- Children's Hospital Los Angeles (Los Angeles, CA)
- …Statement/Position Summary:** This position is responsible for directing and coordinating the managed care policies, goals, and objectives related to contract ... the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care...in working with Physician Organizations in the market regarding managed care contracts, strategies for improving market… more
- Commonwealth Care Alliance (Boston, MA)
- …experience in provider relations, network management, or healthcare operations within a managed care organization, health plan, or integrated delivery system. - ... performance-based contracting , or population health initiatives. - Prior work with hospital systems, large medical groups, and specialty care networks. -… more
- Stanford Health Care (Palo Alto, CA)
- …+ Knowledge of accounting, healthcare reimbursement, financial forecasting, operations analysis, managed care contracting , capitation management, general ... of expected and actual revenue and contractual allowances for all payors including managed care , Medicare, Medi-Cal, commercial, and self pay payors. Oversee the… more
- Commonwealth Care Alliance (Boston, MA)
- …changes, ever-rising costs, and a lack of capacity and access to quality care . These challenging circumstances have emphasized the need for innovative care ... millions of people do not have access to proper care and visit Emergency Departments because they have no...and avoidable visits to Emergency Departments and the inpatient hospital admissions that often follow, by offering quality urgent… more
- Commonwealth Care Alliance (Boston, MA)
- …Strong claims experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/Medicaid) + Experience in health plan ... responsible for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, … more
- Mom's Meals (Ankeny, IA)
- …years' healthcare sales experience in areas such as managed care , long-term care , home health, home care , hospital or medical equipment + Knowledge ... channel growth through continued development of relationships at Medicare Advantage (MA) Managed Care Plans. The position will concentrate on expanding knowledge… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting * **Location:** *Connecticut-Hartford-100 Pearl ... Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital ...Minimum: BA/BS degree . Preferred: BA/BS degree in Health Care , MIS, Finance, Statistics or Mathematics *Experience* . Minimum:… 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
- Children's Hospital Boston (Boston, MA)
- …+ Minimum of 10 years of progressive leadership experience in healthcare finance, managed care contracting , payer negotiations, or enterprise pricing within ... is a strategic leader responsible for advancing Boston Children's Hospital 's enterprise-wide approach to payer contracting , pricing... Contracting & Market Strategy + Lead all managed care and payer negotiations (commercial, Medicaid,… more
- The Cigna Group (Hartford, CT)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... **WORK LOCATION: Hartford, CT** The **Provider/ Hospital Contracting Manager** serves as an...with provider partners. + Intimate understanding and experience with hospital , managed care , and provider… more
- The Cigna Group (Scottsdale, AZ)
- …strong external relationships with provider partners. + Intimate understanding and experience with hospital , managed care , and provider business models. + ... **WORK LOCATION: Scottsdale, AZ** **Director Hospital / Provider Network Management Contracting **...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- The Cigna Group (Oakland, CA)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... Pleasant Hill, CA areas are preferred** The **Manager, Provider Contracting Network Management** serves as an integral member of...with provider partners. + Intimate understanding and experience with hospital , managed care , and provider… more
- WellSpan Health (York, PA)
- …including new hospital additions as applicable, in accordance with System Care Contracting Team. Includes all traditional medical components ( hospital , ... market information regarding market payment rates and methods for various types of managed care payors: including Medicare, Medical Assistance, & Commercial … more
- Mount Sinai Health System (New York, NY)
- …transformation + Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the ... 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
- 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
- Humana (Tallahassee, FL)
- …management, with a specific emphasis on advanced contracting for Primary Care Providers, Physician Groups, or Managed Service Organizations (MSOs) within the ... healthcare sector. + Demonstrated expertise in negotiating Value-Based and managed care agreements with large physician organizations, particularly in support of… more
- The Cigna Group (Los Angeles, CA)
- …will be considered in lieu of a bachelor's degree.** + **3+ years of Managed Care contracting and negotiating experience involving complex delivery systems ... in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management** serves as an integral member of...with provider partners. + Intimate understanding and experience with hospital , managed care , and provider… more
- Humana (Carson City, NV)
- …Office applications **Role Desirables** + Master's Degree + Experienced in negotiating managed care contracts with large physician groups, ancillary providers ... and hospital systems + Experience with ACO/Risk Contracting ...serve to achieve their best health - delivering the care and service they need, when they need it.… 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
- Humana (St. Paul, MN)
- …degree + 5 or more years of progressive network management experience including hospital contracting and network administration in a healthcare company + ... and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital...Experienced in negotiating managed care contracts with large physician groups,… more
