- Unknown (Peoria, IL)
- …to meet the institution's strategic needs, and negotiating with managed care organizations. Applicants for the Executive Director for Fiscal Affairs position ... Executive Director , Fiscal Affairs About the Company Large public...administration role. The role requires a thorough knowledge of contracting and negotiating, medical billing, and clinical practice operations,… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Managed Care Contracting and Rates (MCCR) Director ** **Job Class: Human Services Manager 4** **Agency: Human Services Dept** + **Job ... care . As the director of this large business area, the Managed Care Contracting and Rates (MCCR) Director , in conjunction with Health Care… 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
- Walmart (Bentonville, AR)
- …finance, accounting, economics, or related area with 7 years' experience in managed care contracting /negotiations, healthcare billing, healthcare finance, or ... healthcare compliance/legal; or Ten years of relevant experience in managed care contracting /negotiations, healthcare billing,...with at least five of those years in a director or above role with a commercial or government… more
- The Cigna Group (St. Louis, MO)
- **WORK LOCATION: St. Louis, MO** The **Provider Contracting Director ** serves as an integral member of the Provider Contracting Team and reports to the ... Provider Contracting Senior Manager or VP of Contracting . This role assists in developing the strategic direction...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- Point32Health (NH)
- …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
- The Cigna Group (Independence, OH)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... reside in the Cleveland or Independence, OH area.** The ** Director ** **,** **Provider Contracting Network Management** serves...of life. We guide our customers through the health care system, empowering them with the information and insight… 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
- 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
- Bristol Myers Squibb (Princeton, NJ)
- …the latest government contracting and reporting requirements, and ensure Managed Care government pricing calculation implications are identified and ... leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D...ability to think strategically about the impact of various contracting approaches and government regulations + Firm understanding of… 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
- Commonwealth Care Alliance (Boston, MA)
- …experience in provider relations, network management, or healthcare operations within a managed care organization, health plan, or integrated delivery system. * ... 011230 CA-Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision...vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines… more
- Saint Francis Health System (Tulsa, OK)
- …performs on going analysis, which maintains the integrity of financial expectations of managed care contracts within the Epic system. Resolves programming issues ... 3 - 4 years related experience. Experience with health plan insurance contracting and reimbursement for providers and facilities. Experience with Microsoft Access,… more
- Ascendis Pharma (Princeton, NJ)
- …administration of rebate programs, including government rebates (eg, Medicaid, Medicare), managed care rebates, and commercial rebates. Ensure accurate ... (3) days/week and will report directly to the Senior Director , Pricing and Contracting Strategy. + Performance...processes accurately and before payment deadlines, oversee payments of managed care and government rebates, and manage… more
