- AdventHealth (Tampa, FL)
- …Reimbursement areas for assigned payer accounts. Maintains working relationship with managed care / commercial payers, staying in constant communication ... identified at quarterly JOC meetings/state meetings or escalating to Director and/or managed care provider representative. Performs managerial duties in absence… 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 ... physicians of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract… more
- Sanofi Group (Bridgewater, NJ)
- **Job Title:** Specialist, Managed Care Operations **Location** : Bridgewater, NJ **About the Job** The Managed Care Specialist is responsible for ... contract management for various markets including Commercial Contracts, Medicare Part D and Managed ...issues. The Specialist will work in close cooperation with Managed Care Operations colleagues and counterparts in… more
- JPMorgan Chase (New York, NY)
- …are a leader in investment banking, consumer and small business banking, commercial banking, financial transaction processing and asset management. We offer a ... meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a retirement savings plan,… more
- Amgen (Thousand Oaks, CA)
- …us and transform the lives of patients while transforming your career. **CDnA - Commercial Analytics & Reporting - Senior Manager ** **What you will do** Let's ... multitude of secondary and primary data sources and engaging several Commercial Data and Analytics (CD&A) colleagues to develop a comprehensive understanding… more
- Fifth Third Bank, NA (San Francisco, CA)
- …familiarity with prospecting and CRM sales tools preferred. + Regional /local travel Commercial Relationship Manager IV Total Base Pay Range 120,400.00 - ... prospects. This position requires a strong understanding of credit, commercial products and financial statement analysis, in order to...may specialize in a specific industry such as Health Care . This role is expected to activity participate in… more
- AbbVie (Mettawa, IL)
- …creative services, medical/regulatory, commercial analysis, product planning, operations, Managed Health Care , and international brand teams to enhance ... lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For… more
- Capital One (Richmond, VA)
- West Creek 7 (12077), United States of America, Richmond, Virginia Product Manager , Commercial Bank Data Innovation Product Management at Capital One is a ... while innovating on ways to iterate faster in a well- managed way for the immediate team + **_Technology Driven_**...prioritize your work. + Passionate & Customer Focus. You care about growing others and bringing them together around… more
- Endo International (Malvern, PA)
- …surgery products preferred. + Experience working with field based sales force and managed care issues and trends, assessing product portfolio and commercial ... segments. + Responsible for delivering ongoing updates to General Manager of Commercial Business Unit, Sr. Director...requirements. Experience working with field based sales force and managed care issues and trends, assessing product… more
- Houston Methodist (Houston, TX)
- …Extensive knowledge of claims reimbursement and collection efforts for Managed Care , Medicare, Medicaid, Workers Comp, Commercial plans, etc.; knowledge of ... dollar hospital accounts** + **Five years of experience in commercial insurance follow-up, preferably in hospital accounts receivable** At...how to interpret a managed care contract, Medicare and Medicaid and… more
- UMB Bank (Kansas City, MO)
- As the ** Commercial Real Estate Underwriter** **II** , you will be responsible for assisting REG relationship managers in the assessment and underwriting of new REG ... Managed Investment CRE loans (non owner occupied CRE loans...of the credit packages (as agreed with the relationship manager ) for submission to credit committee for approval (new… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements governing Medi-Cal managed care plans. Understanding of managed care principles and operations. Commercial Group: Required: Experience ... Medi-Cal Product Solutions Manager II Job Category: Sales & Marketing Department:...performance. Preferred: Knowledge of healthcare product types inclusive of managed care and insurance products. Additional duties… more
- Zions Bancorporation (Fresno, CA)
- …as a perennial powerhouse in yearly voting for "Best Bank" and "Best Commercial Bank" from the readers of San Diego Union-Tribune and Orange County Register. ... Small Business & Middle Market Excellence Awards. We are looking for an experienced Commercial Banker in Fresno, CA. This role focuses on acquiring and servicing C&I… more
- Stanford Health Care (Palo Alto, CA)
- …review, social work, care coordination and discharge planning. + Knowledge of managed care and commercial insurance, Medi-Cal, Medicare, and other ... work-life balance while honoring its commitment to delivering evidence-based and patient-centered care . We are seeking a results-driven manager to further… more
- LA Care Health Plan (Los Angeles, CA)
- … Manager III is responsible for the initial on-board training of new managed care contract provider partners, and for ensuring their provider accounts ... Provider Network Account Manager III Job Category: Provider Relations Department: Provider...providing in-service orientation meetings with providers. Responsible for monitoring managed care contracts for renewals and expirations.… more
- LA Care Health Plan (Los Angeles, CA)
- … Manager II is responsible for the initial on-board training of new managed care contract provider partners, and for ensuring their provider accounts maintain ... Provider Network Account Manager II Job Category: Provider Relations Department: Provider...provide in-service orientation meetings with providers. Responsible for monitoring managed care contracts for renewals and expirations.… more
- Fastly (New York, NY)
- …This position may require travel as required by your role or requested by your manager . **Benefits:** We care about you. Fastly works hard to create a positive ... early due to the volume of applicants._ **Account Executive, Commercial | New York | New England** Fastly has...reps' areas of responsibility + Work with the Sales Manager to map new accounts (incl. key stakeholders and… more
- Capital One (Charlotte, NC)
- …States of America, Charlotte, North Carolina Sr Associate, Product Management - Commercial Bank **Product Management** Product Management at Capital One is a ... role, you'll learn the essentials of being a product manager , and we'll invest in you to grow in...cutting edge solutions to help customers + You'll deliver well- managed product platforms for customers by seeking to understand… more
- Beth Israel Lahey Health (Wakefield, MA)
- …you're not just taking a job, you're making a difference in people's lives.** The Care Manager , RN provides care management services to the BILHPN primary ... and efficient outcomes; and decrease total medical expenses. The Care Manager , RN assesses, plans, implements, coordinates,... Insurance quality gap closure and Medicare population in managed care , medical home or integrated case… more
- PruittHealth (Norcross, GA)
- …Minimum of five years nursing experience. 3-5 years management experience preferable in a commercial managed care or case management organization. Or, any ... Care Management Department. **KEY RESPONSIBILITIES:** 1. Knowledge of commercial insurance is fundamental. Knowledge of the Fundamentals of Case Management… more