- Teva Pharmaceuticals (Parsippany, NJ)
- …a difference, and new people to make a difference with. The opportunity The Associate Director , Managed Care Payer Analytics is responsible for leading ... evaluation, contract development and performance monitoring across commercial and government payer channels for assigned National accounts. This individual plays a… more
- iCare Health Solutions Enterprise (Miami, FL)
- …cycle, or payer relations Expert knowledge of both fee-for-service and managed care reimbursement models, with direct experience managing capitated contracts ... NextGen Contract Utility, supporting both traditional fee-for-service (FFS) reimbursement and managed care models, including capitated, global payment, and… more
- CSI Pharmacy (Nash, TX)
- Job Title CSI Director of Managed Care (S) Location Remote/Nationwide, USA Additional Location(s) Employee Type Employee Working Hours Per Week 40 Job ... Description Leads the implementation process of managed care contracts and develops and maintain...payer relations Responsible for coordination and communication between managed care and other interested party departments… more
- Merck & Co. (Rahway, NJ)
- …meta-analyses, and economic modelling. Key responsibilities also include development of American Managed Care Pharmacy (AMCP) dossiers for US payers, and Global ... and standards, including Good Pharmacoepidemiology Practice (GPP) for applicable work.-Develops American Managed Care Pharmacy (AMCP) dossiers for US payers, and… more
- Merck & Co. (North Wales, PA)
- …meta-analyses, and economic modelling. Key responsibilities also include development of American Managed Care Pharmacy (AMCP) dossiers for US payers and Global ... and standards, including Good Pharmacoepidemiology Practice (GPP) for applicable work.Develops American Managed Care Pharmacy (AMCP) dossiers for US payers and… more
- Cascadia Search Group (San Francisco, CA)
- … Payer accounts while building a strong corporate presence with key managed care and formulary decision-makers and other appropriate stakeholders. This ... Regional Account Director - West The Regional Account Director...and presentation skills Proven record of success in managing managed care accounts in assigned geography Ability… 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...including but not limited to specialty pharmacy, provider and managed care payors is required (health plans,… more
- CVS Health (Chicago, IL)
- …for their patients and their colleagues. Experience with managed care and/or value-based practice and familiarity with payer -provider collaboration. ... with medical directors, and implementing initiatives to improve quality outcomes. Providing managed care perspective to medical directors as they lead their… more
- Baptist Memorial Health Care Corporation (Memphis, TN)
- …Confirm regulatory requirements are met Patient Experience metrics if applicable Works with Managed Care to optimize and improve reimbursement rates and initiate ... expansion on operational and service opportunities, accessibility, high value care , and strong financial performance. Integrates operational processes, systems, and… more
- Community Health Systems (Bullhead City, AZ)
- …efficient service delivery, regulatory compliance, and financial sustainability across all managed practices. The Director collaborates with physicians, hospital ... Job Description Job Summary The Director , Practice Management is responsible for the operational,...and business performance while maintaining a focus on quality care , patient access, and strategic growth. Essential Functions Provides… more
- University of Southern California (Los Angeles, CA)
- …and documents avoidable delays in the M drive. *Maintains awareness of current managed care contract requirements. *Participates in appeal process. *Performs and ... In collaboration with the interdisciplinary team, provides care coordination services evaluating options and services required to meet an individual's health care… more
- Regency Integrated Health Services (Austin, TX)
- …the most appropriate assessment reference date (ARD) is utilized for Medicare/ Managed Care Assessments. Tracks Skilled (MRA/MCO/MCG/MMP) customers utilizing Case ... Management Tools to determine continued and appropriate Medicare/ Managed Care eligibility and benefit period through regular communications with Regional Care… more
- ArchWell Health (Las Vegas, NV)
- …oversight Experience managing and overseeing aP&L is highly desired Prior experience with managed care operations highly preferred A passion for mentorship and ... devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home… more
- Kaiser Permanente (Atlanta, GA)
- …work load. Functional knowledge of computers. Experience with managed health care delivery including Medicare. Experience in a payer environment highly ... working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and quality… more
- Mt. Washington Pediatric Hospital (Upper Marlboro, MD)
- …Knowledge of third party payer systems including Medicaid and Managed Care Organizations Detail oriented Ability to multi-task Excellent communication ... to do this job REPORTING RELATIONSHIPS Supervision Received Reports to the Director of Care Management/Social Work/Admissions. The LMSW also receives clinical… more
- Hartford HealthCare at Home (Farmington, CT)
- …etc. *Oversees charging related payor policies changes in collaboration with the Managed Care Department. Includes the tracking and implementation of any ... including department leaders in compliance with state, federal, and other third-party payer guidelines. Charge accuracy claim edit, and denial accuracy and claim… more
- Summit BHC (Fort Wayne, IN)
- …years' experience in senior leadership or CEO role in a behavioral health, acute care , and/or managed care environment. Ability to lead successful licensure, ... plan in conjunction with routine operations to include quality of care , staff development, maintenance of licensure and accreditations, financial performance, and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director , Managed Care Payer Contracting Date: Jul 22, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva ... the next generation of pharmaceutical access in a high-growth environment.** The Associate Director , Managed Care Payer Contracting plays a pivotal role… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director , Managed Care Payer Analytics (V&A) Date: Jul 3, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva ... and new people to make a difference with. **The opportunity** The Associate Director , Managed Care Payer Analytics is responsible for leading the… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director , Managed Care Payer Contracting (V&A) Date: Jul 3, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job ... a difference, and new people to make a difference with. **The opportunity** The Director , Managed Care Payer Contracting is a key leadership role within… more
