare industry. At least 3 years of healthcare experience in ... II is responsible for all aspects of the LA Care (LAC) provider contracting and relationship management...is responsible for the initial on-board training of new managed care contract provider partners, and for… more
- Molina Healthcare (MS)
- …SKILLS & ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including ... sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members, in...different provider contract types, ie physician, group and hospital contracting , etc. * Working experience with various managed… more
- Molina Healthcare (NV)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... Nevada _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more
- Boehringer Ingelheim (Ridgefield, CT)
- …Compliance by: developing a comprehensive discount accrual forecasts and by providing support for Managed Care / Medicare Part D group efforts as required in ... terms and conditions of complex contractual rebate obligations to managed care , institutional, retail and wholesale customers...at least three (3) years of experience in a contracting , pricing, reimbursement, 340B or managed markets… more
- Molina Healthcare (Grand Rapids, MI)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care environment. * 3+ years ... in negotiating different provider contract types, ie physician, group and hospital contracting , etc. * Working familiarity with various managed healthcare… more