- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 14 **Position:** Manager Managed Care Contracting **Union Code:** ... - KH Reimbursement **Job Description:** Primarily responsible to manage third party contracting . Include being the lead contact for third party contracting ,… 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
- Hartford HealthCare (Wethersfield, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Payer Analyst / Managed Care Contracting * **Location:** *Connecticut-Wethersfield-1290 ... across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst...develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops… more
- Amgen (Washington, DC)
- …this vital role you will lead contracting activities for Amgen's Managed Care Organization (MCO) customers. The Senior Manager will serve as the Payer ... for a career you can be proud of. **Senior Manager , Payer Contracting US** **Live** **What you...and execution of one of the Big 3 ("Mega") managed care PBM/GPO customers. + Implement MCO… more
- Point32Health (Canton, MA)
- …who we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Manager of Contracting oversees a team of Contract Managers or ... negotiated within the organization's established legal, financial and operational guidelines. The Manager , Contracting will work closely with the Director, … more
- The Cigna Group (Fort Worth, TX)
- …relationships with provider partners + Intimate understanding and experience with hospital, managed care , and provider business models + Team player with ... Ability for local travel to meet with Providers.** The ** Manager , Provider Network Contracting ** serves as an...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- University of Utah Health (Murray, UT)
- …experience in provider or payer relations, provider or payer reimbursement, and/or managed care contracting . **Qualifications (Preferred)** **Preferred** + ... Under the direction of the Provider Network Director, the Manager of Provider Contracting is responsible for...as well as ongoing evaluation, administration and monitoring of managed care and governmental payer agreements for… more
- CommonSpirit Health (Englewood, CO)
- …appropriate reimbursement rates associated language, between physicians/hospitals and payers/networks for managed care contracting initiatives. + Review and ... the community. **Responsibilities** This is a remote position. The Manager , Payer Analytics and Economics is accountable for the..., Payer Analytics and Economics is accountable for the managed care financial analysis, strategic pricing and… more
- The Cigna Group (Franklin, TN)
- …Experience in developing and managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus + Team player ... Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- Fallon Health (Worcester, MA)
- … healthcare environment(s) with related work in provider contracting , healthcare finance, provider reporting/profiling, and/or provider relations. Experience ... 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… more
- J&J Family of Companies (Raritan, NJ)
- Manager , Managed Markets Contract Ops - 2406185306W **Description** Johnson & Johnson Health Care Systems Inc. (JJHCS) is currently recruiting for a ... Manager , Managed Markets & Specialty Contract Operations,...administration practices and provide insights and leadership on major Contracting negotiations / Business Projects. **Qualifications** **Education:** + Minimum… more
- UCLA Health (Los Angeles, CA)
- …degree preferred * Experience with a healthcare provider organization * Advanced managed care contract negotiation skills, preferably within a hospital, medical ... group, or health plan environment * Understanding of the Southern California managed care marketplace * Knowledge of hospital and professional reimbursement… more
- The Cigna Group (Atlanta, GA)
- …+ Intimate understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models + Team player with ... of the strategic direction and is accountable for the management of contracting and network management activities for multiple local geographies. **DUTIES AND… more
- The Mount Sinai Health System (New York, NY)
- …as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting , and other institutional departments to ensure ... **The Nursing Clinical Manager (NCM) for Case Management - Mount Sinai...We share a common devotion to delivering exceptional patient care . When you join us, you become a part… more
- Illumination Foundation (Cerritos, CA)
- …Angeles County and the Inland Empire. Job Description The Outreach Lead Care Manager will review multiple Medi-Cal Managed Care Plan Member Information ... and strategize engagement methods to evaluate Members' health and managed care needs. This candidate functions as...This candidate functions as an extension to the Lead Care Manager team by providing a foundation… more
- Aveanna (Atlanta, GA)
- …Current Opportunities:As a key member of Aveanna's contracting department, the Payer/ Managed Care Contracts Manager is responsible for the development, ... Payer Contracts Manager ApplyRefer a FriendBack Job Details Requisition #:...Contract Management preferably in a healthcare provider setting. + Managed Care contracting experience +… more
- Molina Healthcare (Grand Rapids, MI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more
- Commonwealth Care Alliance (Farmington Hills, MI)
- …years of experience - Specific background in provider contracting in a health care or managed care setting required. - Exceptional provider partnership ... **Why This Role is Important to Us:** The Provider Contract Manager is responsible for developing, negotiating and managing contractual, legal and financial… more
- CVS Health (Austin, TX)
- …to travel nationally as needed (up to 25% travel) * In-depth knowledge of the managed care industry and practices, as well as a strong understanding of ... more personal, convenient and affordable. Position Summary The Manager , Business Consultant is front facing to the vendor...(up to 25% travel) * In-depth knowledge of the managed care industry and practices, as well… more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... ** Manager Provider Network Management** Location: Palm Beach Gardens,...years of supervisory/ management/ leadership experience, preferably in a managed care setting. + Valid driver's license… more
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