- Novo Nordisk Inc. (Plainsboro, NJ)
- …most diverse and collaborative groups within the organization. From health- care -provider interactions and developing and implementing regulatory strategies with the ... studies within the clinical trial portfolio. Relationships Reports to a Senior Manager (or above) within North America Clinical Development (NACD). Manages mutually… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …position is part of the business assurance function for Commercial, Part D, & Managed Care contracts. This role is responsible for ensuring the validation of ... include partnership with Novo Nordisk Global Service Center formulary validation team, managed care customers, field sales personnel, and system vendors.… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …forecasting and reporting of contract profitability of customer segments (eg, Managed Care , Non-Federal Hospitals, Long-Term Care , Medicare Part D, ... is responsible for managing the entire deal evaluation/development process from contract inception through final approval. This includes the strategic assessment,… more
- Option Care Health (Bannockburn, IL)
- …credentialing, and enrollments are in place for any site consolidations.Communicates with managed care payers and pharmacy benefit managers of demographic ... tasks and assignments related to the credentialing and facility contract processes for Option Care Health entities and Option Care Infusion Suites… more
- Cleveland Clinic (Cleveland, OH)
- …cost drug negotiations. **Responsibilities:** + Prepares, coordinates and manages contract negotiation process. Identifies and evaluates opportunities and financial ... for assigned contracts. + Assesses potential legal risk in the context of contract provisions. + Develops appropriate legal and financial contract language. +… more
- Charter Care Health Partners (Providence, RI)
- …Contract Manager is responsible for the implementation and facilitation of managed care contracts, contract compliance, and related activities for ... CharterCARE Health Partner System under the direction of the Senior Director, Managed Care Operations and Payer Relation. Education: Bachelor's degree in health … more
- CommonSpirit Health (Englewood, CO)
- …region. Strong preference for Midwest location. Works closely with the Contract Manager and other Managed Care leadership, to support the negotiation ... of terms and conditions for Managed Care payer contracts for facility, professional,...to ensure the terms and conditions of the payer contract adhere to the CommonSpirit Health Standards and Guidelines,… more
- Henry Ford Health System (Troy, MI)
- …REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. Master's ... 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
- CommonSpirit Health (Englewood, CO)
- …, Payer Analytics and Economics is accountable for the managed care financial analysis, strategic pricing and payer contract modeling activities for ... strategies. + Monitor contract financial performance. Analyze and publish managed care performance statements and determine profitability. + Provide training… more
- UCLA Health (Los Angeles, CA)
- …Bachelor's degree preferred * Experience with a healthcare provider organization * Advanced managed care contract negotiation skills, preferably within a ... group, or health plan environment * Understanding of the Southern California managed care marketplace * Knowledge of hospital and professional reimbursement… more
- Weill Cornell Medical College (New York, NY)
- …+ Works with internal stakeholders to implement terms of the managed care contracts. Assists and supports the manager in activities necessary to manage ... Title: Managed Care Contracting Specialist Location: Midtown...contracting activities, including value-based agreements. + Evaluates and reviews contract language proposals; coordinates and tracks redline and proposed… more
- Hartford HealthCare (Wethersfield, CT)
- …the Sr. Payer Analyst develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops payment related tools such ... **Organization:** **Hartford HealthCare Corp.* **Title:** *Physician Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Wethersfield-1290 Silas Deane… more
- 3M (Maplewood, MN)
- Job Description: Project Manager - Managed Lab Outsource (Hybrid; Maplewood, MN) Collaborate with Innovative 3Mers Around the World Choosing where to start and ... experience to a 3M career. The Impact You'll Make in this Role As a Project Manager - Managed Lab Outsource in the 3M Global EHS Laboratory, you will have… more
- Diversicare Healthcare Services & Diversicare Ther (Brentwood, TN)
- …revenue cycle process, especially in the billing and collection phases, of the managed care accounts. 2. Provides accurate, detailed, and timely documentation of ... Acts as knowledgeable liaison between facilities, central intake, and managed care providers 4. Maintain manuals with... providers' requirements and notifying the BOM (business office manager ) and/or Administrator of any changes in contract… more
- Elevance Health (Fairfax, VA)
- …you a check, or ask you for payment as part of consideration for employment. ** Managed Care Coordinator** + Job Family: Medical and Clinical + Type: Full time ... Virginia, Suffolk + Virginia, Portsmouth + Virginia, Hampton **Description** ** Managed Care Coordinator** **MUST LIVE WITHIN THE...of position, as required by applicable state law and contract . **How you will make an impact:** + Performing… more
- Elevance Health (Norfolk, VA)
- …you a check, or ask you for payment as part of consideration for employment. ** Managed Care Coordinator (LPC, LCSW, LBBSW, LMSW, QMHP-A&C, or LPN)** + Job ... Date:Apr 22, 2024 + Reference: JR109492 **Location:** + VA, NORFOLK **Description** ** Managed Care Coordinator** _Location:_ Candidate must reside in Virginia,… more
- Sedgwick (Memphis, TN)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Director Client Services, Managed Care **PRIMARY PURPOSE** : To determine account management ... Taking care of people is at the heart of...dissatisfaction prior to renewal meetings. + Performs client renewal, contract revision, and Client Service Instruction preparation for complex… more
- Commonwealth Care Alliance (Farmington Hills, MI)
- **Why This Role is Important to Us:** The Provider Contract Manager is responsible for developing, negotiating and managing contractual, legal and financial ... assigned services. - Assure high quality data entry of contract specifications and terms into contracting data bases and...- Specific background in provider contracting in a health care or managed care setting… more
- Atrius Health (Newton, MA)
- …management fees. . Interfaces between Utilization Analysis and Clinical Programs (UACP), Managed Care Finance (MCF), Sites and Specialties to coordinate ... welfare benefit package. **Job:** **Supervisors/Managers/Directors* **Organization:** **Administration* **Title:** *Senior Contract Manager ( Local Remote )* **Location:**… more
- Point32Health (Canton, MA)
- …are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Contract Manager , Ancillary Network Contracting, will be part of ... to the Manager , Ancillary Network Contracting. Senior Contract Manager will operate with minimal oversite...required) **:** + 5-7 years related experience in a managed health care environment, with a thorough… more