- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- CVS Health (New York, NY)
- …And we do it all with heart, each and every day. **Position Summary** The Manager , Intake Operations ( Managed Long-Term Care ) will oversee the day-to-day ... operations. You will develop a team to manage MLTC ( Managed Long-Term Care ) referrals processing, eligibility verification,...contract requirements; work to improve the quality of care provided to upcoming members. + Present new strategies… more
- Huron Consulting Group (Van Buren, AR)
- …a rewarding path forward. Create your future at Huron. As the Healthcare Consulting Manager in Managed Care , you will: + Manage complex multi-workstream ... leadership and workplan management experience with a focus on managed care with fee-for-service contract ...and may be implemented in the future. **Position Level** Manager **Country** United States of America At Huron, we're… more
- Bon Secours Mercy Health (Cincinnati, OH)
- … sites and clinicians are recognized for clinical and operational excellence. **DIRECTOR MANAGED CARE CONTRACTING - LARGE ACCOUNTS** **| REMOTE** This position ... developing, managing, and leading the day-to-day activities associated with managed care contracting for both fee for...state for Bon Secours Mercy Health. This scope of contract management will range in revenues between $500m and… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …other projects, work, and activities as assigned by the Pharmacy Director Qualifications: + Managed Care experience preferred, but not required + Part D Coverage ... and coding to be submitted to the Pharmacy Benefit Manager , New Contract Year formulary evaluation, and...of, or currently enrolled in, residency program (PGY1) in managed care pharmacy, or pharmacy practice. +… more
- Atrius Health (Newton, MA)
- …welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Senior Managed Care Analyst* **Location:** *Newton MA - ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review ... * Identify and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). *… more
- AdventHealth (Altamonte Springs, FL)
- …and clinical departments * to keep them informed of any concerns related to managed care reimbursement and operational contract issues. * Ensures hospital ... position is responsible for managing the AdventHealth Multi-State Division Contract Management team. This team is responsible for ...other products, policies and procedures that would impact the Managed Care team relative to processes and… more
- CommonSpirit Health (Phoenix, AZ)
- …+ Knowledge and experience in reimbursement, the financial aspects of contracting and managed care operations + Contract language + Effective project ... **Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy &...compliance on a regional and market level; ensuring that managed care contracts are correctly negotiated and… more
- J&J Family of Companies (Titusville, NJ)
- … performance across all pharmaceutical business units and contracted channels including Managed Care , Hospital, Physician, ITP, LTC and other specialty channels ... Titusville, New Jersey, United States of America **Job Description:** ** Manager , Contract Strategy & Analytics** Johnson &...knowledge of SharePoint is a required. + Knowledge of managed markets, acute care and specialty channels… more
- AdventHealth (Maitland, FL)
- …department leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the ... Enterprise leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues. . Ensures key stakeholders… 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...the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play a critical… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Under minimal supervision, the Network Contract Manager oversees the tracking and management of value-based contracts within the Clinically ... effective communication and cooperation. Routinely collaborates with corporate departments including Managed Care Contracting/ Revenue Cycle. . Collaborates with… more
- Sutter Health (Modesto, CA)
- …contract negotiations and document management. Provides contract administration oversight for managed care provider network. The manager 's role in the ... contract terminology, provisions, and various reimbursement methodologies including managed care risk contracting + Ability to systematically analyze… more
- St. Luke's University Health Network (Allentown, PA)
- …and ensuring active governance across the vendor pool + Deliver a structured managed contract process from determining needs, assisting in vendor selection, ... regardless of a patient's ability to pay for health care . The IT Vendor and Contracts Manager ...attainment, reporting and governance. At an operational level, the Manager directs contract consultations and negotiations, including… more
- FlexStaff (Flushing, NY)
- …diagnostic & treatment clinic preferred. - Customer Service experience is required. - Managed long-term care insurance experience beneficial. - Minimum of one ... of excellence with advance professional education to deliver high-quality care . Serve the organization as a member of the...the Virtual IDT as needed. - Serve as a manager on call during non-operational hours of the physical… more
- UPMC (Pittsburgh, PA)
- The Care Manager Associate (CMA) position will...of those being served. No license is required. + Managed care experience preferred. + Ability to ... Paramedic Team. The team expands paramedic roles from emergency care to a focus on non-emergent and preventative health...goals. The CMA will begin their journey in mobile care management while helping resolve members' SDOH issues, develop… more
- US Physical Therapy (Houston, TX)
- …motivated, autonomous individual who has a positive attitude to join our company as a ** Contract Manager /Analyst.** This is a dual role that will support the ** ... Managed Care Operations Team** . The person...care contracts and government reimbursement methodologies to create contract modeling calculation. + Prepare pre-negotiation analysis to support… more
- Elevance Health (South Portland, ME)
- …+ 3 years contract negotiation experience, preferably within health plan/ managed care environment. + Experience with standard reimbursement methodologies. + ... Provider Network Manager Sr. / Contract Negotiations (JR151123)...with strong competition or where greater provider education around managed care concepts is required. Contracts involve… more
- J&J Family of Companies (Titusville, NJ)
- …organizations, leading health plans, pharmacy benefit managers, and government health care institutions. The company also provides contract management, logistics ... Group is searching for the best talent for a ** Manager , Contract Strategy & Analytics** **.** This...performance and KPI reporting is preferred. * Knowledge of managed markets, acute care and specialty channels… more