- Central Maine Medical Center (Lewiston, ME)
- …regulatory requirements are documented (ie Pricing Transparency, CMS regulations, Managed Care contract terms) Management Reporting and Monitoring + ... Healthcare our team members are committed to providing exceptional care and experiences for our community and for each...of all functional areas of the revenue cycle, including contract and denial management , CDM and charge… more
- Community Health Systems (Franklin, TN)
- …(Remote) oversees a team responsible for coding, testing, and maintaining managed care contracts within the contract management system. This role ensures ... members to meet departmental and corporate objectives. + Manages contract implementation in the contract management...rate changes. + Ensures accurate interpretation and programming of managed care contract language to… more
- e CancerCare (Nashville, TN)
- …data to provide in reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance, along with ... role includes loading and maintaining reimbursement rates in ION contract management system. Additional responsibilities include collaborating...skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating… more
- Beth Israel Lahey Health (Charlestown, MA)
- …a job, you're making a difference in people's lives.** **Job Description:** The Senior Managed Care Contract Analyst reports directly to the Executive ... but not limited to:** 1) Designs & performs analyses and reporting in support of managed care contract negotiations including but not limited to Hospital… more
- Nuvance Health (Norwalk, CT)
- …effort to maximize reimbursement. Reviews and edits Managed Care Contract Language relating to Utilization Management Issues. Ensures severity of illness ... and/or programs. Interfaces and coordinates services with Admission, Finance, Managed Care , Medical Records, Home Care... Managed Care , Medical Records, Home Care , Rehabilitative and Risk Management . Ensures provisions… more
- University of Miami (Medley, FL)
- … Care /Business development areas and functions, including Managed Care Strategic Planning, Contracting and Negotiations Management , Operations and ... in managed care . + Leads and manages care staff, including network contracting, contract implementation/operations, non-participation agreements,… more
- Houston Methodist (Houston, TX)
- …of individual payer contract performance. + Ensures the dissemination of managed care financial information to internal finance departments and partners to ... At Houston Methodist, the Vice President Managed Care position is responsible for...in the organization and has responsibilities which include providing management and oversight of multiple areas and entities, as… more
- CommonSpirit Health (Chicago, IL)
- …with senior management , physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract modeling strategy and consolidation ... analysis. + Monitor contract financial performance. + Analyze and publish managed care performance statements and determine profitability. + Review and… more
- Alameda Health System (Oakland, CA)
- …regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case Management functions. + Works closely with ... Director, Inpatient System Care Management + Oakland, CA + Highland General Hospital + SYS Care Coordination + Full Time - Varies + Management + Req… more
- Bristol Myers Squibb (Tampa, FL)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as all aspects with evaluating implications of and reporting Managed Care data required for US and...of contingent/portfolio agreements, legal requests, SOX compliance, deal analytics, contract performance analytics and ad hoc data analytics +… more
- Bristol Myers Squibb (Princeton, NJ)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as all aspects with evaluating implications of and reporting Managed Care data required for US and...of contingent/portfolio agreements, legal requests, SOX compliance, deal analytics, contract performance analytics and ad hoc data analytics +… 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 modeling, rate development...internal business partners, this role manages the rate and contract negotiations, and the full contracting process including but… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director, Managed Care Payer Contracting (V&A) Date: Jun 4, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals ... generation of pharmaceutical access in a high-growth environment.** The Associate Director, Managed Care Payer Contracting plays a pivotal role in supporting… 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
- AdventHealth (Maitland, FL)
- … managed care , patient financial services, healthcare reimbursement, accounting and contract management . . 5 years of management experience required. ... role you'll contribute:** This position will be responsible for execution of the managed care payor dispute resolution processes for all AdventHealth providers… more
- Cardinal Health (Carson City, NV)
- …policy compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy and aligns negotiation ... **_What Managed Care contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a medical… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director, Managed Care Payer Analytics (V&A) Date: Jun 4, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job ... new people to make a difference with. **The opportunity** The Associate Director, Managed Care Payer Analytics is responsible for leading the analytical strategy… more
- Cedars-Sinai (Beverly Hills, CA)
- …implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and ... metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for compliance and financial performance, identifying… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director, Managed Care Payer Contracting (V&A) Date: Jun 4, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: ... to make a difference with. **The opportunity** The Director, Managed Care Payer Contracting is a key...to current laws, regulations, and accreditation standards + Implement contract management systems or technology solutions to… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director, Managed Care Payer Data & Analytics (V&A) Date: Jun 4, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job ... of pharmaceutical access in a high-growth environment.** The Director, Managed Care Payer Data & Analytics is...and revenue forecasting. The Director will partner closely with Contract Development, Account Management , Payer Marketing and… more
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