- SUNY Downstate Health Sciences University (New York, NY)
- TH Financial Analyst, Managed Care Job No: 496675 Department: HOSPITAL FINANCE ADMINISTRATIO Local Title: TH Financial Analyst, Managed Care Budget ... to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is...Sciences University is seeking a full-time TH Financial Analyst, Managed Care . The successful candidate will: Analyze… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …next generation of pharmaceutical access in a high-growth environment. The Associate Director, Managed Care Payer Contracting plays a pivotal role in supporting ... to review terms and address legal risk Support and/or lead negotiations with payers and GPOs/PBMs where appropriate in...years of experience in payer contracting, healthcare law, or managed care agreements (pharma/biotech or health insurance… more
- Novo Nordisk Inc. (Pasco, WA)
- …elements in the market to identify and leverage business opportunities Analyze impact of managed care in the territory and its effect on prescribing decisions, ... relationships with healthcare providers, positioning Novo Nordisk as a leader in obesity care , understanding the local...align to audience needs Leverage understanding of impact of managed care in the territory and how… more
- Novo Nordisk Inc. (Los Angeles, CA)
- …elements in the market to identify and leverage business opportunities Analyze impact of managed care in the territory and its effect on prescribing decisions, ... them most. At Novo Nordisk, we are the world leader in diabetes care and a major...with other field-based employees (eg, DBMs, IDBMs, DCSs, IDCSs, Managed Markets Sales Team, Diabetes Educators, Medical Liaisons) covering… more
- Amida Care, Inc. (New York, NY)
- …HIV/AIDS or chronic conditions preferred. Three (3) + years of Medicaid Managed Care Organization working experience preferred. Healthcare and staff leadership ... Amida Care , the largest Medicaid HIV Special Needs Plan...are actively seeking a highly motivated, innovative, and experienced leader to join our team as the Nurse Manager,… more
- Alliance For Better Health Care LLC (Schenectady, NY)
- …every New Yorker deserves the same opportunity to be healthy. Designated as the Social Care Network (SCN) Lead Entity for the Capital Region, Central NY, and ... Minimum of 5+ years related experience in a clinical, non-profit, or Managed - Care Organization (MCO) environment preferred. Knowledge, Skills, and Abilities… more
- HCR Home Care (Batavia, NY)
- …the client's care to effectively reduce duplicative services. Consult with the physicians, Managed Care Organizations and other members of the Care Team ... Role and Responsibilities The Health Home Care Manager will provide collaborative, client-centered support to...any one of the EMRs as needed, including the Lead Health Home systems, HCR's Database, and the HCS… more
- Novo Nordisk Inc. (Traverse City, MI)
- …in order to influence formulary status, as applicable May analyze impact of managed care in the territory and its effect on prescribing decisions, ... the people who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as… more
- NYC Health Hospitals (New York, NY)
- …or provider emergency. *Validates PCP assignment, makes corrections or directs patient to Managed Care to change providers as needed. *Makes reminder calls to ... Health Center (FQHC) in the country, providing coordinated world-class primary and specialty care with dignity and respect for all New Yorkers, without exception. At… more
- Elevance Health (Charlotte, NC)
- …Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. We are unable to accommodate LCSW-A, ... Anticipated End Date: 2025-08-01 Position Title: Manager Care Management, Foster Care (DSS Region...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- SCO Family of Services (Huntington Station, NY)
- …basis to the directors. 7. Develop a professional relationship and work closely with Managed Care Organizations, HCBS and CFTSS providers, OMH, OPWDD and any ... Administrative/Billing Responsibilities: 1. Responsible for following all guidelines of the Care Management Program (adult and children's program) as directed by… more
- UnitedHealth Group (Houston, TX)
- …Solid understanding of and concurrence with evidence-based medicine (EBM) and managed care principles Preferred Qualifications: Hands-on utilization and/or ... Optum is a global organization that delivers care , aided by technology to help millions of...is delivered while working with a Fortune 5 industry leader . You'll enjoy the flexibility to work remotely *… more
- ChenMed, LLC (Columbus, OH)
- …the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired This position requires possession and ... Intensive Community Managers (ICCMs) will serve as a clinical lead for the Complex Care Team. They...necessary to meet their needs and engage them in care . As a clinical leader for the… more
- NorthBay Health (Fairfield, CA)
- …of the unique characteristics of the following insurance types: Medi-Cal, Medicare, Managed Care , Indemnity and Workers Compensation. Impact of completeness and ... the well-being of our community by providing accessible, high-quality care to all who need it. Every member of...It; Respect; Build Trust; and Hardwire Excellence. These principles lead us to our TRUE NORTH and inspire us… more
- TeamHealth (Houston, TX)
- …and clinicians Develop and implement business development and retention strategies with managed care organizations, facilities and community care physicians ... be the leading physician practice in the US providing exceptional patient care , together. Newsweek Magazine recognizes TeamHealth 'as one of the greatest workplaces… more
- UnitedHealth Group (Kalamazoo, MI)
- …Qualifications: Master's Degree or higher in clinical field Experience working in team-based care Experience working in Managed Care Proven knowledge of ... to start Caring. Connecting. Growing together. The Manager of Clinical Care Coordination will lead a care management team while overseeing day-to-day… more
- HHAeXchange (Minneapolis, MN)
- …space by building the only homecare ecosystem that fully connects patients, personal care providers, managed care organizations, and states. We are ... HHAeXchange is the leading technology platform for home and community-based care . Founded in 2008, HHAeXchange was born out of an idea to create a fully… more
- Novo Nordisk Inc. (Boston, MA)
- …for sales of Sogroya and Norditropin to practicing physicians, nurses, hospitals, managed care and other health-related personnel within an assigned territory. ... for accounts Establishes and broadens NNI awareness as a leader in Growth Hormone Organizes and participates in meetings,...complete and accurate data with respect to physicians, nurses, managed care and trade accounts through the… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …G2N Contract Forecasting to ensure support of cross-functional teams regarding key managed care accounts and ASP analysis. This includes: profitability analysis ... the Senior Director, Forecasting & Business Analytics is to lead the forecasting and financial and analytical support of...develop that knowledge; preferredDetailed knowledge of all channels of managed care environment in the US (commercial,… more
- Merck & Co. (North Wales, PA)
- …meta-analyses, and economic modelling. Key responsibilities also include development of American Managed Care Pharmacy (AMCP) dossiers for US payers and Global ... and standards, including Good Pharmacoepidemiology Practice (GPP) for applicable work.Develops American Managed Care Pharmacy (AMCP) dossiers for US payers and… more
