- 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
- 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
- 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
- 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
- UNC Health Care (Morrisville, NC)
- … payer specific action plans to track and trend issues and provides information to senior management. Monitors managed care volume trends in order to ... the unique communities we serve. **Job Summary:** The System Executive Director - Managed Care position is responsible for planning, directing and coordinating… more
- CommonSpirit Health (Englewood, CO)
- …Manager, Payer Analytics and Economics is accountable for the managed care financial analysis, strategic pricing and payer contract modeling activities for ... requires daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. The position must handle adverse and… 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 and… 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
- 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
- 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
- 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
- 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
- AdventHealth (Maitland, FL)
- …and strong analytical skills The Senior Medical Economics Analyst will work with managed care staff for both in the Florida and Multi-State Divisions of ... contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst...that achieve net revenue targets developed by the Regional Managed Care Directors and Contract … more
- CommonSpirit Health (Englewood, CO)
- …**UMMARY** The Senior Analyst, Payer Analytics & Economics performs complex managed care payer financial analysis, strategic pricing and payer contract ... with senior management, physicians, hospital staff, and managed care /payer strategy leaders. **E** **SSENTIAL** **K**... contract modeling strategy and consolidation for large managed care payer negotiations. Act as a… more
- HCA Healthcare (Brentwood, TN)
- …(SPS) Contract Pricing Advisor is responsible for the What-if modeling of managed care contracts, partnering with Payer Contracting & Alignment in creating ... terms on profitability, trend and other metrics. **Major Responsibilities:** + Model managed care contracts through available modeling tools. + Maintain service… more
- State of Indiana (Indianapolis, IN)
- …Long-Term Service and Supports programs. You will serve as a subject matter expert on managed care programs and contract compliance within the Indiana Health ... engaged with this mission. Role Overview: In this role, Senior Contract Compliance Officer, you will be... compliance liaison with the executive staff of the managed care entities (MCEs), assigned contract… more
- Cleveland Clinic (Independence, OH)
- …rewarding career with one of the most respected healthcare organizations in the world. Senior Contract Managers are continuously working with a team, focused on ... Cleveland Clinic's institutes access patients' insurance plants. As a Senior Contract Manager, you will: * Negotiate...Likes to keep up to date with all things managed care and payer contracting related. This… more
- Martin's Point Health Care (Portland, ME)
- …experience in a wide range of medical expense analyses, contracting in a managed care setting, preferably in commercial and government programs business. + ... of building internal and external collaborative relationships. + Broad understanding of managed care business and financial principals such as underwriting,… more
- Martin's Point Health Care (Portland, ME)
- …customers, etc. Education/Experience + Bachelor's Degree + 10 years of experience in health care , managed care , health insurance or strategic consulting + ... Join Martin's Point Health Care - an innovative, not-for-profit health care..."Great Place to Work" since 2015. Position Summary The Senior Director of Risk Adjustment Operations in our Health… more
