- Fallon Health (Worcester, MA)
- …a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon ... Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top health plans for member experience, service, and clinical… more
- AdventHealth (Maitland, FL)
- … Care department to timely identify and seek resolution on issues related to managed care contract performance. . Participates in internal committees as ... contribute:** This position is responsible for ambulatory and post-acute ancillary provider managed care contracts... care contracting . Demonstrated understanding of managed care contract terms .… more
- Healthfirst (New York, NY)
- …and provider network satisfaction.The individual must possess experience working in a managed care setting with specific background in network development, ... Under the direction of the Manager of Ancillary Services, the Ancillary Services Contractor...ancillary provider network + Create contracts in HF contract software and review credentialing documents submitted by Provider/facility… more
- AdventHealth (Maitland, FL)
- …value you'll bring to the team:** . Provide documentation to internal departments on managed care contract requirements and changes including but not limited ... is in Kansas City** **The role you'll contribute:** The Managed Care Coordinator is a responsible member...of the requirements of each Agreement for all hospital, ancillary , and physician services. In addition, s/he must communicate… more
- Banner Health (AZ)
- …and innovative employment options by offering remote and hybrid work settings. As a Managed Care Contract Consultant with Banner Plans & Networks, you ... Post-Acute Care . 4. Understand physician, facility and ancillary service contract reimbursement methodologies for Medicare,...assignments in Managed Care , specific managed care contract experience is… more
- Northwell Health (New Hyde Park, NY)
- **Req Number** 124332 Job Description Develops managed care contract proposals for health system entities. Addresses operational issues and ensures ... Job Responsibility + Develops and analyzes the impact of managed care contract proposals on...and Faculty Practice business office to implement and monitor contract performance. + Works collaboratively with organization ancillary… more
- BayCare Health System (Clearwater, FL)
- …during the contract negotiation process. + Serves as Primary Contact for contract / managed care payer claims and operational issues resolution for ... of trust, dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Managed Care Financial Analyst Sr. performs financial analyses of… more
- AdventHealth (Maitland, FL)
- …managed care contracting initiatives as directed by AHS leadership; managed care contract review, interpretation and analysis, negotiation, reporting, ... hospitals and/or physician practices in Florida as well as ancillary service providers owned, employed, or operated by AHS....strategic, tactical, and operational goals. Shows an understanding of managed care contract language related… more
- Elevance Health (Wilmington, DE)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract /Cost of Care Consultant** **Location:** This...process. Can work with multiple provider types, eg physicians, ancillary , medical groups, or hospitals. Supports a full range… more
- Commonwealth Care Alliance (Farmington Hills, MI)
- …- 3-5 years of experience - Specific background in provider contracting in a health care or managed care setting required. - Exceptional provider partnership ... contracts for a set of provider types, such as hospitals, PHOs, primary care or specialty physicians, behavioral health providers, ancillary providers (eg DME,… more
- CommonSpirit Health (Englewood, CO)
- …to support the negotiation of terms and conditions for Managed Care payer contracts for facility, professional, and ancillary entities. Primary focus ... to ensure the terms and conditions of the payer contract adhere to the CommonSpirit Health Standards and Guidelines,...experience in a healthcare related field + Payer or Managed Care experience strongly preferred **Pay Range**… more
- Atrius Health (Newton, MA)
- …management fees. . Interfaces between Utilization Analysis and Clinical Programs (UACP), Managed Care Finance (MCF), Sites and Specialties to coordinate ... but not limited to health plans, hospitals, contracted physicians, and ancillary vendors. Key responsibilities include developing contract strategy, directing… more
- Point32Health (Canton, MA)
- …+ Bachelor's Degree or equivalent experience. + 5-7 years' work experience, preferred in managed care or other health care environment, with knowledge of ... a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are… more
- The Cigna Group (Birmingham, AL)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... Market. Must live in either Alabama or Mississippi._** The **Manager, Provider Contract Network Management** serves as an integral member of the Provider Contracting… more
- CVS Health (Topeka, KS)
- …provider market. * 3-5 years related experience, proven and proficient managed care network negotiating skills.Preferred Qualifications * Strong communication, ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Molina Healthcare (Grand Rapids, MI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... Alternative Payment Methods including Pay for Performance. * Assesses and negotiates contract language for ancillary providers including, but not limited to… more
- The Cigna Group (Franklin, TN)
- …Experience in developing and managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus + Team player ... reimburse physicians and providers. Solicits participation of physicians, hospitals, ancillary , institutional, and other health service providers to establish… more
- Providence (Irvine, CA)
- …our Acute, physician group, and ancillary entity relations with respect to managed care , and in the development, implementation and monitoring of managed ... **Description** **THE ROLE** The Regional Contracting Director is the managed care leader for Providence Health &...is responsible to help assign appropriate individuals to staff contract negotiation teams on behalf of Acute, Physician Group,… more
- Banner Health (AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... they operate. Works with various departments and staff to provide accurate managed care information. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent… more
- Molina Healthcare (Richmond, VA)
- …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different ... and experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 5-7 years contract -related experience in the health care field including, but not… more