- 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 ID** : ... Dept / DHS Manager + **Division/Unit** : Health Care Administration / Managed Care Contracting and Rates + **Work Shift/Work Hours** : Day Shift /… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting * **Location:** *Connecticut-Hartford-100 Pearl ... of Payer Contract Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary. Reviews and monitors… more
- Prime Healthcare (Aurora, IL)
- …various forms of risk contracting . Negotiates and administers contracts with managed care payers. Responsible for planning, evaluating, and implementing the ... https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/230960/regional-vice-president%2c- managed - care - contracting… more
- Beth Israel Lahey Health (Wakefield, MA)
- …the 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
- 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 ... all federal, state, and local regulations for governing payer contracting , stays informed of the health care ...payer contracting , stays informed of the health care regulatory environment to mitigate risks. + Engages staff… 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, healthcare finance, or… more
- Mount Sinai Health System (New York, NY)
- …transformation + Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- The Cigna Group (Hartford, CT)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... **WORK LOCATION: Hartford, CT** The **Provider/Hospital Contracting Manager** serves as an integral member of...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- The Cigna Group (Los Angeles, CA)
- …will be considered in lieu of a bachelor's degree.** + **3+ years of Managed Care contracting and negotiating experience involving complex delivery systems ... relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… more
- The Cigna Group (Oakland, CA)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… more
- IQVIA (New Providence, NJ)
- …technical workstreams (eg, Medicaid, Master Data Management, Chargebacks, Government Pricing, Testing, Managed Care Contracting , Commercial Contracting , ... * Master Data Management * Chargebacks * Government Pricing * Testing * Managed Care Contracting * Commercial Contracting * Integration Development *… more
- Point32Health (NH)
- …responsible management experience in a complex healthcare setting. Experience in managed care contracting and experience working collaboratively ... and lead teams to achieve goals. + Strong working knowledge of managed care /risk contracting payment methodologies. + Savvy negotiator with experience in… more
- Mount Sinai Health System (New York, NY)
- … contracting , finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is responsible for ... related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts on:… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting , Reimbursement, or related ... + Five to seven (5-7) years of experience in healthcare finance, managed care contracting , or reimbursement in a professional capacity including experience… more
- Centene Corporation (Carson City, NV)
- …years of contracting experience or provider relations in a healthcare and/or managed care environment. Knowledge of contracting language and the ... principles of negotiation. Familiarity with managed care , State and/or Federal health ...health care programs. Preferred Experience: Value Based Care contracting experience is ideal. **License/Certification:** Current… more
- Cardinal Health (Hartford, CT)
- …-National Accounts is responsible for regional retail (chain) pharmacy accounts from a managed care contracting perspective. The primary purpose of this ... relationships with national account (regional retail chain pharmacy) customers regarding managed care contracting + Take ownership of customer issues and… more
- HCA Healthcare (Brentwood, TN)
- …gross/net revenue, and managed care payors. + Working knowledge of managed care contracting and modeling preferred. + Experience working with claim ... responsible for the What-if modeling of the more advanced managed care contracts and performance of advanced...performance of advanced ad hoc analyses partnering with Payer Contracting & Alignment in creating payer contracts to ensure… more
- Genentech (South San Francisco, CA)
- …partnership, and on GNE's ability to compete effectively. This work requires considerable managed care and contracting expertise, deep subject matter ... be responsible for leading the development of access and contracting strategy recommendations across Genentech's portfolio of products for...Genentech's portfolio of products for key customers within a managed care segment, as well as leading… more
- Novant Health (Charlotte, NC)
- …years knowledge of healthcare payor contracts and policies, required. + Experience in managed care contracting or payor operations, preferred. + Proficiency ... finance or healthcare related field + Experience: + Three years experience in managed care and payor contracting or related healthcare experience will be… more
- Henry Ford Health System (Detroit, MI)
- …effective communication and cooperation. Routinely collaborates with corporate departments including Managed Care Contracting / Revenue Cycle. . Collaborates ... or clinically integrated network setting. . Strong understanding of managed care contracting language, value-based terms, and regulatory requirements.… more