- Cigna (Newton, MA)
- …considered in lieu of a bachelor's degree. MBA or MHA preferred. 3+ years Managed Care contracting and negotiating experience involving complex delivery ... strong external relationships with provider partners. Intimate understanding and experience with hospital , managed care , and provider business models. Team… 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 ... development Serve as a strategic partner to Account Management, Payer Contracting , Payer Marketing, Finance, Legal, and Compliance by delivering analytics that… more
- Molina Healthcare (Long Beach, CA)
- …*Assists Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . *Identified as contract system lead by developing and ... Job Description Job Summary Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and... field including, but not limited to, provider's office, managed care , or other health care… more
- Ewings Associates (Baltimore, MD)
- …experience. Keywords: VP of Revenue Cycle Operations, Director of Revenue Cycle, Managed Care Contract Analyst, Healthcare Financial Analyst, Provider Network ... Care , Reimbursement Modeling, Claims Data Analyst, Contract Negotiation, DRG/APC Modeling, Population Health Analytics, Payer Contracting , Alternative Payment… more
- Optum NV (Las Vegas, NV)
- …5 STAR; disease-based metrics) in driving/achieving quality outcomes Working knowledge of managed care , and value based medicine Understanding of patient ... (RAF) Preferred Qualifications: 2+ years Quality Management experience Experience within managed care Working with senior leadership team to strategize… more
- Suzanne Snell Human Resources and Recruiting Solutions (Newport Beach, CA)
- …verification is required Minimum of 2 years of experience in healthcare or a managed care setting Knowledge of HEDIS, STARS/Quality Measures and RAF/AV Programs ... Independent Physician Association serving Los Angeles and San Bernardino Counties, contracting directly with Health Plans to provide both inpatient and outpatient… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director, Managed Care Payer Contracting Date: Jul 22, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals ... the next generation of pharmaceutical access in a high-growth environment.** The Associate Director, Managed Care Payer Contracting plays a pivotal role in… 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 ... developing, managing, and leading the day-to-day activities associated with managed care contracting for both...or closely related field + 10 years' experience of hospital contracting or payer contracting … more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Managed Care Contracting position is responsible for the development, negotiation, maintenance and payer relations of the ... + Knowledge of acute care contracts, financial modeling techniques and managed care contracting , contract pricing, language requirements, rates and… 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 Id: ... 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
- RWJBarnabas Health (Jersey City, NJ)
- …on business and clinical operations, nursing, social work, hospital networks and managed care contracting + Works collaboratively with local executive ... processes. + Maintains a thorough understanding of clinical reimbursement and managed care issues specific to an oncology service line. Identifies opportunities… more
- The Cigna Group (Richmond, VA)
- …strong external relationships with provider partners. + Intimate understanding and experience with hospital , managed care , and provider business models. + ... Washington, DC or the Baltimore, MD area.** This **Manager, Hospital Contracting ** serves as an integral member...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- Mount Sinai Health System (New York, NY)
- … contracting , finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is responsible for ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
- Cedars-Sinai (Los Angeles, CA)
- …related field Work Experience: + **Minimum of 10 years of progressive experience** in managed care contracting at the management or supervisory level, within ... a large, diverse health system, with specific experience in ** hospital and physician contracting ** . Must have...Managed Care and Payor Relations Director, Managed Care - #1 Hospital … more
- Parkview North Hospital (Fort Wayne, IN)
- …field. MBA/MHA a plus. Experience: Minimum of five to seven years experience in managed care , plus value-based care or clinical integration arena with ... and leads a variety of duties associated with payor contracting analytics. Acts as the senior lead analyst mentoring...constant improvement in knowledge of trends in value based managed care . Demonstrated proficiency with software programs… more
- Albany Medical Center (Albany, NY)
- …and payer relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting , as well as the provision and ... all federal, state, and local regulations for governing payer contracting , stays informed of the health care ...complex health care setting that included payer contracting - preferred + Hospital , physician group… more
- Blue KC (Kansas City, MO)
- …+ 3 years of experience in a supervisory or lead capacity + Previous managed care network contracting experience associated with commercial or Government ... Office applications such as Word, Excel, Access, and PowerPoint + Extensive knowledge of managed care processes and contracting + Extensive knowledge of… more
- RWJBarnabas Health (New Brunswick, NJ)
- …on business and clinical operations, nursing, social work, pharmacy, hospital networks and managed care and contracting , + Serves as a key member of ... services. The AVP, Nursing provides executive leadership throughout the Children's Hospital , focusing on high-quality, patient-centered, and equitable care while… 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
- Scripps Health (San Diego, CA)
- …fee-for-service, partial risk, and full global risk HMO, PPO, and Ancillary services managed care agreements with health plans on behalf of Scripps Health's ... actively engage in the analysis, management, accounting, and budgeting of all managed care agreements. Establish effective lines of communication between Payer… more
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