- Merck & Co. (Toledo, OH)
- …Customer Strategy, Health Improvement, Health Outcomes, Hospital Sales, Interpersonal Relationships, Lead Generation, Managed Care , Market Analysis, ... of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients'… more
- Baystate Health (Springfield, MA)
- Summary Description: The Sr. Managed Care Contract Manager will act as the catalyst between the contract , contract parties and the data. Supporting ... language, evaluate validity in the data and support the Managed Care Contract Team at...Contract Manager this position will serve as team lead and technical expert related to manage care… more
- Option Care Health (Nashville, TN)
- …Education and Experience Requirements** High school diploma and 10yrs of experience in managed care account management or contract analysis and negotiation ... in order to facilitate clean claim billing. Initiate and lead meetings with health plans and corporate teams, including... services. Experience in working with managed care clients and familiarity with contract terms… more
- Stony Brook University (Commack, NY)
- …physician, and ancillary Managed Care contracts. + Maintain accurate, up-to-date Managed Care contract databases and tracking tools. + Timely review ... Medicine is seeking an experienced and strategic Director of Managed Care Contracting to lead ...policy interpretation as it relates to Managed Care contracts. + Proficiency with contract management… more
- AdventHealth (Maitland, FL)
- …partners, vendors and leadership after identifying and quantifying the issue. Supports the Managed Care Contract Administration, AH Central Denials team, and ... government and non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical system and application… 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...Care rebate systems (REACT$ and vendor interfaces) + Lead and assist with special projects as required (IRA,… more
- Molina Healthcare (MI)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + Must ... materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.… more
- Select Medical (Mechanicsburg, PA)
- …role for clinic acquisition and JV due diligence, and integration processes. **Responsibilities** + Lead the managed care team efforts to analyze, negotiate, ... **Overview** The Senior Director is responsible for leading the Managed Care Contracting team and planning, analyzing, negotiating, and implementing new and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director, Managed Care Payer Contracting Date: Sep 18, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job ... pharmaceutical access in a high-growth environment.** The Associate Director, Managed Care Payer Contracting plays a pivotal...accounts to meet required internal and external timelines + Lead Teva's contract approval process to ensure… more
- Cedars-Sinai (Beverly Hills, CA)
- …for decision-makers. + Lead complex or special assignments related to managed care financial analysis. + Provide analytic support across various departments ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director, Managed Care Payer Analytics (V&A) Date: Sep 28, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals ... new people to make a difference with. **The opportunity** The Associate Director, Managed Care Payer Analytics is responsible for leading the analytical strategy… more
- MaineGeneral Health (MA)
- …a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects of reimbursement, managed ... oversee the Charge Description Master (CDM) rate setting + Lead contract negotiations and manage payer relationships...of 7 years of experience in healthcare reimbursement and managed care - some leadership experience is… more
- Gilead Sciences, Inc. (Foster City, CA)
- …the lead in managing Gilead's day-to-day administration and processing of all Managed Care Commercial/Medicare Part D contract payments, in support of ... the contract development activities of the Managed Markets Strategy & Operations group. This group is...(Sharepoint, Model N, Validata, OIMS) to proactively build in lead time to execute rebate payments. * Work with… more
- Select Medical (Mechanicsburg, PA)
- **Overview** The Director of Managed Care Contracting is responsible for leading the strategic planning, financial analysis, negotiation, and execution of new ... and renewed managed care agreements across an assigned hospital...for hospitals.** + Responsible for rate and payment methodologies, contract language, as well as following all internal controls… more
- Elevance Health (KS)
- ** Managed Care Coordinator** Location: Seeking candidates to work in Sedgwick, Cowley, Butler, or Reno County, Kansas. **_Please note that per our policy on ... responsiveness to client needs, and direct, hands-on engagement. The ** Managed Care Coordinator** is responsible for overall...of position, as required by applicable state law and contract . **How you will make an impact:** + Responsible… more
- Guidehouse (Chicago, IL)
- …will be notified by **Friday, Oct. 24** **What You Will Do** **:** Guidehouse's Managed Care practice sits within the broader Payer Provider Advisory group. The ... Managed Care practice assists hospitals, health systems,...+ Learning & Development Sessions (both E-learning & Instructor Lead ) + Mid-Point and Final Evaluations + Corporate Social… more
- Elevance Health (Durham, NC)
- **CFSP Managed Care Coordinator** **Sign-on Bonus: $2500** **We are currently seeking people in the following counties and look forward to speaking with you!** ... thrive in safe, stable, and nurturing homes._ The **CFSP Managed Care Coordinator** is responsible for the...CFSP Program, as required by applicable state law and contract . **How you will make an impact:** + Provide… more
- Elevance Health (Roanoke, VA)
- …for employment, unless an accommodation is granted as required by law. The ** Managed Care Coordinator - Southwest Virginia** is responsible for performing ... and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk… more
- Elevance Health (Atlanta, GA)
- …or related field and a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as well as in depth experience ... **Provider Contract Cost of Care Consult Senior...complex, large scale enterprise-wide initiatives and acts as project lead . Acts as a strategic partner to management. +… more
- Elevance Health (Atlanta, GA)
- …or related field; minimum of 5 years of experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract /Cost of Care Consultant** **Location:** This...Works on complex enterprise-wide initiatives and acts as project lead . **How you will make an impact:** + Uses… more
