- Daiichi Sankyo, Inc. (Bernards, NJ)
- … Contract Forecasting to ensure support of cross-functional teams regarding key managed care accounts and ASP analysis. This includes: profitability analysis ... rare diseases and immune disorders. SummaryThe purpose of the Senior Director, Forecasting & Business Analytics is to lead...develop that knowledge; preferredDetailed knowledge of all channels of managed care environment in the US (commercial,… more
- RWJBarnabas Health (Oceanport, NJ)
- Senior Managed Care Analyst (Hybrid/Remote)...modeling contract rates using EPIC throughout the managed care contract negotiation process, + ... including the candidate's educational background, skills and professional experience, Job Overview: The Senior Managed Care Analyst assists with aspects of… more
- RWJBarnabas Health (West Orange, NJ)
- Senior Counsel / Assistant Vice President, Legal Affairs, Managed Care ContractingReq #:0000206244 Category:Professional / Management Status:Full-Time ... background, skills and professional experience. Assistant Vice President of LegalAffairs, Managed Care Contracting Job Overview: RWJBarnabas Health, New… more
- Cedars-Sinai (Beverly Hills, CA)
- …Healthcare Management, or related field of study **Req ID** : 6681 **Working Title** : Senior Financial Analyst ( Managed Care ) - Hybrid **Department** : MNS ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and… more
- Prime Healthcare (Lynwood, CA)
- …is actively seeking new members to join our corporate team! Responsibilities The Senior Managed Care Biller/Collector is responsible for both billing ... with the specific payer guidelines, policies, procedures, and compliance regulations for managed care . This includes maintaining the deficiency lists used to… more
- Atrius Health (Newton, MA)
- …and welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** * Senior Managed Care Analyst* **Location:** ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical… more
- State of Minnesota (St. Paul, MN)
- …of the beneficiary support system, + Develop and make policy recommendations for Managed Care contract language. **Minimum Qualifications** Three (3) years ... **Working Title: Managed Care Outcomes Coordinator** **Job Class:...following: + Medical Assistance (MA), + MinnesotaCare, + Minnesota Senior Care Plus (MSC+), + Minnesota … more
- Houston Methodist (Houston, TX)
- …+ Knowledge of acute care contracts, financial modeling techniques and managed care contracting, contract pricing, language requirements, rates and ... At Houston Methodist, the Director Managed Care Contracting position is responsible...timely termination submission, timely timecard approval, etc.). + Analyzes contract proposals including but not limited to analysis of… more
- Stony Brook University (Commack, NY)
- Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook Medicine, as a Managed Care Provider Enrollment Specialist, you will work ... under the oversight of the Director of Managed Care Enrollment and join a team...completion of MCO facility credentialing/re-credentialing applications for MCO network contract offerings; monitors and follows-up as needed. Conduct data… more
- AdventHealth (Maitland, FL)
- …managed care contracting initiatives as directed by AdventHealth leadership; managed care contract review, interpretation and analysis, negotiation, ... data, etc.) to preserve the integrity of those contracts. Shows full comprehension of managed care contract language for the betterment of the AdventHealth… more
- Aston Carter (Los Angeles, CA)
- …and contract performance. You will support cross-functional teams with managed care analytics and forecasting, ensuring compliance with federal/state ... contract changes and new reimbursement models. Your role involves analyzing managed care contracts to ensure financial optimization and compliance, producing… more
- Elevance Health (Indianapolis, IN)
- **Provider Contract Cost of Care Consult Senior / VBC** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will ... one of our Elevance Health PulsePoint locations. The **Provider Contract Cost of Care Consult Senior...a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst** will play a… more
- CVS Health (Sacramento, CA)
- …while executing national, regional, or market level strategies + In-depth knowledge of the managed care industry and practices, as well as a strong understanding ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...with heart, each and every day. **Position Summary** The Contract Negotiation Senior Manager in an individual… more
- J&J Family of Companies (Titusville, NJ)
- …who can learn quickly, required. + Experience in public accounting, pharmaceuticals, managed care , or government healthcare programs (Medicaid, 340B, etc.) are ... **Job Description:** Johnson & Johnson Innovative Medicine is recruiting for a ** Senior Financial Analyst, Government Contract Compliance Finance (GCC).** This… more
- AdventHealth (Maitland, FL)
- …revenue. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... is not compromised. * Responsible for timely entry of contract data into the Managed Care...to update database which provides reports for distribution to senior staff, AH Multistate Managed Care… more
- CommonSpirit Health (Englewood, CO)
- … modeling system. The Senior Analyst, Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract ... daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract modeling strategy and… more
- Corewell Health (Grand Rapids, MI)
- …internal and external customers. The successful candidate will understand the nuances of managed care contracting, analytics, managed care payers, ... know where and when it is appropriate to engage senior leaders. The candidate will also understand the latest...Committee meetings. May be requested to present and represent Managed Care Contracting updates/initiatives at meeting with… more
- CommonSpirit Health (Phoenix, AZ)
- …+ Knowledge and experience in reimbursement, the financial aspects of contracting and managed care operations + Contract language + Effective project ... **Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR)...compliance on a regional and market level; ensuring that managed care contracts are correctly negotiated and… more
- CVS Health (Tallahassee, FL)
- …**Required Qualifications** + Candidate must reside in Florida (FL) + 5 years experience in managed care quality and/or 3 years in Medicaid managed care ... + National Committee for Quality Assurance (NCQA) accreditation experience + Medicaid managed care experience **Education** + Bachelor's Degree OR equivalent… more
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