- 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
- Teva Pharmaceuticals (Parsippany, NJ)
- Manager , Managed Care Rebates - Parsippany, NJ Date: Apr 17, 2024 Location: Parsippany, United States, New Jersey, 00000 Company: Teva Pharmaceuticals Job ... people to make a difference with. **The opportunity** The Manager , Managed Care Rebates leads...Contracts Team and Legal in development of complex contract terms and conditions impacting Claims Administration + Interprets… more
- Elevance Health (Arlington, VA)
- **Case Manager ( Managed Care Coordinator)** **MUST LIVE WITHIN 50 MILES OF THE ARLINGTON PULSEPOINT** A proud member of the Elevance Health family of ... improve the delivery of care . The **Case Manager ( Managed Care Coordinator)** is...of position, as required by applicable state law and contract . **How you will make an impact:** + Performing… more
- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 14 **Position:** Manager Managed Care Contracting **Union Code:** 00 - ... developing payer strategy, preparation of financial analysis of new contract language and terms, review of contract ...new contract language and terms, review of contract language and the preparation of analysis to support… more
- CommonSpirit Health (Englewood, CO)
- …and pricing expertise for the evaluation, negotiation, implementation and maintenance of managed care contracts between CommonSpirit Health providers and ... the community. **Responsibilities** This is a remote position. The Manager , Payer Analytics and Economics is accountable for the...and Economics is accountable for the managed care financial analysis, strategic pricing and payer contract… 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
- Elevance Health (Atlanta, GA)
- …preferred. + Certification as a Case Manager is preferred. + Prior managed care experience preferred. + Knowledge of medical management process and ability ... Nurse Care Manager ll (2:30pm - 11am...to interpret and apply member contracts , member benefits, and managed ...to interpret and apply member contracts , member benefits, and managed care products strongly… 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
- Elevance Health (Norfolk, VA)
- The **Foster Care Managed Case Manager **...of position, as required by applicable state law and contract . **How you will make an impact:** + Working ... with children within the Foster Care System + Responsible for performing telephonic or face-to-face...experience may be required based upon state law and contract requirements. + For MMP, requires Community Health Worker… more
- Aveanna (Atlanta, GA)
- …we serve. Current Opportunities:As a key member of Aveanna's contracting department, the Payer/ Managed Care Contracts Manager is responsible for ... Payer Contracts Manager ApplyRefer a FriendBack Job...end to end contracting activities for managed care payers including review and analysis of contract… more
- Northern Light Health (Brewer, ME)
- …management. Responsibilities: * Monitors contract performance and payer compliance with Managed Care contracts . * Assists in providing gap analysis ... to the Manager of Payer Strategy & Managed Care Operations (PSMCO), the Contract...priorities simultaneously. * Reviews and analyzes operational effectiveness of Managed Care contracts . * Compiles… more
- Molina Healthcare (Richmond, VA)
- …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
- 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
- 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
- University of Washington (Seattle, WA)
- …of Medicine: Gastroenterology has an outstanding opportunity for Grants and Contracts Manager .** The Department of Medicine's Division of Gastroenterology ... in the Division of Gastroenterology (GAS). The Grants & Contract Manager is a member of the...and providing program administration and management of grants and contracts in support of multiple faculty members, the Division… 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
- Emory Healthcare/Emory University (Atlanta, GA)
- … contract regulations and reporting requirements, and closing out contracts . + Performs related responsibilities as required. MINIMUM QUALIFICATIONS: + Bachelor's ... About the Opportunity: We're expanding our team! Emory's Research Grants & Contracts Office, the university's central financial post award administration office, is… more
- Walgreens (Deerfield, IL)
- …learn coaching, mentoring, and training staff. + Knowledge of Pharmacy, Pharmaceutical Benefit Manager , Benefit Consultancy, or Managed Care company. + ... Works cross functionally with peers in Sales, Finance, Law, Contract Development, and Contract Operations. **About Walgreens...with pharmacy data at a retail pharmacy, Pharmaceutical Benefit Manager , benefit consultancy, or managed care… 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
- Harvard University (Cambridge, MA)
- …Screening:Identity Job Function:Finance Position Description: The Senior Grants and Contracts Manager will support innovative research at the ... health professionals and the public. The Senior Grants and Contracts Manager is an integral part of...ensure that proposals and then awards conform and are managed according to sponsor guidelines and University policies. Commitment… more