- Merck & Co. (Rahway, NJ)
- …study-related contracting , budgets, and vendor/partner management.Support development of American Managed Care Pharmacy (AMCP) dossiers for US payers, and ... Job DescriptionPrincipal Scientist ( Director ) - Outcomes Research - Head & Neck...patient health outcomes. Under the guidance of an Executive Director , this individual will support the V&I, Outcomes Research… more
- Merck & Co. (Los Angeles, CA)
- …influence customers in Public Health, Large Group Practices, Hospitals/Systems, or Managed Care OrganizationsAbility to build and develop customer relationships, ... Thinking, Interpersonal Relationships, Key Account Planning, Lateral Leadership, Leadership, Managed Care Marketing, Market Research, Profit Planning {+… more
- Albany Medical Center (Albany, NY)
- …and payer relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting , as well as the provision and ... employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget...all federal, state, and local regulations for governing payer contracting , stays informed of the health care … more
- Corewell Health (Grand Rapids, MI)
- …Master's Degree or equivalent + 5 years of relevant experience in managed care with an emphasis on provider contracting , payment methodologies and new market ... Externally, engages with health care organizations, CFO's and Director of Contracting to negotiate and finalize contracted arrangements. Works directly with… more
- Fresenius Medical Center (Waltham, MA)
- **Sr Director Managed Care and Payor Strategy** **PURPOSE AND SCOPE:** The Senior Director of Managed Care & Payor Strategy is a strategic leader ... high-performing team, fostering collaboration and innovation to achieve organizational goals in managed care contracting , quality outcomes, and marketing… more
- Point32Health (Canton, MA)
- …responsible management experience in a complex healthcare setting. Experience in managed care contracting and experience working collaboratively ... deliver results and lead teams to achieve goals. + Strong working knowledge of managed care /risk contracting payment methodologies. + Savvy negotiator with… more
- WellSpan Health (York, PA)
- …including new hospital additions as applicable, in accordance with System Care Contracting Team. Includes all traditional medical components (hospital, ... market information regarding market payment rates and methods for various types of managed care payors: including Medicare, Medical Assistance, & Commercial … more
- CVS Health (Bloomington, MN)
- …**Required Qualifications:** + 10+ years of professional work experience in healthcare, managed care , health plans, or PBM. + Experience with pharmacy ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...a dynamic individual to join our team as a Director of Value Based Contracting and Health… more
- The Cigna Group (Independence, OH)
- **WORK LOCATION: Cleveland or Independence, OH area.** The **Provider Contracting Director ** serves as an integral member of the Provider Contracting Team ... strategic direction and management of the day to day contracting and network management activities for a local given...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- CVS Health (Minneapolis, MN)
- …Qualifications:** *10+ years of professional related experience *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
- Ascension Health (Collinsville, OK)
- …strategies for assigned geographic market(s) or assigned business segment(s) in Government Managed Care , Specialty/Horizontals, or Value-Based contracting . + ... **Details** + **Department:** Payor Contracting and Relation + **Schedule:** Full-time, 8 hour...segment(s) in collaboration with ADSI Analytics, RCM/R1, and the Managed Care Payer Performance team. + Holds… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …Statement/Position Summary:** This position is responsible for directing and coordinating the managed care policies, goals, and objectives related to contract ... Group leadership in working with Physician Organizations in the market regarding managed care contracts, strategies for improving market share and opportunities… more
- CVS Health (Northbrook, IL)
- …success in driving sophisticated contract negotiations and completion of contracts, PBM and managed care expertise, with a focus on the management of pharmacy ... your next role?! In this high impact role as Director of Trade Relations - Contract Negotiator, you will...Qualifications:** -10+ years of professional work experience in healthcare, managed care , health plans, or PBM, preferably… more
- Bristol Myers Squibb (Princeton, NJ)
- …the latest government contracting and reporting requirements, and ensure Managed Care government pricing calculation implications are identified and ... ability to think strategically about the impact of various contracting approaches and government regulations + Firm understanding of...should be directed to Chat with Ripley. R1597489 : Director , Managed Care Rebate Operations… more
- Ascension Health (Nashville, TN)
- …strategies for assigned geographic market(s) or assigned business segment(s) in government managed care , specialty/horizontals, or value-based contracting . + ... **Details** + **Department:** Payor Contracting and Relation + **Schedule:** Full-time, 8 hour...Oversee the design and implementation of value based care models and plans. + Lead or participate in… more
- Huron Consulting Group (Chicago, IL)
- …power of collaboration, Huron offers a rewarding path forward. As the Healthcare Consulting Senior Director - Managed Care & Payment Strategy, you will: + ... design, ACO development (eg, MSSP, ACO REACH, Commercial shared risks), Medicaid managed care participation. Experience with population health initiatives such… more
- Dignity Health (Bakersfield, CA)
- …shared goals. Responsibilities include: - Collaborate with the Chief Medical Officer, Managed Care and executive leadership to develop, implement, and oversee ... Leadership to ensure consistent physician/APP interactions and experience with all internal Managed Care operations such as enrollment, claims operations and… more
- St. Luke's Health System (Boise, ID)
- …can be remote from the states of Idaho, Oregon, Utah and Arizona only.** The Director , Managed Care Analytics is responsible for the creation and development ... financial metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for financial performance, identifying areas for… more
- Beth Israel Lahey Health (Wakefield, MA)
- …Executive Director , Contracting to manage key divisional initiatives that support Managed Care Contracting . The Contracting Program Manager will ... and obligations within contracts to serve as the operational backbone for Managed Care Contracting . This position is responsible for aggregating relevant… more
- WellSpan Health (York, PA)
- …root causes of underpayments and denials. + Manages special projects as assigned by the Director of Managed Care . + Seeks and assists with identifying ... performance improvement initiatives within the Payor Contracting department to improve efficiency. + Maintains various contract management systems in collaboration… more
