- UTMB Health (Galveston, TX)
- …Finance UTMB Health Requisition # 2504255 **JOB SUMMARY** The primary responsibility of the Managed Care , Senior Contract Administrator position is ... Senior Contract Administrator - Revenue Cycle...leading, developing, and negotiating managed care agreements to ensure favorable reimbursement, alignment with organizational… more
- AdventHealth (Maitland, FL)
- …adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... contract data elements which are populated into the Managed Care database including addition of new...to Senior Staff, AdventHealth Florida and Multi-State Managed Care Directors and Ancillaries. * Accountable… more
- Guidehouse (Chicago, IL)
- …healthcare data into measurable healthcare financial performance. This role is dedicated to managed care contracting - you will learn to read payer contracts ... to ensure our modeled rates and rules align with contract language and adjudication behavior, and you will turn...pass yield, cash acceleration, net revenue). + Work with Managed Care /Finance, Revenue Integrity/CDM, PFS, and IT/Data… more
- Molina Healthcare (Dayton, OH)
- …integrity and other cost recovery processes + Direct PM experience in Managed Care Operations (claims, system configuration, provider data management preferred) ... and appreciates the member environments we serve + Exposure to all Managed Care industry functional departments **JOB QUALIFICATIONS** **Required Education** +… more
- J&J Family of Companies (Raritan, NJ)
- …Care Systems Inc. (JJHCS) is currently recruiting for a Senior Manager, Managed Markets & Specialty Contract Operations, in the Enterprise Contract ... Management (ECM) organization, located in Raritan, NJ. As the Senior Manager, you are responsible for ensuring the efficient...rebate claims. + Provide leadership and management of the Managed Markets Contract Operations Team. + Ensure… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …and new people to make a difference with. **The opportunity** **Position Summary:** The Senior Manager, Managed Care Rebates leads department staff in the ... impacts to Gross to Net and Government Pricing. The Senior Manager, Managed Care Rebates...3 years Pharmaceutical experience; Experience with Managed Care Rebate Processing, Rebates Disputes, Contract Terms… more
- HCA Healthcare (Nashville, TN)
- …Master's degree preferred + 10+ years of relevant experience is required + Experience in Managed Care contract negotiations for a hospital system or ... and PSG-employed physicians. + Lead contract negotiations and implementation with Managed Care Organizations (MCOs) and other payers. + Support strategic… more
- Elevance Health (Richmond, VA)
- **Provider Contract /Cost of Care Consultant Senior ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... accommodation is granted as required by law. The **Provider Contract /Cost of Care Consultant Senior **...minimum of 7 years of experience in broad-based analytical, managed care payor or provider environment as… more
- Elevance Health (Las Vegas, NV)
- **Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... accommodation is granted as required by law. 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
- Elevance Health (Grand Prairie, TX)
- **Provider Contract Cost of Care Analyst Senior ** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... accommodation is granted as required by law. The **Provider Contract Cost of Care Analyst Senior...a minimum of 3 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
- State of Indiana (Indianapolis, IN)
- Senior Contract Compliance Officer Date Posted:...in Indiana Medicaid. These programs operate under a risk-based managed care model in partnership with ... is fully engaged with this mission. Role Overview: The Senior Contract Compliance Officer plays a key...of compliance and a commitment to supporting high-quality health care delivery through contract oversight, strong attention… more
- The Cigna Group (Pittsburgh, PA)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and ... LOCATION: Pittsburgh, PA - Western PA/West Virginia market** The Senior Healthcare Contract Negotiator serves as an...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- Hawaii Pacific Health (Honolulu, HI)
- … Analysis department provides financial analysis and planning in the review of managed care contracts. This dedicated team of professionals audits and monitors ... Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including...the contract reimbursement system and measures payor performance to ensure… more
- Comcast (Philadelphia, PA)
- …ranging from Ethernet, internet, and WiFi connectivity to voice, television, and managed Enterprise solutions to power businesses of all sizes to perform better. ... experience. + 5+ years of hands-on experience with a Contract Lifecycle Management (CLM) platform, preferably Icertis Contract...need when it matters most, and should help you care for those who matter most. That's why we… more
- Centene Corporation (Jefferson City, MO)
- …experience. 4+ years of contracting or provider relations experience in a healthcare, managed care , or insurance related environment. This position is 100% ... with internal departments and contracted providers to implement and maintain contract compliance + May require up to 25% travel **Education/Experience:** Bachelor's… more
- Guidehouse (San Antonio, TX)
- …components. * Provides oversight and executive level management to overcall contract operations often involving multiple projects/tasks and groups of personnel at ... multiple divisions. * Maintains and manages relationships with senior and executive level management within the client organization. * Responsible for ensuring … more
- HCA Healthcare (Brentwood, TN)
- …team. **Job Summary and Qualifications** **Summary:** The Strategic Pricing Services (SPS) Senior Contract Pricing Advisor is responsible for the What-if ... an organization that invests in you as a Sr Contract Pricing Advisor? At HCA Healthcare, you come first....modeling of the more advanced managed care contracts and performance of advanced… 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
- Merck (North Wales, PA)
- …with wholesaler/distributor and stakeholders in the development and pull through of all managed care contract , price, eligibility, and chargeback activities, ... **Job Description** The Central Contract Services (CCS) Senior Specialist will...and Excel **Preferred** + 3+ years business experience in Managed Care Contracting or Pharmaceutical industries. **Required… more
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