- Daiichi Sankyo, Inc. (Bernards, NJ)
- … Contract Forecasting to ensure support of cross-functional teams regarding key managed care accounts and ASP analysis. This includes: profitability analysis ... ability to develop that knowledge; preferredDetailed knowledge of all channels of managed care environment in the US (commercial, Medicare, Medicaid, etc.);… more
- e CancerCare (Nashville, TN)
- …data to provide in reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance, along with ... setting. Strong communication skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating experience with managed care… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... leads financial and data analysis to evaluate rate proposals, contract terms, and health plan reimbursement. This position will...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- RWJBarnabas Health (Oceanport, NJ)
- …Functions + Analytical lead on modeling contract rates using EPIC throughout the managed care contract negotiation process, + Assists in varying aspects ... Senior Managed Care Analyst (Hybrid/Remote) - Oceanport,...assists with aspects of the fee-for-service environment related to contract negotiations, rate modeling, payer relationship management and … more
- State of Minnesota (St. Paul, MN)
- …of the beneficiary support system, + Develop and make policy recommendations for Managed Care contract language. **Minimum Qualifications** Three (3) years ... **Working Title: Managed Care Outcomes Coordinator** **Job Class:...for reports that ensures MCO compliance and adherence to contract performance that includes administration and management, client appeals… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …credentialing and enrollment contact for all internal and external inquiries. Manages managed care contract , credentialing, and enrollment projects. * ... Western Kentucky Healthcare System (WKHS). Develops, manages, and monitors the managed care contracting, credentialing, and provider enrollment processes. Works… more
- Premier Health (Dayton, OH)
- …This position will work-from-home. However, successful candidate must live in Ohio** The Managed Care Contract Analyst is responsible for analyzing financial ... Health hospitals and physician organizations. The Liaison interprets and researches managed care contract language and methodologies. The Liaison is… more
- Houston Methodist (Houston, TX)
- …+ Knowledge of acute care contracts, financial modeling techniques and managed care contracting, contract pricing, language requirements, rates and ... At Houston Methodist, the Director Managed Care Contracting position is responsible...timely termination submission, timely timecard approval, etc.). + Analyzes contract proposals including but not limited to analysis of… more
- AdventHealth (Maitland, FL)
- …managed care contracting initiatives as directed by AdventHealth leadership; managed care contract review, interpretation and analysis, negotiation, ... etc.) to preserve the integrity of those contracts. Shows full comprehension of managed care contract language for the betterment of the AdventHealth … more
- CommonSpirit Health (Phoenix, AZ)
- …+ Knowledge and experience in reimbursement, the financial aspects of contracting and managed care operations + Contract language + Effective project ... **Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR)...compliance on a regional and market level; ensuring that managed care contracts are correctly negotiated and… more
- AmeriHealth Caritas (Southfield, MI)
- …five (5) to ten (10 ) years experience in operational and regulatory policy updates, managed care , and contract compliance. + Ability to build relationships ... now. We're looking for the next generation of health care leaders. Responsibilities: The Director of Contract ...minimum of five (5) years of government experience with managed care knowledge. ; At AmeriHealth Caritas,… more
- AdventHealth (Maitland, FL)
- …revenue. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... labor performance is not compromised. * Responsible for timely entry of contract data into the Managed Care database which includes addition of new payors,… more
- MyFlorida (Tallahassee, FL)
- …analyzing results and findings and developing compliance actions as prescribed in the managed care contract (eg, corrective action plans, sanctions, ... with the Agency's contract managers responsible for the Medicaid managed care plan contract (s). The incumbent in this position maintains up-to-date… more
- AdventHealth (Maitland, FL)
- …department leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the ... Enterprise leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues. . Ensures key stakeholders… more
- AdventHealth (Altamonte Springs, FL)
- …and clinical departments * to keep them informed of any concerns related to managed care reimbursement and operational contract issues. * Ensures hospital ... position is responsible for managing the AdventHealth Multi-State Division Contract Management team. This team is responsible for ...other products, policies and procedures that would impact the Managed Care team relative to processes and… more
- Actalent (Sunrise, FL)
- …mental health providers, to manage care for all lines of business, including managed care contract programs that serve adults and children with severe ... + Care coordination + Chronic disease management + Plan of care management + Managed care experience + Medicaid knowledge + Needs assessment Additional… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …and initiating payment to customers within contractual guidelines. + The Managed Care Rebate Analyst must interpret contract language and input and maintain ... Managed Care Rebate Analyst - Hybrid... Managed Care Rebate Analyst - Hybrid Date: Jul 18,...completeness + Analyzes and resolves disputes with accounts involving contract interpretation or processing issues; engages Managed … more
- Arkansas Children's (Little Rock, AR)
- …in a related field of study. **Required Work Experience:** Related Field - 3 years managed care , payer relations, payer contract , or physician or hospital ... 8:00 am - 5:00 pm - Hybrid The Payer Contract Specialist is responsible for managing payer contracts to... Experience** **Familiarity with insurance contracts, reimbursement terms, and managed care agreements.** **Data & Financial Analysis**… more
- Huron Consulting Group (Van Buren, AR)
- …+ 6 + years project leadership and workplan management experience with a focus on managed care with fee-for-service contract modeling skills. + 1 + years ... path forward. Create your future at Huron. As the Healthcare Consulting Manager in Managed Care , you will: + Manage complex multi-workstream projects and oversee… more
- Alameda Health System (Oakland, CA)
- …Commission, Title 22 and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case Management ... Director, Inpatient System Care Management + Oakland, CA + Highland General Hospital + SYS Care Coordination + Full Time - Varies + Management + Req… more
