- Cigna (Newton, MA)
- …considered in lieu of a bachelor's degree. MBA or MHA preferred. 3+ years Managed Care contracting and negotiating experience involving complex delivery ... RI and ME. Preferred office location: Newton, MA The Manager , Provider Contracting Network Management serves as...with provider partners. Intimate understanding and experience with hospital, managed care , and provider business models. Team… more
- Molina Healthcare (Long Beach, CA)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. *1-3 Years Managed Care experience PREFERRED EXPERIENCE : Knowledge of integrated delivery… more
- Abbott (Alameda, CA)
- …the following key customer types: Mail Order, DME distributors, HME/DME dealers, and managed care customers along with developing and implementing internal DME ... support sales functions. This is a highly visible national field operations manager position. It entails representing Abbott Diabetes Care 's consumer products,… more
- Elevance Health (Walnut Creek, CA)
- …experience preferred. Travels to the worksite and other locations as necessary preferred. Managed care experience preferred. For candidates working in person or ... Anticipated End Date: 2025-08-25 Position Title: Behavioral Health Provider Quality Manager - Northern California Job Description: Title: Behavioral Health Provider… more
- Stantec (Washington, DC)
- Job Description When you care deeply about the work you do, it's rewarding to see it through from concept to completion. We partner with clients to provide both ... transit systems, water treatment facilities, mines, and wind farms, we've successfully managed thousands of projects. Joining our team, turning visionary ideas into… more
- Trinity Health (Livonia, MI)
- …operational initiatives including new services/programs, revenue enhancement, expense reduction, managed care utilization systems, and strategies. Responsible ... people, processes and / or programs that support direct or indirect patient care . The Pharmacy Manager - Operations promotes and advocates for patients,… more
- Alphanumeric Systems (Marietta, PA)
- Alphanumeric is hiring a Project Manager (EHS Construction) to work in Marietta, PA with our client of 20 years committed to improving lives through medical and ... the project, Project schedule, and key personnel. Provide input to the Contracting and Procurement Strategy. Lead the constructability reviews which should take… more
- Prime Therapeutics LLC (Albuquerque, NM)
- …education and/or relevant work experience and/or Paralegal Certificate 5 years of experience with managed care companies or other health care entities Must ... every decision we make. Job Posting Title Sr. Contract Manager - REMOTE Job Description The Sr. Contract ...assist with, or be responsible for, developing and improving contracting processes and maintaining contract management systems and will… more
- CS Energy (Houston, OH)
- The Assistant Project Manager works alongside Project Operations and Field Management to foster great client relationships, work effectively alongside our employees, ... and adjust resources. Assist PM in procurement process, scoping, and contracting of subcontractors and vendors. Responsible for management of subcontractors and… more
- Martin's Point Health Care (Portland, ME)
- …8+ years of progressive actuarial experience in a wide range of medical expense analyses, contracting in a managed care setting, preferably in commercial and ... record of building internal and external collaborative relationships. Broad understanding of managed care business and financial principals such as underwriting,… more
- Thomas Jefferson University Hospitals, Inc. (Philadelphia, PA)
- … care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage ... Job Details The ED Program/Credentialing Manager provides administrative direction for all faculty credentialing and continuing medical education activities within… more
- IES Communications (Tempe, AZ)
- 100% Travel required Job Summary: The Superintendent is the overall manager on a medium to large sized project. The Superintendent ensures that all contracted work ... is developed, implemented, installed and managed in accordance with the Company's requirements, including but not limited to: safety, quality, management and… more
- e CancerCare (Nashville, TN)
- …(ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review, ... Job Purpose: Manager of Payor Contracting is responsible...compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
- Cardinal Health (Atlanta, GA)
- …(ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review, ... between payer and provider(s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing,...any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …care sites and clinicians are recognized for clinical and operational excellence. **DIRECTOR MANAGED CARE CONTRACTING - LARGE ACCOUNTS** **| REMOTE** This ... position is responsible for developing, managing, and leading the day-to-day activities associated with managed care contracting for both fee for service and… more
- Intermountain Health (Broomfield, CO)
- … Care + Risk-based Contracting + Relationship Management + Managed Care + Legal Practices + Leadership **Qualifications** **Required** + Experience ... **Job Description:** The Payer Contracting Sr Manager is responsible for...and Revenue Cycle leadership for the implementation of risk-based contracting , and proactive care , strategies and initiatives.… more
- Ascendis Pharma (Princeton, NJ)
- …Requirements Key Responsibilities: Rebate Management . Administer and oversee government, managed care , and commercial rebate programs. . Collaborate with ... compliance with regulatory and contractual rebate requirements. . Collect and analyze managed care data for rebate payments, pricing, and financial planning.… more
- The Cigna Group (Houston, TX)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... required to live in the Houston, TX area** The ** Manager , Provider Contracting Network Management** serves as...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- The Cigna Group (Newton, MA)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… more
- The Cigna Group (Mclean, VA)
- …relationships with provider partners + Intimate understanding and experience with hospital, managed care , and provider business models + Team player with ... market. Must reside in Maryland, DC or Virginia._** The ** Manager , Network Management** serves as an integral member of...Management** serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider … more
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