- Novo Nordisk Inc. (Plainsboro, NJ)
- …internal and external stakeholders to leverage and implement knowledge of reimbursement, managed care and healthcare policy to develop execution strategies and ... for aligned therapeutic / franchise area(s). Relationships Reports to the Senior Director of Value Communication and Contracting Strategy Interacts frequently in… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …most diverse and collaborative groups within the organization. From health- care -provider interactions and developing and implementing regulatory strategies with the ... of studies within the clinical trial portfolio. Relationships Reports to a Senior Manager (or above) within North America Clinical Development (NACD). Manages… more
- Hackensack Meridian Health (Edison, NJ)
- …Specialist Managed Care ** at Hackensack Meridian Health includes: + Managed Care Contract Negotiation: Develop and negotiate owned and affiliated ... and serve as a leader of positive change. The ** Senior Contracting Specialist Managed Care **...assigned payer/partner companies within payer time frames. Demonstrate advanced managed care contract negotiation skills… more
- Hartford HealthCare (Wethersfield, CT)
- …this is *yourmoment.* **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** * Senior Payer Analyst / Managed Care Contracting* ... *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a modeling...develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops… more
- Prime Healthcare (Lynwood, CA)
- …Responsibilities The Senior Managed ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/157568/ senior - managed - care -biller-collector/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare… more
- UNC Health Care (Morrisville, NC)
- … payer specific action plans to track and trend issues and provides information to senior management. Monitors managed care volume trends in order to ... the unique communities we serve. **Job Summary:** The System Executive Director - Managed Care position is responsible for planning, directing and coordinating… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …US (not just OH). **ESSENTIAL JOB FUNCTIONS** + Consults, contributes and participates in managed care contract negotiations for assigned payers (moderate to ... are recognized for clinical and operational excellence. **SUMMARY** The Senior Analyst, Managed Care Analytics...contract modeling systems. + Prior experience with health care reimbursement operations is preferred (eg revenue cycle on… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …and initiating payment to customers within contractual guidelines. + The Managed Care Rebate Analyst must interpret contract language and input and maintain ... completeness. + Analyzes and resolves disputes with accounts involving contract interpretation or processing issues. Engages Managed ...regarding account current account dynamics. The Managed Care Rebate Analyst reports into the Senior … more
- AdventHealth (Maitland, FL)
- …role you'll contribute:** This position will be responsible for execution of the managed care payor dispute resolution processes for all AdventHealth providers ... an extensive knowledge and library of state regulations related to insurance and managed care regulations in all states where AdventHealth has a presence.… more
- HCA Healthcare (Nashville, TN)
- …the Legal Department to support all phases of the arbitration and/or litigation of managed care disputes. This paralegal position will have responsibility for a ... wide variety of managed care litigation tasks, including: handling service...supported by one litigation paralegal, one analyst and eight contract attorneys. Litigation paralegals are assigned to support specific… more
- Elevance Health (Columbus, OH)
- **Provider Contract /Cost of Care Consultant Senior -Analytics** **Location:** This position will work a hybrid model (remote and office). Must live within 50 ... and support initiative design for remediation. The **Provider/Cost of Care Consultant Senior ** will mine data at...a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as… more
- Point32Health (Canton, MA)
- …we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Contract Manager will support all Lines of Business, including ... Commercial, Senior Products and Public Plans. The Senior Contract Manager will serve as the...equivalent experience. + 5-7 years' work experience, preferred in managed care or other health care… more
- Atrius Health (Newton, MA)
- …management fees. . Interfaces between Utilization Analysis and Clinical Programs (UACP), Managed Care Finance (MCF), Sites and Specialties to coordinate ... and welfare benefit package. **Job:** **Supervisors/Managers/Directors* **Organization:** **Administration* **Title:** * Senior Contract Manager ( MASS, Local Remote… more
- CommonSpirit Health (Englewood, CO)
- …terms in collaboration with revenue cycle partners. + Ability to identify and rectify contract compliance issues with managed care payers by leveraging ... effectively communicate issues to internal department leads, revenue cycle vendors, and managed care payers for meaningful resolution and revenue realization.… more
- Fresenius Medical Center (Franklin, TN)
- …coordination, and administration of contracting and pricing procedures. This includes contract terms and conditions, products and prices for various market segments ... supporting analysis, documentation and reports + to support negotiations of contract terms and department administration. + Maintains complete, accurate, and… more
- The Mount Sinai Health System (New York, NY)
- …and Enforcement. That the operations and objectives of the Health Systems Managed Care Contracting objectives and goals are achieved. **Strength Through ... We share a common devotion to delivering exceptional patient care . When you join us, you become a part...a lens of equity in all aspects of patient care delivery, education, and research to promote policies and… more
- AdventHealth (Maitland, FL)
- …and strong analytical skills The Senior Medical Economics Analyst will work with managed care staff for both in the Florida and Multi-State Divisions of ... contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst...that achieve net revenue targets developed by the Regional Managed Care Directors and Contract … more
- HCA Healthcare (Brentwood, TN)
- …(SPS) Contract Pricing Advisor is responsible for the What-if modeling of managed care contracts, partnering with Payer Contracting & Alignment in creating ... terms on profitability, trend and other metrics. **Major Responsibilities:** + Model managed care contracts through available modeling tools. + Maintain service… more
- Point32Health (Canton, MA)
- …we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Contract Manager, Ancillary Network Contracting, will be part of ... Contracting team reporting to the Manager, Ancillary Network Contracting. Senior Contract Manager will operate with minimal...required) **:** + 5-7 years related experience in a managed health care environment, with a thorough… more
- CommonSpirit Health (Englewood, CO)
- …**UMMARY** The Senior Analyst, Payer Analytics & Economics performs complex managed care payer financial analysis, strategic pricing and payer contract ... with senior management, physicians, hospital staff, and managed care /payer strategy leaders. **E** **SSENTIAL** **K**... contract modeling strategy and consolidation for large managed care payer negotiations. Act as a… more
