- Novo Nordisk Inc. (Tyler, TX)
- … in order to influence formulary status, as applicable May analyze impact of managed care in the territory and its effect on prescribing decisions, and ... Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious...Internally, the DCS I report to the District Business Manager of the specific sales territory. The DCS I… more
- Huron Consulting Group (Van Buren, AR)
- …a rewarding path forward. Create your future at Huron. As the Healthcare Consulting Manager in Managed Care , you will: + Manage complex multi-workstream ... leadership and workplan management experience with a focus on managed care with fee-for-service contract ...and may be implemented in the future. **Position Level** Manager **Country** United States of America At Huron, we're… more
- e CancerCare (Nashville, TN)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... contract retention and administrative tracking of all various managed care payors. Advances company payor strategy...In collaboration with the Director of Managed Care , negotiate and manage assigned contracts , including… more
- Cardinal Health (Atlanta, GA)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... contract retention and administrative tracking of all various managed care payors. Advances company payor strategy...In collaboration with the Director of Managed Care , negotiate and manage assigned contracts , including… more
- Sutter Health (Modesto, CA)
- …contract negotiations and document management. Provides contract administration oversight for managed care provider network. The manager 's role in the ... contract terminology, provisions, and various reimbursement methodologies including managed care risk contracting + Ability to systematically analyze… 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. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- Bon Secours Mercy Health (Cincinnati, OH)
- … sites and clinicians are recognized for clinical and operational excellence. **DIRECTOR MANAGED CARE CONTRACTING - LARGE ACCOUNTS** **| REMOTE** This position ... is responsible for developing, managing, and leading the day-to-day activities associated with managed care contracting for both fee for service and risk… more
- Baptist Memorial (Memphis, TN)
- …process for payor contracts . Job Responsibilities + Identifies and evaluates managed care contracting opportunities to grow the existing business, develop ... contracts to closure and inform senior management of contract activity. + Maintains proficient knowledge of managed... contract activity. + Maintains proficient knowledge of managed care contracting concepts, including but not… more
- CVS Health (New York, NY)
- …And we do it all with heart, each and every day. **Position Summary** The Manager , Intake Operations ( Managed Long-Term Care ) will oversee the day-to-day ... operations. You will develop a team to manage MLTC ( Managed Long-Term Care ) referrals processing, eligibility verification,...contract requirements; work to improve the quality of care provided to upcoming members. + Present new strategies… more
- Molina Healthcare (Akron, OH)
- …knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts , negotiates Complex Provider contracts including ... Relationship Contracts . * Develops and maintains provider contracts in contract management software. * Targets...care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting… more
- University of Washington (Seattle, WA)
- …to the Assistant Director of Financial Operations & Research Administration. The Grant & Contract Manager (Grants Manager ) is an expert in providing ... within the Division of Research, regardless of specialty/division. This Grants and Contracts Manager oversees and coordinates the post-award management of… more
- Molina Healthcare (Riverside, CA)
- …SKILLS & ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including 2+ years ... a direct or matrix leadership position * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different… more
- Molina Healthcare (Las Cruces, NM)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... Contract Specialists on negotiation of individual provider and routine ancillary contracts . * Identified as contract system lead by developing and… more
- CommonSpirit Health (Phoenix, AZ)
- …system standards for contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented ... **Responsibilities** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy &...applicable, ensure standardized monthly, quarterly and ad-hoc meetings with Managed Care Organizations occur and issues are… more
- Abbott (Abbott Park, IL)
- …more than 160 countries. At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You'll ... **The Opportunity:** This role is responsible for overseeing the global Managed Print Services (MPS) program, including strategic planning, performance monitoring… more
- University of Utah Health (Salt Lake City, UT)
- …related field, or the equivalency. + Four (4) years of progressively more responsible contract negotiating, processing, and managed care and contract ... enhancements to GPO contracts . The incumbent is responsible for reviewing contracts processed through the organization's contract management system for Utah… 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 ... building and maintenance of rates and terms into multiple contract management systems for hospital and ancillary contracts...other products, policies and procedures that would impact the Managed Care team relative to processes and… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …other projects, work, and activities as assigned by the Pharmacy Director Qualifications: + Managed Care experience preferred, but not required + Part D Coverage ... and coding to be submitted to the Pharmacy Benefit Manager , New Contract Year formulary evaluation, and...of, or currently enrolled in, residency program (PGY1) in managed care pharmacy, or pharmacy practice. +… more
- Mount Sinai Health System (New York, NY)
- …and Amendments, financial performance for all contracts , and facility, ancillary related contract negotiations. The Managed Care Team is at the forefront ... Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as...the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play a critical… more
- Atrius Health (Newton, MA)
- …welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Senior Managed Care Analyst* **Location:** *Newton MA - ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical… more
