- Bishop McCarthy Center (Vineland, NJ)
- Employee Heath/ Managed Care ...Control Registered Nurse has oversight over functions of the employee health program which include pre employment ... screening, employee verification, annual PPD testing, Covid testing, work related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to insurnace companies for continued stay… more
- McLaren Health Care (Flint, MI)
- …forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of McLaren Health ... Michigan-based health plan dedicated to meeting the health care needs of each of our...(5) years' experience performing quality management activities in a managed care organization, including HEDIS, NCQA, including… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Managed Care Contracting position is responsible for the development, negotiation, maintenance and payer relations of the ... Methodist (HM) contracts for reimbursement of services billed through managed care companies and serves as a...Understanding of local, State and Federal regulations related to health care as well as the ability… more
- Bristol Myers Squibb (Tampa, FL)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as all aspects with evaluating implications of and reporting Managed Care data required for US and...for this role are listed above for a full-time employee (FTE) basis. Additional incentive cash and stock opportunities… more
- Prime Healthcare (Aurora, IL)
- …seeking new members to join our corporate team! #appcast Responsibilities The Regional VP, Managed Care will develops and implement the managed care ... and various forms of risk contracting. Negotiates and administers contracts with managed care payers. Responsible for planning, evaluating, and implementing the… more
- The Cigna Group (Bloomfield, CT)
- …(HPD) residency is a holistic program that provides resident a great foundation in managed care , with a focus in clinical strategy within client account ... written and verbal communications + Strong career interest in Managed Care pharmacy Required: Please upload or...Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health … more
- MaineGeneral Health (MA)
- Job Summary:MaineGeneral Health is a leading health care system proud of the culture of excellence, compassion, and collaboration that extends to our ... our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects...to resources for a healthy lifestyle and help manage health care costs. + Employees have access… more
- Health Care Service Corporation (Chicago, IL)
- …at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization ... than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to… more
- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have ... requirements + The unique complex needs of the foster care population + Medicaid Managed Care...Dental insurance + Employee assistance program + Employee discount + Flexible spending account + Health… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Managed Care Credentialing Specialist position is responsible for the timely and accurate completion and submission of managed ... Duties for this position include credentialing and enrollment in governmental and commercial managed care plans and medicare and medicaid. The Managed … more
- The Cigna Group (Morris Plains, NJ)
- …holistic program that will provide the resident with a robust foundation in managed care , specifically with a focus in formulary development, management and ... written and verbal communications + Strong career interest in Managed Care pharmacy **Required: Must upload/attach the...Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health … more
- The Cigna Group (Bloomfield, CT)
- …enable informed provider decisions. The Physician Engagement Pharmacy Resident will gain managed care proficiency through in-depth longitudinal rotations and as ... items relating to provider engagement. + Provide patient and health care professional education and medication information....written and verbal communications + Strong career interest in Managed Care pharmacy **Required: Please upload or… more
- Guidehouse (Chicago, IL)
- … Care practice sits within the broader Payer Provider Advisory group. The Managed Care practice assists hospitals, health systems, private equity-backed ... etc.) and driven by critical thinking to inform the managed care strategy and to unlock the...Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care … more
- Guidehouse (Arlington, VA)
- … Care practice sits within the broader Payer Provider Advisory group. The Managed Care practice assists hospitals, health systems, private equity-backed ... etc.) and driven by critical thinking to inform the managed care strategy and to unlock the...Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care … more
- Huron Consulting Group (Van Buren, AR)
- …Huron offers a rewarding path forward. As the Healthcare Consulting Senior Director in Managed Care & Strategic Pricing, you will: + Lead complex performance ... + 10+ years of consulting and/or performance improvement healthcare experience in managed care contract negotiations and fee-for service reimbursement models +… more
- UnityPoint Health (Dubuque, IA)
- …Science in Nursing (BSN), Bachelors of Social Work, (BSW) or equivalent education in health care management + Master's Degree in the field(s) of nursing, ... paid time off, parental leave, 401K matching and an employee recognition program . + Dental and health...leadership experience in Care Management or Population Health or health care management… more
- Charles Schwab (Westlake, TX)
- …products, while growing a revenue stream which is vital to Schwab's overall financial health . Within IOS, Managed Accounts Solutions (MAS) is responsible for the ... responsible for managing our third-party product marketplaces (Alternative Investments, Managed Accounts, Mutual Funds, ETFs, Structured Products, Fixed Income,… 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 ... pass yield, cash acceleration, net revenue). + Work with Managed Care /Finance, Revenue Integrity/CDM, PFS, and IT/Data...Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care … more
- Charles Schwab (Westlake, TX)
- …products, while growing a revenue stream which is vital to Schwab's overall financial health . Within IOS, Managed Accounts Solutions (MAS) is responsible for the ... **Your opportunity** **Director, Retail Managed Accounts Offer** We believe that, when done...basis. We offer a competitive benefits package that takes care of the whole you - both today and… more
- EPAM Systems (New York, NY)
- As the **Head of Next-Generation Managed Services** at EPAM Systems, you will revolutionize our service delivery model by implementing AI-first strategies while ... leading multiple strategic client accounts. You'll architect next-generation managed services that integrate DevOps, SRE principles, and intelligent automation to… more