- Novo Nordisk Inc. (Plainsboro, NJ)
- …product pipeline can only be as effective as our ability to provide life-changing information to healthcare providers, key stakeholders and policymakers. Our Market ... by creating an environment where innovation and chronic disease management drive optimal health outcomes. Are you ready to realize your potential? This role is a… more
- Merck & Co. (Rahway, NJ)
- …evidence needs of clinicians, payers, policymakers, HTA/reimbursement agencies, and health systems globally.Types of studies executed include prospective and ... and economic modelling. Key responsibilities also include development of American Managed Care Pharmacy (AMCP) dossiers for US payers, and Global Value Dossiers for… more
- Merck & Co. (North Wales, PA)
- …evidence needs of clinicians, payers, policymakers, HTA/reimbursement agencies and health systems globally. The ability to participate and lead cross-functional ... and economic modelling. Key responsibilities also include development of American Managed Care Pharmacy (AMCP) dossiers for US payers, and Global Value Dossiers for… more
- Merck & Co. (North Wales, PA)
- …observational studies to characterize disease burden and epidemiology, treatment patterns, health - care resource utilization and costs, physician and patient ... to meet the value evidence needs of clinicians, payers, policymakers, health technology assessment (HTA)/reimbursement agencies and health systems globally.Types… more
- Cigna (Newton, MA)
- …that live in MA, RI and ME. Preferred office location: Newton, MA The Manager, Provider Contracting Network Management serves as an integral member of the ... Provider Contracting Team and reports to the...stage of life. We guide our customers through the health care system, empowering them with the… more
- Eisai, Inc (Nutley, NJ)
- …benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that ... the management, oversight, and direction of TMF across all business functions. Provide training and oversight to employees and CROs on timeliness, completeness,… more
- Veterans Health Administration (Wichita, KS)
- …influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) Qualifications To qualify for this position, ... initiate the obligation for all related requirements necessary to provide prosthetic and sensory aids services, to include durable...and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a… more
- University of California, Irvine (Irvine, CA)
- Who We Are UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI ... its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and...Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties… more
- Elevance Health (Nashville, TN)
- …advantage, optimizing respective provider relationships to most effectively benefit health plan growth priorities. Aligns contracting decisions with medical ... leader committed to healthcare transformation through strategic leadership over all provider engagement and contracting activity in the Tennessee market.… more
- Elevance Health (Walnut Creek, CA)
- Anticipated End Date: 2025-08-25 Position Title: Behavioral Health Provider Quality Manager - Northern California Job Description: Title: Behavioral Health ... Provider Quality Manager is responsible for leading Behavioral Health (BH) provider engagement, with a focus...face to face, telephonically, and via Web-Ex to support provider training on Carelon processes, contracting /… more
- Molina Healthcare (Long Beach, CA)
- …REQUIRED EDUCATION : Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider 's office, managed care ... must live in Michigan Job Description Job Summary Molina Health Plan Provider Network Contracting ...in contracting with large specialty or multispecialty provider groups. *1-3 Years Managed Care experience… more
- Molina Healthcare (Long Beach, CA)
- …Remote and must live in New York Job Description Job Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, ... It is an external-facing, field-based position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully… more
- Kaiser Permanente (Vallejo, CA)
- …process. Minimum Qualifications: Minimum three (3) years of experience in behavioral health case management or care coordination. Masters degree in Psychology, ... Job Summary: Ensures quality care by using advanced knowledge to review patient...ensuring contract compliance, and serving as a liaison on contracting and referral processes. Manages patient data and records… more
- Optum Behavioral Care (Chicago, IL)
- …serve. From clinical operations such as credentialing to business operations such as contracting , we provide organizational support that allows our providers to ... takes to succeed in your role as well as provide development for other roles you may be interested...impact on the environment and enabling and delivering equitable care that addresses health disparities and improves… more
- Ewings Associates (Baltimore, MD)
- …and ability to manage multiple tasks under tight deadlines. - Experience supporting provider contracting or actuarial teams preferred. Hiring Process The hiring ... Keywords: VP of Revenue Cycle Operations, Director of Revenue Cycle, Managed Care Contract Analyst, Healthcare Financial Analyst, Provider Network Strategy,… more
- Ewings Associates (Medina, WA)
- …Business, or related field. 10+ years of progressive leadership experience in provider network development, managed care contracting , or healthcare ... play a pivotal role in building, optimizing, and managing provider networks to align with the Health ... provider -friendly approach. Leverage wraparound networks and alternative provider contracting models to enhance network performance.… more
- TriHealth (Cincinnati, OH)
- … for the Elderly (PACE) is a Medicare and Medicaid program that helps people meet their health care needs in the community instead of going to a nursing home or ... 7 - 10 years Related experience in a comparable health care financial role (Preferred) Passion and...budget variance; Serve as the accountable leader for PACE Health Plan Operations functions; Manage and provide … more
- Kitsap County, WA (Port Orchard, WA)
- … health systems coordination; serving as a liaison for provider agencies and subcontractors by providing technical assistance and clinical consultation; ... Human Services has an exciting opportunity for a Children's Care Manager and Systems Coordinator to join our team....and long-range plans, goals, and objectives for the behavioral health system. Work with provider agencies, consumers,… more
- Direct Counsel (Bellflower, CA)
- … care issues and trends. Ideal candidates will have demonstrated experience in health care transactional matters, including provider and health plan ... Counsel is representing an Am Law firm seeking a Health Care Transactional Associate Attorney. We are...joint venture transactions, and private equity deals. Experience with health industry contracting , state licensure, and corporate… more
- Optum Behavioral Care (San Diego County, CA)
- …Excel, Outlook, Athena RMS (or other EHRs) Explore opportunities at Optum Behavioral Care . We're revolutionizing behavioral health care delivery for ... operations such as credentialing to business operations such as contracting , we provide organizational support that allows...individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service,… more
