- Novo Nordisk Inc. (Plainsboro, NJ)
- …position is part of the business assurance function for Commercial, Part D, & Managed Care contracts. This role is responsible for ensuring the validation of ... include partnership with Novo Nordisk Global Service Center formulary validation team, managed care customers, field sales personnel, and system vendors.… more
- Merck & Co. (Fort Worth, TX)
- …key customers/personnel to understand practice structure, business model, key influencers Managed Care Organization (MCO), employers, state and local ... with National Account Executives (NAEs) to maintain strong focus on Managed Care pull-throughShares learning and best-practices from one customer… more
- Merck & Co. (Minneapolis, MN)
- …key customers/personnel to understand practice structure, business model, key influencers Managed Care Organization (MCO), employers, state and local ... with National Account Executives (NAEs) to maintain strong focus on Managed Care pull-throughShares learning and best-practices from one customer… more
- Fallon Health (Worcester, MA)
- …a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon ... Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top health plans for member experience, service, and clinical… more
- CommonSpirit Health (Englewood, CO)
- …, Payer Analytics and Economics is accountable for the managed care financial analysis, strategic pricing and payer contract modeling activities for ... strategies. + Monitor contract financial performance. Analyze and publish managed care performance statements and determine profitability. + Provide training… more
- Prime Healthcare (Denville, NJ)
- …, Managed Care is responsible for managed care contract management and payer relations. The Regional Manager will work on contract ... Business/health/management field or relevant bachelor's degree2. Minimum of 3 years of contract negotiation/ managed care experience at a healthcare provider… more
- WMCHealth (Valhalla, NY)
- Manager , Managed Care Company:...payers. + Responsible for review of managed care contracts, including redlining of contract language ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/26158) Internal Applicant link Job Details: Job Summary: The Manager of Managed Care will...Job Details: Job Summary: The Manager of Managed Care will report directly to the… more
- UCLA Health (Los Angeles, CA)
- …Bachelor's degree preferred * Experience with a healthcare provider organization * Advanced managed care contract negotiation skills, preferably within a ... group, or health plan environment * Understanding of the Southern California managed care marketplace * Knowledge of hospital and professional reimbursement… more
- Hartford HealthCare (Wethersfield, CT)
- …the Sr. Payer Analyst develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops payment related tools such ... **Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Wethersfield-1290 Silas Deane… more
- 3M (Maplewood, MN)
- Job Description: Project Manager - Managed Lab Outsource (Hybrid; Maplewood, MN) Collaborate with Innovative 3Mers Around the World Choosing where to start and ... experience to a 3M career. The Impact You'll Make in this Role As a Project Manager - Managed Lab Outsource in the 3M Global EHS Laboratory, you will have… more
- Elevance Health (Columbus, OH)
- …you a check, or ask you for payment as part of consideration for employment. ** Managed Care Coordinator Clinician Non RN** + Job Family: MED > Licensed/Certified ... MA, WOBURN + MA, NEWTON 55 CHAPEL ST **Description** ** Managed Care Coordinator Clinician Non RN** **Location:**...member's case, as required by applicable state law and contract , contributes to the care coordination process… more
- Robert Half Legal (Rancho Cucamonga, CA)
- …Large Healthcare Organization! You will be joining a large legal team and a Managed Care expert (Medical, Medicaid, Covered CA). You will manage outside counsel ... days per week (Tuesday-Thursday). The Counsel will be a manager -level position. The Counsel reports to the General Counsel...Ability to commute to Inland Empire 3 days/week + Managed care experience + Litigation experience in… more
- Elevance Health (Radford, VA)
- …+ Virginia, Radford + Virginia, Arlington + Virginia, Roanoke **Description** The **Foster Care Managed Case Manager ** is responsible for overall management ... you for payment as part of consideration for employment. ** Managed Care Coordinator - Foster Care...of position, as required by applicable state law and contract . **How you will make an impact:** + Working… more
- Commonwealth Care Alliance (Farmington Hills, MI)
- **Why This Role is Important to Us:** The Provider Contract Manager is responsible for developing, negotiating and managing contractual, legal and financial ... assigned services. - Assure high quality data entry of contract specifications and terms into contracting data bases and...- Specific background in provider contracting in a health care or managed care setting… more
- Atrius Health (Newton, MA)
- …management fees. . Interfaces between Utilization Analysis and Clinical Programs (UACP), Managed Care Finance (MCF), Sites and Specialties to coordinate ... welfare benefit package. **Job:** **Supervisors/Managers/Directors* **Organization:** **Administration* **Title:** *Senior Contract Manager ( MASS, Local Remote )*… more
- Point32Health (Canton, MA)
- …are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Contract Manager will support all Lines of Business, including ... Commercial, Senior Products and Public Plans. The Senior Contract Manager will serve as the primary...equivalent experience. + 5-7 years' work experience, preferred in managed care or other health care… more
- Weatherford (Houston, TX)
- …Security & protection of the Environment, taking into account responsible care , process vulnerabilities, public, customer and employee inputs, knowledge and ... PC3 Track & Trend and report to GZ Quality Manager on areas of concern. + Validate and verify...and improvements where applicable. + Support the tendering and contract review process in the GZ as required and… more
- Cleveland Clinic (Independence, OH)
- …all of Cleveland Clinic's institutes access patients' insurance plants. As a Senior Contract Manager , you will: * Negotiate contracts on behalf of Cleveland ... the most respected healthcare organizations in the world. Senior Contract Managers are continuously working with a team, focused...Likes to keep up to date with all things managed care and payer contracting related. This… more
- Microsoft Corporation (Atlanta, GA)
- …and runs the cloud assets. We are looking to fill a critical role of ** Contract Manager - Americas - Execution Oversight Team** on our Supply Chain Execution ... assessment will be as per the EOT roadmap and/or managed by exception should a critical priority be raised...sourcing and negotiation strategies to meet project objectives. + Contract Review and Compliance: + Attest that contract… more
- Elevance Health (St. Louis, MO)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... for payment as part of consideration for employment. **Provider Contract /Cost-of- Care Consultant** + Job Family: RDA >...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
