- 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
- 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 ... bureau nomination process with Brand Team and co- promote partnersManage contracting process with Speaker Bureau vendor and co-promote partnersDevelop and lead… more
- e CancerCare (Nashville, TN)
- …(ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review, ... Job Purpose: Manager of Payor Contracting is responsible...compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
- Hartford HealthCare (Wethersfield, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Payer Analyst / Managed Care Contracting * **Location:** *Connecticut-Wethersfield-1290 ... across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst...develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops… more
- Amgen (Washington, DC)
- …this vital role you will lead contracting activities for Amgen's Managed Care Organization (MCO) customers. The Senior Manager will serve as the Payer ... for a career you can be proud of. **Senior Manager , Payer Contracting US** **Live** **What you...and execution of one of the Big 3 ("Mega") managed care PBM/GPO customers. + Implement MCO… more
- The Cigna Group (Franklin, TN)
- …relationships with provider partners + Intimate understanding and experience with hospital, managed care , and provider business models + Team player with ... office several days per week** **Medicare Advantage position** The ** Manager , Provider Network Contracting ** serves as an...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- Point32Health (Canton, MA)
- …who we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Manager of Contracting oversees a team of Contract Managers or ... negotiated within the organization's established legal, financial and operational guidelines. The Manager , Contracting will work closely with the Director, … more
- WMCHealth (Valhalla, NY)
- Manager , Managed Care Company: NorthEast... Care Organizations. + Strong experience in managed care contracting . + Demonstrated proficiency ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/26158) Internal Applicant link Job Details: Job Summary: The Manager of Managed Care will...Job Details: Job Summary: The Manager of Managed Care will report directly to the… more
- University of Utah Health (Murray, UT)
- …experience in provider or payer relations, provider or payer reimbursement, and/or managed care contracting . **Qualifications (Preferred)** **Preferred** + ... Under the direction of the Provider Network Director, the Manager of Provider Contracting is responsible for...as well as ongoing evaluation, administration and monitoring of managed care and governmental payer agreements for… more
- CommonSpirit Health (Englewood, CO)
- …appropriate reimbursement rates associated language, between physicians/hospitals and payers/networks for managed care contracting initiatives. + Review and ... the community. **Responsibilities** This is a remote position. The Manager , Payer Analytics and Economics is accountable for the..., Payer Analytics and Economics is accountable for the managed care financial analysis, strategic pricing and… more
- Fallon Health (Worcester, MA)
- … healthcare environment(s) with related work in provider contracting , healthcare finance, provider reporting/profiling, and/or provider relations. Experience ... 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… more
- UCLA Health (Los Angeles, CA)
- …degree preferred * Experience with a healthcare provider organization * Advanced managed care contract negotiation skills, preferably within a hospital, medical ... group, or health plan environment * Understanding of the Southern California managed care marketplace * Knowledge of hospital and professional reimbursement… more
- The Cigna Group (Atlanta, GA)
- …+ Intimate understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models + Team player with ... of the strategic direction and is accountable for the management of contracting and network management activities for multiple local geographies. **DUTIES AND… more
- The Mount Sinai Health System (New York, NY)
- …as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting , and other institutional departments to ensure ... **The Nursing Clinical Manager (NCM) for Case Management - Mount Sinai...We share a common devotion to delivering exceptional patient care . When you join us, you become a part… more
- Illumination Foundation (Cerritos, CA)
- …Angeles County and the Inland Empire. Job Description The Outreach Lead Care Manager will review multiple Medi-Cal Managed Care Plan Member Information ... and strategize engagement methods to evaluate Members' health and managed care needs. This candidate functions as...This candidate functions as an extension to the Lead Care Manager team by providing a foundation… more
- Aveanna (Atlanta, GA)
- …Current Opportunities:As a key member of Aveanna's contracting department, the Payer/ Managed Care Contracts Manager is responsible for the development, ... Payer Contracts Manager ApplyRefer a FriendBack Job Details Requisition #:...Contract Management preferably in a healthcare provider setting. + Managed Care contracting experience +… more
- Commonwealth Care Alliance (Farmington Hills, MI)
- …years of experience - Specific background in provider contracting in a health care or managed care setting required. - Exceptional provider partnership ... **Why This Role is Important to Us:** The Provider Contract Manager is responsible for developing, negotiating and managing contractual, legal and financial… more
- Swedish Health Services (Edmonds, WA)
- …financial assistance forms. * Maintains awareness of payer contract requirements. Collaborates with managed care contracting staff on elements of plan ... **Description** ** Care Manager RN @ Swedish Edmonds**...contract requirements. Conducts utilization review activities as required by managed care contracts. * Issues and explains… more
- HCA Healthcare (Portsmouth, NH)
- …year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Care Manager WFH with HCA Healthcare you can be a part of an ... practices and attend onsite meetings as required. _** **Job Summary & Qualifications** The Care Manager supports the patient and primary care relationship… more
- HCA Healthcare (Overland Park, KS)
- …a work environment where diversity and inclusion thrive? Submit your application for our RN Care Manager - WFH opening with HCA today and find out what it truly ... about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) We are seeking a(an) RN Care Manager - WFH for our team to ensure… more
