- Daiichi Sankyo, Inc. (Bernards, NJ)
- … Contract Forecasting to ensure support of cross-functional teams regarding key managed care accounts and ASP analysis. This includes: profitability analysis ... ability to develop that knowledge; preferredDetailed knowledge of all channels of managed care environment in the US (commercial, Medicare, Medicaid, etc.);… more
- MCI Careers (Wichita, KS)
- …(CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and ... and has a strong work ethic. A background in call center operations management is required, with additional experience in customer service, technical support, or… more
- MCI Careers (Wichita, KS)
- …(CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and ... and professional manner Utilize systems and technology to complete account management tasks Accurately document and process customer claims in appropriate systems… more
- MCI Careers (Wichita, KS)
- …(CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and ... many advancement opportunities, including Supervisor, Trainer, Talent Acquisition, and Operations Management . To be considered for this position, you must complete a… more
- AmeriHealth Caritas Health Plan (Detroit, MI)
- … health care requirements 3 to 5 years in a managed care -related or healthcare industry Proven experience with contract management tools (ie, we ... Management in dealings with provider agreements. The Contract Management Analyst will assist the Manager,...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …and new people to make a difference with. The opportunity The Associate Director, Managed Care Payer Analytics is responsible for leading the analytical strategy ... National payer accounts. The role requires strong collaboration with Account Management , Contract Development, Payer Marketing, Finance, Legal, and other… more
- Henry Ford Health System (Detroit, MI)
- …units. PRINCIPAL DUTIES AND RESPONSIBILITIES: 1. Under supervision of Director or Managed Care Contracting, works directly with Payors to negotiate contractual ... years in the healthcare industry in a professional capacity. Knowledge of managed care organizations and integrated health systems. Previous contracting,… more
- Jennie Stuart Health (Hopkinsville, KY)
- …credentialing and enrollment contact for all internal and external inquiries. Manages managed care contract , credentialing, and enrollment projects. *Manages ... Western Kentucky Healthcare System (WKHS). Develops, manages, and monitors the managed care contracting, credentialing, and provider enrollment processes. Works… more
- COPE Health Solutions (Riverside, CA)
- …(LVN) facilitates patient continuity of care with the ECM healthcare team and managed care plan. Under the clinical direction and oversight of the Primary ... job description nor any other communication creates an employment contract between the Company and the employee. Qualifications: Current...in one or more of the following settings:, Ambulatory Care Management Must have a valid driver's… more
- Blue Cross and Blue Shield of Minnesota (St. Paul, MN)
- …Analyst) Certification 5 years of RN or relevant clinical experience. 1+ years of managed care experience (eg case management , utilization management ... service at all points of contact (eg members, providers, contract accounts). Maintains confidentiality of member and case information... management or a related field. Experience in UM/CM/QA/ Managed Care . Knowledge of state and/or federal… more
- Accede Solutions, Inc. (Glendale, CA)
- …Experience: Bachelor's Degree in Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN) ... with a strong emphasis on Diversity, Equity, and Inclusion (DEI). We have managed and Implemented Talent Acquisition and Talent Management processes and had… more
- Lakeland Care, Inc. (Green Bay, WI)
- …with intellectual/developmental disabilities. The RN Care Manager does not provide hands-on care ; it provides care management and service coordination to ... on creating a world we all want to live in. With long-standing roots as a managed care organization (MCO), we provide long-term care services to eligible… more
- Molina Healthcare (Long Beach, CA)
- …contract system lead by developing and maintaining provider contracts in contract management software. *Supports network development throughout state to ... does not entail heavy negotiations. Minimal ongoing engagement after contract . Synchronizes data among multiple claims systems when applicable,... field including, but not limited to, provider's office, managed care , or other health care… more
- Molina Healthcare (Long Beach, CA)
- …limited to, provider's office, managed care organization, or other health care environment. *3+ years experience in provider contract negotiations in a ... in Value Based Relationship Contracts. *Develops and maintains provider contracts in contract management software. *Targets and recruits additional providers to… more
- Lakeland Care, Inc. (Green Bay, WI)
- …person-centered, outcome-based care . The part-time RN CM Float position provides nursing care management in partnership with a part-time Care Manager ... want to live in. With long-standing roots as a managed care organization (MCO), we provide long-term...long-term care services through public and private care management to eligible elders and individuals… more
- Cigna (Newton, MA)
- …in lieu of a bachelor's degree. MBA or MHA preferred. 3+ years Managed Care contracting and negotiating experience involving complex delivery systems and ... external relationships with provider partners. Intimate understanding and experience with hospital, managed care , and provider business models. Team player with… more
- Odyssey (Pittsburgh, PA)
- …key divisions: Intermodal, Freight Forwarding, Transport & Warehousing, and Managed Services. By integrating advanced analytics, strong carrier relationships, ... to evolving customer needs. As an American Chemistry Council Responsible Care (R) partner, Odyssey is committed to exceeding customer expectations while maintaining… more
- Sigma, Inc. (Pittsburgh, PA)
- …environment. Preferred Skills: Certified Case Manager (CCM) credential. Previous experience in Managed Care or Health Plans . Familiarity with preventive ... Job Title: Remote RN Case Manager - Contract (9464-1) | Pittsburgh, PA | Medicaid &...with complex, chronic, and acute health conditions-focusing on disease management , care coordination, and patient education.… more
- GRIFOLS, SA (Boston, MA)
- …countries and regions. Overview: The primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key products ... within the Bleeding Management product portfolio with a primary responsibility for the...and customer stakeholders to influence uptake for a new standard-of- care and product adoption in the treatment of their… more
- MJHS (New York, NY)
- …continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are ... of management and reporting. Qualifications: Bachelor's Degree or 2 years health care experience; managed care /sales experience is a plus. Valid Driver's… more
