- Cigna (Fort Lauderdale, FL)
- …considered in lieu of a bachelor's degree. MBA or MHA preferred. 3+ years Managed Care contracting and negotiating experience involving complex delivery ... office or visit Providers 3 days per week The Manager , Provider Contracting Network Management serves as...with provider partners. Intimate understanding and experience with hospital, managed care , and provider business models. Team… more
- Mount Sinai Hospital (New York, NY)
- …as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other institutional departments to ensure ... Job Description The Nursing Clinical Manager (NCM) for Case Management is responsible for...supports the mission of efficient and clinically appropriate patient care . 4. Demonstrates integral involvement in the Nursing Department… more
- Sheppard Pratt (Amesbury, MA)
- …role regarding new and/or revised procedures and programs. Works with staff of the Managed Care Contracting office in response to requests for information, ... patients admitted to the Hospital for Inpatient and Day Hospital levels of care . Trains or ensures the proper training of newly hired Utilization Review… more
- APLA Health (Los Angeles, CA)
- …with emergency management and preparedness plans and tasks. Assist with grant-funded and managed care organization facility and medical record audits. Promote a ... and performance improvement eClinicalWorks or similar electronic health record system Managed care eligibility and authorization process Public health outcome… more
- PacificSource (Springfield, OR)
- …and health plans, the Oregon Health Plan, Coordinated Care Organizations, and managed care provider or subcontractor contracting . NEMT brokerage and ... Care Organizations (CCOs). In collaboration with Provider Network Contracting Team, provide support as needed with NEMT brokerage...Minimum five (5) years of experience in the health care , managed care , or the… more
- Curtiss-Wright (Portland, OR)
- Navy/USMC Senior Sales Manager The Navy/USMC Senior Sales Manager ...Remote acceptable (Not NY, CA, MN, NJ) We Take Care of Our People: Paid Time Off I 401K ... and manages other Navy/USMC account managers. Additionally, the Navy/USMC Senior Sales Manager works closely and provides guidance to program managers to support the… more
- Trinity Health (Livonia, MI)
- …operational initiatives including new services/programs, revenue enhancement, expense reduction, managed care utilization systems, and strategies. Responsible ... people, processes and / or programs that support direct or indirect patient care . The Pharmacy Manager - Operations promotes and advocates for patients,… more
- Vertex Pharmaceuticals (Boston, MA)
- …and incorporate contracting strategies and tactics, and understand the various types of managed care contracting . This is a highly visible role that will ... biopharmaceutical industry, including but not limited to specialty pharmacy, provider and managed care payors is required (health plans, pharmacy benefit… more
- Omnicell, Inc. (Pittsburgh, PA)
- Job Description Federal RFP & Proposal Manager Position Overview: We're looking for a highly skilled and strategic Federal RFP & Proposal Manager to lead and ... GSA eMod, etc.). Cross Train: Collaborative cross-training with commercial RFP Manager ensuring knowledge gap is closed, securing contracts consistency, partnerships… more
- Alphanumeric Systems (Marietta, PA)
- Alphanumeric is hiring a Project Manager (EHS Construction) to work in Marietta, PA with our client of 20 years committed to improving lives through medical and ... the project, Project schedule, and key personnel. Provide input to the Contracting and Procurement Strategy. Lead the constructability reviews which should take… more
- The Travelers Indemnity Company (Hartford, CT)
- Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... Team aims to enhance internal Travelers processes. As the Strategic Sourcing Manager , you will be responsible for the strategic sourcing, negotiation, program and… more
- Kitsap County, WA (Port Orchard, WA)
- …our community's infrastructure for decades to come. As the Construction Manager for Capital Facilities Division, you will: Lead high-impact infrastructure projects ... Knowledge of engineering and construction industry standards Knowledge of contracting methods and procedures Knowledge of construction inspection techniques and… more
- Tommy Car Wash Systems (Holland, MI)
- Corporate Construction Manager Tommy's is looking for a Corporate Construction Manager to help manage all aspects of construction for our Tommy's Express car ... individual to help us manage and grow a new corporate general contracting opportunity. This new opportunity will seek to vertically integrate our company… more
- Hackensack Meridian Health (Hackensack, NJ)
- …& levels of appeal iv. Root cause analysis & trends v. Participation in Managed Care Contracting & distribution of contract terms where appropriate ... hospital reimbursement, clinical compliance, case management, and transitions of care , as outlined in the responsibilities below. Responsibilities Essential Job… more
- Regal Medical Group, Inc. (San Bernardino, CA)
- …1 year of processing referrals and authorizations experience Knowledge of Healthcare and Managed Care Knowledge of NCQA, CMS, HSAG, and health plan requirements ... Case Manager , Prior Authorization LVN will review for appropriate care and setting, and following guidelines/policies, will approve services when indicated. If… more
- e CancerCare (Nashville, TN)
- …(ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review, ... Job Purpose: Manager of Payor Contracting is responsible...compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
- Cardinal Health (Atlanta, GA)
- …(ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review, ... between payer and provider(s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing,...any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …care sites and clinicians are recognized for clinical and operational excellence. **DIRECTOR MANAGED CARE CONTRACTING - LARGE ACCOUNTS** **| REMOTE** This ... position is responsible for developing, managing, and leading the day-to-day activities associated with managed care contracting for both fee for service and… more
- Intermountain Health (Broomfield, CO)
- … Care + Risk-based Contracting + Relationship Management + Managed Care + Legal Practices + Leadership **Qualifications** **Required** + Experience ... **Job Description:** The Payer Contracting Sr Manager is responsible for...and Revenue Cycle leadership for the implementation of risk-based contracting , and proactive care , strategies and initiatives.… more
- Ascendis Pharma (Princeton, NJ)
- …Requirements Key Responsibilities: Rebate Management . Administer and oversee government, managed care , and commercial rebate programs. . Collaborate with ... compliance with regulatory and contractual rebate requirements. . Collect and analyze managed care data for rebate payments, pricing, and financial planning.… more
