- 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
- CSI Pharmacy (Nash, TX)
- …for both payors and providers Responsible for all aspects of managed care and direct revenue contract management including analysis interpretation, ... information Manages the tracking, approval, administration, and post-implementation process of all managed care contracts throughout contract life cycle… more
- iCare Health Solutions Enterprise (Miami, FL)
- …Contract Utility, supporting both traditional fee-for-service (FFS) reimbursement and managed care models, including capitated, global payment, and ... to ensure seamless implementation of negotiated agreements Act as the liaison between Managed Care , Revenue Cycle, IT, and Clinical Operations for contract… more
- CommuniCare Family of Companies (Cincinnati, OH)
- CommuniCare Health Services is currently recruiting a Corporate Accounts Receivable / Managed Care Support Specialist. PURPOSE / BELIEF STATEMENT The A/R ... Managed Care Support Specialist will assist in...the functions of accounts receivables escalation and resolution, denials management , payment variance, and contract modeling. Responsibilities… 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
- St. Luke's University Health Network (Allentown, PA)
- …and ensuring active governance across the vendor pool Deliver a structured managed contract process from determining needs, assisting in vendor selection, ... which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses...Formalize, centralize, implement, document, train, and maintain an IT Contract Management System Quantify value of department… more
- Vertex Pharmaceuticals (Boston, MA)
- …discuss and incorporate contracting strategies and tactics, and understand the various types of managed care contracting. This is a highly visible role that will ... Job Description Reporting to the Director, Contract Operations, this role is responsible for the...including but not limited to specialty pharmacy, provider and managed care payors is required (health plans,… more
- PIH Health (Whittier, CA)
- …for training employees to perform accurate and timely follow up of Commercial and Senior Managed care claims and all payer mix through resolution. Serves as a ... resource on PM computer systems and Contract specific regulations. Assists with follow up, assists with...credit balances, and correspondence from various Medi-Cal and or Managed Care HMO Plans. Review of Medi-Cal… more
- MCI Careers (Wichita, KS)
- …(CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and ... issues as applicable Utilize systems and technology to complete account management tasks Accurately document and process customer orders in appropriate systems… more
- UPMC Senior Communities (Pittsburgh, PA)
- …analyze complex situations accurately and in a timely manner. General knowledge of managed care functions and management techniques preferred. Licensure, ... UPMC Community Care Behavioral Health is hiring a full-time Contract Specialist II. This role will predominantly work remotely but may require occasional… more
- McKesson Corporation (Irving, TX)
- …on solutions - including supply management technology, world-class marketing programs, managed care and repackaging products and services - that help them ... for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on...tomorrow's health today, we want to hear from you. Contract Admin Senior Contract Specialist (P3) Job… more
- Elevance Health (Fayetteville, NC)
- Anticipated End Date: 2025-08-22 Position Title: Manager I Care Management Team (DSS Region 6) Healthy Blue Care Together CFSP6) Job Description: ... services and supports, Unmet health-related resource needs, and Integrated care management . We envision a North Carolina...coordination, discharge planning or behavioral health experience in a managed care setting preferred. We are unable… more
- Compass Group (Fort Washington, PA)
- …include inventory, ordering and receiving + Knowledge of P&L accountability and contract - managed service experience is desirable + Proficient in menu ... working knowledge of HACCP + Three years of culinary management experience in contract foodservice, fine dining...exposition cooking needed + Knowledge of P&L accountability and contract - managed service experience is desirable + ServSafe… more
- Optum (San Juan, PR)
- …of Medicaid/Medicare Reimbursement methodologies Working knowledge of the healthcare insurance/ managed care industry Working knowledge of medical terminology ... Optum is a global organization that delivers care , aided by technology to help millions of...to state and federal compliance policies, reimbursement policies, and contract compliance Use pertinent data and facts to identify… more
- Pyramid Consulting, Inc. (Wolfforth, TX)
- …in a clinical, acute care , or community setting and 1+ years of case management experience in a managed care setting. Knowledge of utilization ... Care Manager (RN) . This is a 06+months contract opportunity with long-term potential and is located in...management principles and healthcare managed care . Experience with medical decision support… more
- Ivy Rehab Network (White Plains, NY)
- … contract negotiations with commercial payers, Medicare Advantage plans, Medicaid managed care organizations, and other third-party payers Analyze market ... including supporting reimbursement agendas at the state and national level Contract Management and Negotiation Oversee negotiation, execution, and ongoing… more
- BCforward (Tampa, FL)
- …9:00 am - 6:00 pm EST Pay rate: $25.00/hr on W2 Position Purpose: The Care Coordinator II supports care management teams by facilitating continuity of ... and regulatory requirements. Identify member needs and refer to Care Managers, community organizations, or Disease Management ...GED Experience: Minimum 1-2 years in a healthcare or managed care setting Preferred: Previous remote work… more
- Compass Group (Fort Washington, PA)
- …to include inventory, ordering and receiving Knowledge of P&L accountability and contract - managed service experience is desirable Proficient in menu development, ... Qualifications: Must have a working knowledge of HACCP Three years of culinary management experience in contract foodservice, fine dining setting, or restaurant… more
- Lakeland Care, Inc. (Fond Du Lac, WI)
- …elderly, adults with physical disabilities, and adults with intellectual/developmental disabilities. The Care Manager provides care management and service ... 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
- Compass Group (New York, NY)
- …sanitation, food cost controls, and presentation Previous P&L accountability or contract - managed service experience is desirable Strong supervisory, leadership, ... operation of Food & Nutrition Services in an Acute Care Hospital. The Traveling Associate Director of Food and...to ensure client, customer satisfaction and efficient cost effective management . You will direct and conduct safety, sanitation, and… more
