- 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
- 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
- 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
- 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
- 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
- Actalent (Thousand Oaks, CA)
- …* Responsible for providing information for entry into systems * Negotiate site contracts from the contract templates using appropriate guidelines, and collect ... * Manage end to end process for clinical site contracts and clinical trial related consulting agreements (including ...respect to submission of invoices * Support resolution of contract and budget issues * Support contracting with local… 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
- 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
- Harvard University (Cambridge, MA)
- …(N) Department Office Location:USA - MA - Boston Business Title: Senior Grants and Contracts ManagerSub-Unit: Salary Grade ... or any other characteristic protected by law.Job Summary: The Senior Grants and Contracts Manager will support...of paid leave for new parents who are primary care givers. + Health and Welfare: Comprehensive medical, dental,… 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...care reimbursement rates and contractual provisions. + Assists senior staff in document preparation of proposals, contracts… more
- J&J Family of Companies (Raritan, NJ)
- …Analyst is responsible for supporting the contracting needs for Pharmacy Benefit Managers (PBM), Managed Care Organizations (MCO) and Long Term Care (LTC) ... & Johnson's Family of Companies, is recruiting for a ** Senior Analyst, Managed Markets & Specialty** ,...care , and develop innovative solutions that improve patient care and access. Enterprise Contract Management (ECM)… 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 ( MASS, 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
- 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
- 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 ... for Proposals (RFPs), and the writing and editing of contract documents. Coordinates legal review of contracts ...to all affected parties. 6. Collects, consolidates and provides contract and procurement information to senior management… 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
- Erickson Living (Baltimore, MD)
- … Senior Living, headquartered in Baltimore, Maryland is a national provider of senior living and health care with campuses in 11 states-and growing. Erickson ... DSSI Purchasing, and Accounts Payable systems preferred. + CPM is preferred Erickson Senior Living, its affiliates, and managed communities are Equal Opportunity… more
