- University Medical Center of El Paso (El Paso, TX)
- Job Summary: The Director of Managed Care provides strategic and operation expertise in negotiating managed care contracts. Models and analyzes ... managed care contracts for potential opportunities and collaboratively works with managed care plans to execute Managed Care agreements for the… more
- Community Hospital Corporation (Plano, TX)
- …Hospital Corporation (CHC), a DFW Top 100 Employer, is looking for a Corporate Director of Supply Chain, Value Analysis based out of our home office in Plano, ... processes, cost-saving initiatives, and materials management efficiencies for our owned, managed , and affiliated healthcare facilities. This is an exciting onsite… more
- ContinueCARE Hospital at Hendrick Medical Center (Abilene, TX)
- …services with emphasis on the referral and admission process. Census Building: Monitor managed care activity and strategize appropriately for contacts and market ... Assist in coordinating the periodic direct mail campaigns to targeted managed care customers, with the assistance of management. Participate in referral services… more
- Equiliem (Orange, CA)
- …listed above may also be qualifying.Preferred Prior authorization/utilization review experience. Managed care experience. Post degree ABA experience. Quality ... Summary:We are seeking a highly motivated and experienced Care Manager, with Behavioral Health experience. The Care Manager is responsible for the oversight and… more
- Cambia Health Solutions, Inc (Portland, OR)
- …health care programs, particularly compliance, and principles and practices of managed care .Ability in the area of project coordination and management.Skills ... Director Government Programs Compliance Officer Work a Hybrid... public policy issues.Health insurance, including state, federal and managed care program requirements, with an emphasis… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Requirements: Preferred Experience: Working knowledge and experience in utilization management, managed care , and payor issues.Other: Job Specific and Unique ... for the provision of medical social work services to patients receiving care in the hospital setting, including the Emergency Department. Assesses the social,… more
- University Medical Center of El Paso (El Paso, TX)
- …UMC's Decision Support processes. Focuses on strategies to position the Medicaid and Medicare Managed Care Organization (MCO) in the El Paso and Hudspeth Region. ... Job Summary The Director of Strategy Planning and Decision Support is...development is required; preferably in a healthcare or a managed care setting. License/Registration/Certification None. Education and… more
- Senior Living Communities (Charleston, SC)
- …cleaning schedules and sanitation inspections, according to our policies. * Coordinate with the Director of Nursing, RD and other care plan team member in ... continuing basis to ensure all residents are receiving optimal care as it relates to food and nutrition. The...of the resident such as weight loss management, Medically Managed dietary therapy etc * Must participate and manage… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …and accountability for access and control throughout NGHS continuum. Facilitates a managed care process that analyzes, orchestrates, and delivers a medicine ... the case management and interdisciplinary healthcare team in facilitating patient care through the continuum. Monitors department activities to ensure optimum case… more
- Health Services Advisory Group (Atlanta, GA)
- …Excel, and PowerPoint. Knowledge of SharePoint, a plus.Experience in Medicaid managed care , preferred.Experience and knowledge of quality improvement practices, ... and internal teams at the direction of the Executive Director or Executive Director 's designee.Assist staff in making travel arrangements and complete related… more
- Blanchard Valley Health System (Findlay, OH)
- …for review and analysis of payor contracts (with the assistance of Revenue Cycle & Managed Care ) to ensure proper payment terms Duty 14: Assists with annual ... the organization year-end financial audit. This position reports directly to the Director of Finance. JOB DUTIES/RESPONSIBILITIES Duty 1: Accountable for the overall… more
- Segal (Tempe, AZ)
- …and quality.Key Requirements:Bachelor's degree plus 6 years of health benefits, managed care , and/or underwriting experience. More extensive work experience ... for new projects;Support CRMs with presentations to clients;Collaborate with Segal's Medical Director and Clinical team on clinical and wellness programs for our… more
- Pacer Staffing (Atlanta, GA)
- …experience. Preferred: Experience in the private medical industry, health insurance, or Managed Care field. Experience in a fast-paced corporate environment. ... Identify questionable review decisions and escalate to the appropriate Medical Director for evaluation and/or corrective action. Provide accurate data entry in… more
- Cardinal Health (Columbus, OH)
- …experienced team is passionate about helping oncology practices navigate the future. The Director , Managed Care is responsible for strategy and management ... are responsible to implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by… more
- UCLA Health (Los Angeles, CA)
- Description The Assistant Director , Managed Care Operations is responsible for the collaborative development, implementation and ongoing operations of ... managed care contract performance. In this role, you will assist the Director , Managed Care Operations in ensuring the integration of key managed … more
- City and County of San Francisco (San Francisco, CA)
- …services, including psychiatric services. The Behavioral Health Services (BHS) Deputy Medical Director of Managed Care provides effective leadership and ... direction in the partnership with the areas of service under the Director of Managed Care . + ✅ START with this Required Questionnaire… more
- MaineGeneral Health (Waterville, ME)
- …We are actively seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects ... of reimbursement, managed care contracts, and payer enrollment. The successful candidate will...of 7 years of experience in healthcare reimbursement and managed care - some leadership experience is… more
- SSM Health (Oklahoma City, OK)
- …standards. Makes recommendations based on changes and trends in the area of managed care , reimbursement and applicable state and federal regulatory environment. ... + Oversees the development, negotiation, implementation, monitoring and management of all managed care agreements. + Negotiates and reviews direct employer payer… more
- Nuvance Health (Danbury, CT)
- …to payer contracting efforts for all affiliates of Nuvance Health. 5. Leads managed care efforts and collaborates with internal and external key stakeholder ... Generally pleasant working conditions Company: Nuvance Health Org Unit: 1783 Department: Managed Care Exempt: Yes Salary Range: $57.22 - $106.26 Hourly We are an… more
- Hartford HealthCare (Wethersfield, CT)
- …or inexperienced members. *_Working Relationships_* . *Job Title of Individual(s) Reports To:* Sr Director of Managed Care Payer Relations** . *# Workers ... other common practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a...In this role, this individual partners with the Sr Director and management team to create and maintain database… more
