- State of Minnesota (St. Paul, MN)
- **Working Title: Managed Care System Lead ** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Job ID** : 85852 + ... as an MMIS system expert and business lead for managed care on...+ Managed Care **AND** Eligibility system experience utilizing systems such as Minnesota… more
- AmeriHealth Caritas (Raleigh, NC)
- …, including chief executive officers, chief financial officers, and directors of managed care leadership. **Responsibilities:** + Lead the development ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and...to align provider goals with broader enterprise initiatives. + Lead the design and execution of provider performance improvement… more
- CommonSpirit Health (Omaha, NE)
- …This position requires daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract ... exciting role. The Senior Analyst, Payer Economics performs complex managed care payer financial analysis, strategic pricing...to use and create data reports from health information systems , databases or national payer websites (EPIC, PIC, SQL… more
- City of New York (New York, NY)
- …impact of the 2022-2027 NYS Medicaid 1115 Waiver on public health outcomes. - Lead managed care collaboration initiatives for COVID-19 management and ... Law 78) Local, State, and Federal legislation, policies, and programming. Medicaid Managed Care and Medicare Advantage payment and partnership initiatives to… more
- MyFlorida (Tallahassee, FL)
- 68065029 - SENIOR INFO TECH BUSINESS CONSULTANT / MANAGED FILE TRANSFER ADMINISTRATION LEAD Date: Apr 21, 2025 The State Personnel System is an E-Verify ... Title: 68065029 - SENIOR INFO TECH BUSINESS CONSULTANT / MANAGED FILE TRANSFER ADMINISTRATION LEAD Pay Plan:...of experience in IT administration with a focus on Managed File Transfer (MFT) systems . Preferences +… more
- Henry Ford Health System (Troy, MI)
- …in reimbursement and/or data analytics preferred. * Knowledge of managed care organizations and integrated health systems . * Comprehensive project management ... GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is...rates with health plans. PRINCIPLE DUTIES AND RESPONSIBILITIES: 1. Lead payor negotiations and manage team that will evaluate… more
- Option Care Health (Carmel, IN)
- …financial analysis, business review, and implementation of assigned Managed Care clients, 340B, and Health System Partnership agreements for home ... of importance and/or time spent)** Manage the negotiation of managed care and health system ...in order to facilitate clean claim billing. Initiate and lead meetings with health plans and corporate teams, including… more
- St. Luke's Health System (Boise, ID)
- …Relations & Contracting is a key leadership role accountable for St. Luke's Health System 's managed care contract portfolio, to include activities related to ... and guidance to internal stakeholders and the leadership team with regard to managed care contract capabilities, in alignment and advancement of the overall… more
- University of Miami (Medley, FL)
- … protocols and strategy. + Leads and participates in all managed care contracting negotiations for the health system . + Oversees all single-case negotiations ... sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of Business Development and Managed Care is currently seeking an Executive… 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
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals ... loading benefit information. Responsibilities may include: - Develop all hierarchy levels in managed care platform for customer setups and configuration - Review… more
- MaineGeneral Health (Waterville, ME)
- Job Summary:MaineGeneral Health is a leading health care system proud of the culture of excellence, compassion, and collaboration that extends to our patients ... our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects...oversee the Charge Description Master (CDM) rate setting + Lead contract negotiations and manage payer relationships + Utilize… more
- Covenant Health (Lubbock, TX)
- …and ministries. + **Master Negotiator:** Lead the charge in negotiating favorable managed care rates and contractual terms for all Texas Region CHS entities, ... Texas/New Mexico Service Area. In this pivotal role, you will spearhead the Managed Care Contracting Program, guiding our organization through contract analysis,… more
- Guidehouse (San Antonio, TX)
- …is seeking an experienced compliance supervisor to serve as a Team Lead overseeing a team Senior Analysts and Analysts executing BSA/AML/Sanctions and regulatory ... to analysts based on client expectations and prior subject matter experience. + Lead training efforts to ensure consistency and quality across the team through large… more
- Fortive Corporation (SC)
- **Sr. Director Managed Services - Key Accounts** **ServiceChannel** is the leading cloud-based service automation platform for facilities management. We offer a ... to succeed professionally and personally. **Job Overview:** As the Senior Director Managed Services - Key Account(s) for your assigned ServiceChannel Managed … more
- VNS Health (Manhattan, NY)
- …develop, design, plan, and deliver information systems solutions to meet managed care payor needs. + Functions as lead Business Systems Analyst on ... visible projects to understand business needs and challenges of managed care payors and to develop innovative...to meet operational, business and clinical needs. Acts as lead Business Systems Analyst on team; coordinates… more
- Comcast (Dallas, TX)
- …offers a suite of Connectivity, Communications, Networking, Cybersecurity, Wireless, and Managed Solutions to help global organizations of all sizes prepare for ... independently with minimal-to-no supervision while also demonstrating the ability to lead projects and initiatives autonomously. **Job Description** Join our dynamic… more
- Mount Sinai Health System (New York, NY)
- …pharmacy group. 11.Obtains prior authorizations from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. ... System is one of the largest academic medical systems in the New York metro area, with more...System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the… more
- Comcast (Columbus, OH)
- …in our passion for teamwork, our vision to revolutionize industries and our goal to lead the future in media and technology, we want you to fast-forward your career ... ideas. Be an active part of the Net Promoter System - a way of working that brings more...need when it matters most, and should help you care for those who matter most. That's why we… more
- AmeriHealth Caritas (Newtown Square, PA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... + Develop and/or enhance a working knowledge of Medicaid/Medicare Healthcare Managed Care Activities: Marketing, Member Services, Health Services, Claims,… more