- Novo Nordisk Inc. (Plainsboro, NJ)
- …internal and external stakeholders to leverage and implement knowledge of reimbursement, managed care and healthcare policy to develop execution strategies and ... for aligned therapeutic / franchise area(s). Relationships Reports to the Senior Director of Value Communication and Contracting Strategy Interacts frequently in… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... StrategyAlign with the Head of Clinical Development Operations or Senior Director, Clinical Operations on plans for successful implementation of… more
- Cambia Health Solutions, Inc (Portland, OR)
- Senior Program Manager, Provider Reporting Insights and AnalyticsRemote opportunity for residents of Oregon, Washington, Idaho and UtahPrimary Job PurposeThe ... solutions and resolve issues in a timely and effective manner.Familiarity with contract language and understands and can identify contractual risk, with an ability… more
- Beacon Hill Staffing Group, LLC (Charlotte, NC)
- …- 60KThe Assistant Property Manager will assist the Property Manager and Senior Property Manager in the management and supervision of property management services. ... Conduct routine inspections and oversee installations of seasonal color.Service Contract and Claims AdministrationMonitor, at the direction of Property Manager,… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- … Care Program and Environmental Safety Department7A Designs and oversees programs managed by the Environment of Care Coordinator that ensure compliance with ... policies and processes. Provides expertise and guidance to management and the senior leadership team on matters relating to environmental safety, and other matters… more
- OSS Health (York, PA)
- …or MGMA required. Comprehensive knowledge of claims management, HIPAA standards, CMS requirements, managed care , CPT, ICD-9 and 10, and HCPCS coding Knowledge in ... quality programs and reimbursement impact Demonstrated experience in payer contract management, analysis and negotiation Collaborative skills to form strong… more
- Banner Health (AZ)
- …and innovative employment options by offering remote and hybrid work settings. As a Senior Managed Care Contract Consultant with Banner Plans ... objectives and strategies. This position mentors, leads and trains Managed Care Contracts Consultants. This...assignments in Managed Care , specific managed care contract experience is… more
- Prime Healthcare (Lynwood, CA)
- …Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Senior Managed Care ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/157568/ senior - managed - care -biller-collector/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare… more
- Cleveland Clinic (Cleveland, OH)
- Negotiates contracts on behalf of CCF within assigned business area. Evaluates new business opportunities. Manages administrative, legal, operational and financial ... cost drug negotiations. **Responsibilities:** + Prepares, coordinates and manages contract negotiation process. Identifies and evaluates opportunities and financial… more
- Hartford HealthCare (Wethersfield, CT)
- …this is *yourmoment.* **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** * Senior Payer Analyst / Managed Care Contracting* ... *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a modeling...develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops… more
- UNC Health Care (Morrisville, NC)
- …the evaluation, measurement, and reporting of the financial and operational performance of managed care contracts , including the establishment of tools to ... payer specific action plans to track and trend issues and provides information to senior management. Monitors managed care volume trends in order to… more
- CommonSpirit Health (Englewood, CO)
- …Director, Payer Strategy and Relationships (PSR), is responsible for managed care policies, goals and objectives related to contract language and ... growth **Qualifications** + Bachelor's Degree - equivalent education and experience in payer strategy, managed care or provider network senior level role may… more
- Amgen (Washington, DC)
- …In this vital role you will lead contracting activities for Amgen's Managed Care Organization (MCO) customers. The Senior Manager will serve as the Payer ... senior leadership. This individual will be the primary contract owner for the MCO client responsibilities and will...and execution of one of the Big 3 ("Mega") managed care PBM/GPO customers. + Implement MCO… more
- CommonSpirit Health (Englewood, CO)
- …and pricing expertise for the evaluation, negotiation, implementation and maintenance of managed care contracts between CommonSpirit Health providers and ... and Economics is accountable for the managed care financial analysis, strategic pricing and payer contract...with senior management, physicians, hospital staff, and managed care /payer strategy leaders. The position must… more
- AIG (New York, NY)
- …new strategy and operating model for the business. Come and help us rethink contracts management and procurement at AIG and see how far your career can progress. ... external resources are leveraged adequately to accelerate the successful execution of contract management aiding in overall goals of the GS&PS organization leading… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …to federal and sponsoring agencies. + Other duties may include reviewing contracts , maintaining grant and contract files, reviewing invoices, monitoring accounts ... with contract regulations and reporting requirements, and closing out contracts . + Perform other duties as assigned. MINIMUM QUALIFICATIONS: + Bachelor's degree… more
- HCA Healthcare (Nashville, TN)
- …the Legal Department to support all phases of the arbitration and/or litigation of managed care disputes. This paralegal position will have responsibility for a ... wide variety of managed care litigation tasks, including: handling service...supported by one litigation paralegal, one analyst and eight contract attorneys. Litigation paralegals are assigned to support specific… more
- Atrius Health (Newton, MA)
- …management fees. . Interfaces between Utilization Analysis and Clinical Programs (UACP), Managed Care Finance (MCF), Sites and Specialties to coordinate ... and welfare benefit package. **Job:** **Supervisors/Managers/Directors* **Organization:** **Administration* **Title:** * Senior Contract Manager ( Local Remote )*… more
- Scripps Health (San Diego, CA)
- …to relocate.The ideal candidate will be someone who is experienced with Provider Relations, Managed Care Background, has worked for a Medical Group or Health ... been with Scripps Health for over 10 years. The Senior Provider Relations / Contract Specialist is...groups to provide input and support in relation to managed care . Thoroughly researches issues and interacts… more
- Point32Health (Canton, MA)
- …we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Contract Manager will support all Lines of Business, including ... Commercial, Senior Products and Public Plans. The Senior Contract Manager will serve as the...equivalent experience. + 5-7 years' work experience, preferred in managed care or other health care… more
