- Molina Healthcare (Dayton, OH)
- …payment integrity and other cost recovery processes + Direct PM experience in Managed Care Operations (claims, system configuration, provider data management ... + 3-5 years in Managed Care with emphasis on Managed Care Operations **Preferred License, Certification, Association** + PMP, CAPM, PMI-ACP, PMI-PBA… more
- Charles Schwab (Chicago, IL)
- …the firm. As a member of the team, reporting directly to the Director of MAS Managed Account Offer Enablement, the ** Senior Manager of Managed Accounts Offer ... model, pursuing market growth opportunities, and improving internal business processes and operations . The Senior Manager will work closely with internal… more
- Elevance Health (Seattle, WA)
- ** Senior Health Economist - Managed Care ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business… more
- Molina Healthcare (Cleveland, OH)
- …Qualifications** + At least 6 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent ... + Provides status and updates to health plan/product team partners, senior management and stakeholders. + Communicates requirement interpretations and changes to… more
- AdventHealth (Maitland, FL)
- …reports for distribution to Senior Staff, AdventHealth Florida and Multi-State Managed Care Directors and Ancillaries. * Accountable for ensuring Payer ... and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and...may have a direct or indirect impact on hospital operations or contract terms and rates. Guides and directs… more
- Amazon (Herndon, VA)
- …change to improve the reliability, performance, and efficiency excite you? The AWS Managed Operations (MO) organization was founded in April 2023, with the ... objective to reduce operational load and toil through long-term engineering projects. Managed Operations (MO) is building the best-in-class engineering and … more
- Huron Consulting Group (Chicago, IL)
- …the power of collaboration, Huron offers a rewarding path forward. As the Healthcare Consulting Senior Director - Managed Care & Payment Strategy, you will: ... design, ACO development (eg, MSSP, ACO REACH, Commercial shared risks), Medicaid managed care participation. Experience with population health initiatives such… more
- Bristol Myers Squibb (Madison, NJ)
- …and ensuring their effective operational delivery. Working in close partnership with the Senior Director, Managed Access Programs, this role will be responsible ... and communication skills. This role will report to the Executive Director, Managed Access Programs. **Key Responsibilities** + Program operations and oversight:… more
- J&J Family of Companies (Raritan, NJ)
- …& Johnson's Family of Companies, is recruiting for a ** Senior Analyst, Managed Markets & Specialty - Long Term Care (LTC)** within **Enterprise Contract ... support contracting activities for **Group Purchasing Organizations (GPOs)** within the **Long-Term Care (LTC)** segment, administered by the Managed Markets &… more
- Huron Consulting Group (Chicago, IL)
- …and drive physician, patient and employee engagement across the enterprise. The Huron Managed Services Coding Operations Director oversees a portfolio of clients ... Resource Management, Culture, Staff Engagement, Training and Solution Development. The Huron Managed Services Coding Operations Director leads the operations … more
- Medtronic (Mounds View, MN)
- …and supplier relationships so as to optimize performance and value creation. Reporting to the Senior Director, IT and Managed Services, this role will be part of ... collaboration and ensure successful completion of projects. As the IT and Managed Services VMO Program Manager, you will ensure operational excellence and continuous… more
- Huron Consulting Group (Chicago, IL)
- …pressure to improve clinical outcomes and reduce the cost of providing patient care . Investing in new partnerships, clinical services and technology is not enough to ... the rapidly changing healthcare environment and optimize existing business operations , improve clinical outcomes, create a more consumer-centric healthcare… more
- Guidehouse (San Antonio, TX)
- …* Provides oversight and executive level management to overcall contract operations often involving multiple projects/tasks and groups of personnel at multiple ... divisions. * Maintains and manages relationships with senior and executive level management within the client organization....with oversight and executive level management for overall contract operations ** **What Would Be Nice to Have** **:** +… more
- Walgreens (Deerfield, IL)
- …that are identified. Knowledge and understanding of healthcare ( managed care , clinical, pharmaceutical) products and services, store/field operations , and ... changes in the market + Applies knowledge and understanding of healthcare insurance and managed care industry products and services and knowledge of retail … more
- CareFirst (Washington, DC)
- …capacity. **Preferred Qualifications:** + Master's Degree + Experience in Medicaid or Medicare managed care , managed care insurance, finance, government, ... & Qualifications** **PURPOSE:** The Sr. Program Manager, DC Market Operations provides leadership for the operation of a single... care setting or related field. + DC Managed Care experience. **Knowledge, Skills and Abilities… more
- World Wide Technology (Chantilly, VA)
- …teams? Come join WWT today! We are looking for a ** Senior Operations Lead** to support our Managed Service Provider (MSP) contract within the ... systems. **Place of Performance:** Chantilly, VA **What will you be doing?** Operations Lead for a classified Intelligence Community Managed Service Provider… more
- Gilead Sciences, Inc. (Foster City, CA)
- …Government rebate operations ** , including Medicaid, Medicare Part D, and Managed Care contracting. + **Strategic mindset with operational execution skills** ... + Serves as a primary point of contact for external stakeholders, including managed care organizations and government entities, and internal teams such as… more
- Florida Atlantic University (Boca Raton, FL)
- …maintenance, engineering, utilities, custodial services, managed grounds, warehouse operations , and the work-control center. The Senior Director ensures ... Workday employee account. Position Summary: Florida Atlantic University is seeking a Senior Director, Facilities Operations and Infrastructure - Boca Raton, FL.… more
- ConvaTec (Lexington, MA)
- …on solutions for the management of chronic conditions, with leading positions in Advanced Wound Care , Ostomy Care , Continence Care , and Infusion Care . ... prevention and protection of at-risk skin, to improved patient outcomes and reduced care costs. Convatec's revenues in 2024 were over $2 billion. The company is… more
- Robert Half (Chicago, IL)
- …consulting firm. Where We Need You Protiviti is looking for a Supply Chain & Operations Senior Consultant to join our growing Supply Chain & Operations ... JOB REQUISITION Business Performance Improvement - Supply Chain & Operations (Strategic Sourcing) Senior Consultant LOCATION CHICAGO ADDITIONAL LOCATION(S)… more