- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- Saint Francis Health System (Tulsa, OK)
- …managing multiple priorities with competing deadlines. Essential Functions and Responsibilities: Oversees managed care contract negotiations with payors for ... - Friday | 8:00am - 5:00pm Job Summary: The Manager , Managed Care oversees the...internal business partners, this role manages the rate and contract negotiations, and the full contracting process including but… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Responsible for seeking contract opportunities, reviewing contract language and terms, conducting data analysis on financial terms, negotiating ... regarding payment issues with all contracted payors. Manages the contract review process for RCSSD 3rd party contracts, contracts...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the ... physicians of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract… more
- Cedars-Sinai (Los Angeles, CA)
- …people throughout Los Angeles and beyond. **Req ID** : 10223 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting all facets of...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- Cardinal Health (Carson City, NV)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for reviewing, auditing...contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …other projects, work, and activities as assigned by the Pharmacy Director Qualifications: + Managed Care experience preferred, but not required + Part D Coverage ... and coding to be submitted to the Pharmacy Benefit Manager , New Contract Year formulary evaluation, and...of, or currently enrolled in, residency program (PGY1) in managed care pharmacy, or pharmacy practice. +… more
- AdventHealth (Maitland, FL)
- …**Responsible for ensuring the providers are loaded timely and accurately with Managed Care contracted payers. Responsible for evaluating professional fee ... the Physician Enterprise (PE) and works closely with practice office operations staff, Managed Care (MC) contracting, MC Credentialing and Enrollment and billing… more
- Atrius Health (Newton, MA)
- …welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Senior Managed Care Analyst* **Location:** *Newton MA - ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review ... * Identify and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). *… more
- AdventHealth (Maitland, FL)
- …adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... for the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred ...contract data elements which are populated into the Managed Care database including addition of new… more
- US Tech Solutions (Columbia, SC)
- …+ Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, etc.). ... **Job Description:** + Hours/Schedule - Monday-Friday, 8:30AM - 5:00PM + Contract to hire - no timeframe on when that will happen. + Will be required to be onsite… more
- AdventHealth (Maitland, FL)
- …department leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the ... Enterprise leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues. . Ensures key stakeholders… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play a critical… more
- Pfizer (Tampa, FL)
- **ROLE SUMMARY** The Contract Manager supports Pfizer by executing against contract strategies for the customer base which includes but is not limited to the ... to support Pfizer Business Unit Sales and Portfolio strategies.The Contract Manager will be accountable for having...channel from wholesaler to pharmacy to institutions and through managed care pharmaceutical benefit. + Able to… more
- Weyerhaeuser (Seattle, WA)
- …team./ **Job:** **Procurement, Logistics, & Transportation* **Title:** *National Sourcing & Contract Manager * **Location:** *WA-Seattle* **Requisition ID:** ... leader who has a passion for category management, sourcing suppliers, contract negotiations, implementing and analyzing metrics, managing supplier partnerships on a… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Under minimal supervision, the Network Contract Manager oversees the tracking and management of value-based contracts within the Clinically ... effective communication and cooperation. Routinely collaborates with corporate departments including Managed Care Contracting/ Revenue Cycle. . Collaborates with… more
- Sutter Health (Modesto, CA)
- …contract negotiations and document management. Provides contract administration oversight for managed care provider network. The manager 's role in the ... contract terminology, provisions, and various reimbursement methodologies including managed care risk contracting + Ability to systematically analyze… 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, ... regardless of a patient's ability to pay for health care . The IT Vendor and Contracts Manager ...attainment, reporting and governance. At an operational level, the Manager directs contract consultations and negotiations, including… more
- FlexStaff (Flushing, NY)
- …diagnostic & treatment clinic preferred. - Customer Service experience is required. - Managed long-term care insurance experience beneficial. - Minimum of one ... of excellence with advance professional education to deliver high-quality care . Serve the organization as a member of the...the Virtual IDT as needed. - Serve as a manager on call during non-operational hours of the physical… more
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