- 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...health system programs and pricing for their impact on managed care contracts and the… more
- Cedars-Sinai (Los Angeles, CA)
- …people throughout Los Angeles and beyond. **Req ID** : 10223 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting all facets of...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- Cardinal Health (Carson City, NV)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... contract retention and administrative tracking of all various managed care payors. Advances company payor strategy...In collaboration with the Director of Managed Care , negotiate and manage assigned contracts , including… 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
- e CancerCare (Nashville, TN)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... contract retention and administrative tracking of all various managed care payors. Advances company payor strategy...In collaboration with the Director of Managed Care , negotiate and manage assigned contracts , including… more
- Sutter Health (Modesto, CA)
- …contract negotiations and document management. Provides contract administration oversight for managed care provider network. The manager 's role in the ... contract terminology, provisions, and various reimbursement methodologies including managed care risk contracting + Ability to systematically analyze… more
- Diversicare Healthcare Services & Diversicare Ther (Birmingham, AL)
- …to the patients needs under the reimbursement guidelines provided by patient's benefits and current managed care contract . * We ensure the highest level of ... customer service to the managed care plan. * The case manager provides center case management/utilization review and discharge planning to assure that the… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …and problem resolutions regarding payment issues with all contracted payors. Manages the contract review process for RCSSD 3rd party contracts , contracts ... JOB SUMMARY: Responsible for seeking contract opportunities, reviewing contract language and...and terms, conducting data analysis on financial terms, negotiating contracts , and managing executed contracts for all… more
- Baptist Memorial (Memphis, TN)
- …process for payor contracts . Job Responsibilities + Identifies and evaluates managed care contracting opportunities to grow the existing business, develop ... contracts to closure and inform senior management of contract activity. + Maintains proficient knowledge of managed... contract activity. + Maintains proficient knowledge of managed care contracting concepts, including but not… more
- Molina Healthcare (Columbus, OH)
- …knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts , negotiates Complex Provider contracts including ... Relationship Contracts . * Develops and maintains provider contracts in contract management software. * Targets...care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting… 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 ... The Manager serves as a liaison with Managed Care and financial managers to support...rate changes. + Ensures accurate interpretation and programming of managed care contract language to… more
- Molina Healthcare (Seattle, WA)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... Contract Specialists on negotiation of individual provider and routine ancillary contracts . * Identified as contract system lead by developing and… more
- Molina Healthcare (Cincinnati, OH)
- …SKILLS & ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including 2+ years ... a direct or matrix leadership position * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different… more
- Abbott (Alameda, CA)
- …for managing contract operations across multiple customer channels, including Managed Care , Medicare, Medicaid, DME, and Government. The position will ... measure, track and analyze glucose levels. As a Senior Manager Contracts Operations, you will be responsible...team responsible for processing rebates and payment obligations for Managed Care , Medicare, Medicaid, DME, and Government… more
- HCA Healthcare (Nashville, TN)
- …position is incentive eligible. **Introduction** Do you have the career opportunities as a Contracts Manager II you want with your current employer? We have an ... of colleagues. Do you want to work as a Contracts Manager II where your passion for...industry-leading national agreements, ensuring best-in-class pricing, and securing favorable contract terms and conditions. The portfolio managed … more
- AdventHealth (Maitland, FL)
- …**Responsible for ensuring the providers are loaded timely and accurately with Managed Care contracted payers. Responsible for evaluating professional fee ... the Physician Enterprise (PE) and works closely with practice office operations staff, Managed Care (MC) contracting, MC Credentialing and Enrollment and billing… more
- RTX Corporation (Largo, FL)
- …for our customers. Strategic Communication Systems (SCS) is seeking an experienced Sr. Contracts Manager to support our Strategic Mission Management Program. As ... a security clearance **Security Clearance:** DoD Clearance: Top Secret Raytheon Program Managed by Collins Aerospace. At Collins Aerospace, an RTX company, we're… more
- Mount Sinai Health System (New York, NY)
- …and Amendments, financial performance for all contracts , and facility, ancillary related contract negotiations. The Managed Care Team is at the forefront ... Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as...the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play a critical… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …other projects, work, and activities as assigned by the Pharmacy Director Qualifications: + Managed Care experience preferred, but not required + Part D Coverage ... and coding to be submitted to the Pharmacy Benefit Manager , New Contract Year formulary evaluation, and...of, or currently enrolled in, residency program (PGY1) in managed care pharmacy, or pharmacy practice. +… more
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