- 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
- Cardinal Health (Atlanta, GA)
- …(ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review, ... between payer and provider(s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing,...any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …care 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… more
- Dignity Health (Bakersfield, CA)
- …- Masters degree preferred. - 5 years experience with background in a managed care facility, IPA or health plan preferred. **Overview** The purpose ... expected to work PST business hours.** **Position Summary:** The Manager , Network Strategy and Contracting reports to...pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to… more
- Intermountain Health (Broomfield, CO)
- … Care + Risk-based Contracting + Relationship Management + Managed Care + Legal Practices + Leadership **Qualifications** **Required** + Experience ... **Job Description:** The Payer Contracting Sr Manager is responsible for...and Revenue Cycle leadership for the implementation of risk-based contracting , and proactive care , strategies and initiatives.… more
- Ascendis Pharma (Princeton, NJ)
- …Requirements Key Responsibilities: Rebate Management . Administer and oversee government, managed care , and commercial rebate programs. . Collaborate with ... compliance with regulatory and contractual rebate requirements. . Collect and analyze managed care data for rebate payments, pricing, and financial planning.… more
- The Cigna Group (Los Angeles, CA)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... Must live in the Glendale/Los Angeles, CA area.** The ** Manager , Provider Contracting Network Management** serves as...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- The Cigna Group (Houston, TX)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... required to live in the Houston, TX area** The ** Manager , Provider Contracting Network Management** serves as...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- The Cigna Group (Mclean, VA)
- …relationships with provider partners + Intimate understanding and experience with hospital, managed care , and provider business models + Team player with ... market. Must reside in Maryland, DC or Virginia._** The ** Manager , Network Management** serves as an integral member of...Management** serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider … more
- Providence (Irvine, CA)
- …retain the best people, we must empower them.** **Providence is calling a Senior Manager Contracting who will:** + Be responsible for leading, or participating ... As a mission-based, not-for-profit healthcare provider, our commitment to providing compassionate care to all lives on through our five core values: Compassion,… more
- Albany Medical Center (Albany, NY)
- …and payer relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting , as well as the provision and ... Ensures adherence to all federal, state, and local regulations for governing payer contracting , stays informed of the health care regulatory environment to… more
- The Cigna Group (Sunrise, FL)
- …as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day ... contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages...developing and managing relationships + Understanding and experience with managed care , and provider business models a… more
- Gilead Sciences, Inc. (Foster City, CA)
- …in managing Gilead's day-to-day administration, project management and processing of all Managed Care Commercial/Medicare Part D contract payments. This position ... resolves escalated issues + Facilitates successful product launches from a Managed Care rebates perspective (IRA, MFP, L4P). + Assists with developing,… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting , Reimbursement, or related ... 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… 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
- Baptist Memorial (Memphis, TN)
- …and expand provider network. In-depth understanding of health care and managed care contracting concepts, reimbursement, methodologies, and health ... Overview Manager -Provider Relations Job Code: 22242 FLSA Status Job...for payor contracts. Job Responsibilities + Identifies and evaluates managed care contracting opportunities to… more
- CommonSpirit Health (Phoenix, AZ)
- …services. **Qualifications** **Minimum Qualifications:** + Bachelor's Degree or equivalent experience in managed care contracting may be considered in lieu ... **Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR) is...contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and… more
- Molina Healthcare (Riverside, CA)
- …SKILLS & ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including ... sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members, in...different provider contract types, ie physician, group and hospital contracting , etc. * Working experience with various managed… 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 ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to… more
- CommonSpirit Health (Phoenix, AZ)
- …for contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for operational ... **Responsibilities** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists...Knowledge and experience in reimbursement, the financial aspects of contracting and managed care operations… more