- Sutter Health (Modesto, CA)
- …Retirement Income Security Act (ERISA) laws and regulations. + Working knowledge of health care contract terminology, provisions, and various reimbursement ... We pursue our mission by providing and promoting effective health care services and by fostering an...standards, contract negotiations and document management. Provides contract administration oversight for managed care provider… more
- Elevance Health (Los Angeles, CA)
- …2 years' experience with pharmaceutical products, including familiarity with pharmaceutical and health care terminology, contract terminology and service ... **Title** : Pharmacy Contract Consultant **Location** : Candidates must reside within...Woodland Hills, CA In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- St. Luke's Health System (Boise, ID)
- …Payer Relations & Contracting is a key leadership role accountable for St. Luke's Health System's managed care contract portfolio, to include activities ... stakeholders and the leadership team with regard to managed care contract capabilities, in alignment and advancement...of the overall strategic operational goals of St. Luke's Health System. **What You Can Expect:** + Complete all… more
- Sanford Health (IA)
- …Minimum five years of relevant experience required. A background or experience in health care reimbursement or contract negotiations preferred. **Benefits** ... **Careers With Purpose** **Sanford Health is one of the largest and fastest-growing...as assigned. Occasional travel required. **Qualifications** Bachelor's degree in health care , finance or a related field.… more
- AdventHealth (Maitland, FL)
- …Represents AdventHealth as lead negotiator for assigned top-tier and mid-level tier managed care health plans in facilitating contract negotiations with ... strategic alignment with contracted health plans. Seeks resolution to managed care issues by collecting and interpreting contract performance information (eg… more
- Mount Sinai Health System (New York, NY)
- …**Qualifications** 10 years minimum (higher preferred), sourcing products and services in a health care setting, with related contract negotiation skills and ... that drive project timing, service and savings objectives. 11.Maintains currency of health care value analysis trends and market developments. **About Us**… more
- Mount Sinai Health System (New York, NY)
- …Experience: 6 years minimum (higher preferred), sourcing products and services in a health care setting, with related contract negotiation skills and ... outcomes, with consideration of impact to departments and patients within the health care system. This individual negotiates with vendors, and leads the process… more
- Martin's Point Health Care (Brunswick, ME)
- …+ Provides care to patients in all Martin's Point Health Care facilities per most current contract agreements. + Document capability and continued ... Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and… more
- Elevance Health (Atlanta, GA)
- …50 miles of one of our Elevance Health PulsePoint locations. The **Provider Contract Cost of Care Consult Senior** is responsible for providing the highest ... **Provider Contract Cost of Care Consult Senior**...to management. + Uses analytic tools to: track both health risks and compliance, as well as supporting the… more
- Baystate Health (Springfield, MA)
- …risk-based agreements, and financial forecasting Under the direction of the Director of Managed Care , the Managed Care Contract Manager is responsible for ... costly care . Primary responsibilities of the Managed Care Contract Manager include performing contract...Excel, and PowerPoint **You Belong At Baystate** At Baystate Health we know that treating one another with dignity… more
- UNC Health Care (Raleigh, NC)
- …and the ability to apply this knowledge to improve and optimize health care delivery. Leads/participates in systems improvements. _4. Professionalism-_ Interacts ... care experience preferred. **Responsibilities:** _1. Clinical-_ Obtains relevant health and medical history, performs thorough physical assessment, reviews and… more
- Mount Sinai Health System (New York, NY)
- …advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific ... integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative… more
- Molina Healthcare (Long Beach, CA)
- …with established company guidelines with physicians, hospitals, and other health care providers. * Utilizes standardized contract templates and VBP/Pay for ... for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of members and patients in addition to identifying… more
- Baylor Scott & White Health (Dallas, TX)
- …level **QUALIFICATIONS** - EDUCATION - Bachelor's - EXPERIENCE - 5 Years of Experience As a health care system committed to improving the health of those we ... operating/net income by entity and line of business. **MANAGED CARE ANALYTICS & CONTRACT SPECIFIC RESPONSIBILITIES** +...benefits package includes the following + Immediate eligibility for health and welfare benefits + 401(k) savings plan with… more
- BayCare Health System (Clearwater, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **The Managed Care Contract Configuration Specialist:** + Maintains in depth knowledge ... **Shift Hours:** 8am-5pm Equal Opportunity Employer Veterans/Disabled **Position** Managed Care Contract Configuration Specialist **Location** Clearwater |… more
- MVP Health Care (Schenectady, NY)
- …Schenectady, New York, United States of America Req #2527 Monday, April 7, 2025 At MVP Health Care , we're on a mission to create a healthier future for everyone ... To achieve this, we're looking for an **Actuarial, Network Contract Analytics** to join **\#TeamMVP** . This is the...well-being + An opportunity to shape the future of health care by joining a team recognized… more
- Henry Ford Health System (Troy, MI)
- …a full suite of home health offerings, virtual care , pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and ... Manager, independently leads financial and data analysis to evaluate rate proposals, contract terms, and health plan reimbursement. This position will… more
- McLaren Health Care (Grand Blanc, MI)
- …support, management, and administration of contracts including preparing, analyzing contract requirements, special provisions, terms and conditions to ensure ... business team members for appropriate Statement of Work and manages contract change control process.** **Essential Functions and Responsibilities** **:** 1.… more
- Surgery Care Affiliates (Birmingham, AL)
- …across the US . T his position is a generalist role, with a focus on corporate , contract , and health care law as well as mergers and acquisitions. Primary ... Overview At SCA Health , we believe health care...changing environment + Exceptional drafting skills, with experience drafting contract language that is clear, concise and easily understood… more
- Henry Ford Health System (Troy, MI)
- …a full suite of home health offerings, virtual care , pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and ... to Director or Manager, assist in the development of Contract Strategy and work directly with Payors to lead...relations or provider reimbursement experience. + Knowledge of managed care organizations and integrated health systems. +… more
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