- Daiichi Sankyo, Inc. (Bernards, NJ)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... is primarily responsible for monitoring / auditing HCP (Health Care Provider) activities for all engagements pertaining to their...to DSI Planners for correction, with a copy to manager and department head.Provide timeline to address issues and… more
- DATAPATH INC (Duluth, GA)
- …Percentage None Job Shift Day Job Category Information Technology IT Manager -Internal Support DataPath specializes in designing, manufacturing, and supporting both ... All of our solutions are backed by industry leading management tools, customer care and field support. At DataPath we are passionate about developing easy-to-use… more
- Cprime (Atlanta, GA)
- …firm specializing in ServiceNow advisory, implementation, AI-powered workflow automation, and managed services. We partner with enterprise clients to transform their ... automation. We are seeking a dynamic and experienced ServiceNow & AI Sales Manager who combines strategic sales expertise with a genuine commitment to helping… more
- MaineGeneral Rehabilitation and Long Term Care - Gray Birch (Augusta, ME)
- …week and holiday rotations - Shifts are from 6:45 PM to 7:15 AM, with scheduling managed by the team manager Additional Information: - Dress Code: Lime Green and ... Details Client Name MaineGeneral Rehabilitation and Long Term Care - Gray Birch Job Type Travel Offering...Gold Seal of Approval for Healthcare Staffing Services Certification Contract & local rates may vary based on location… more
- HealthCare Support (Houston, TX)
- …prior to processing authorization requests. Accurately enters the required information into the managed care platform, adhering to UM policies and procedures. 5. ... clinical information to authorize medically necessary inpatient and outpatient care , utilizing nationally recognized evidenced based clinical criteria or approved… more
- Air Conditioning Contractors of America (Sterling, VA)
- …services, unit components, unit replacements, add-on units, and residential service contracts . Develop lead referrals for the sales staff. Conduct non-service work ... related duties as directed by the Service & Installation Manager . Job Qualifications: High school graduate and graduate of...Us: We are a unique mix of being professionally managed and organized while maintaining a family environment where… more
- Baystate Health (Springfield, MA)
- Summary Description: The Sr. Managed Care Contract Manager will act as the catalyst between the contract , contract parties and the data. ... Contract Team at Baycare Health Partners. The Sr. Managed Care Contract Manager... Contract Negotiation: Demonstrated success in negotiating complex managed care contracts is essential.… more
- Novant Health (Charlotte, NC)
- …level staff to answer internal operations management questions about managed care contracts . The manager fosters and maintains relationships with ... Strategy and Relationship Management is a professional advisor supporting managed care contracts with health...trends. **This is a Remote Position Responsibilities + Commercial Managed Care Payor Contract Negotiations… 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
- Molina Healthcare (Ann Arbor, MI)
- …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
- 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
- Molina Healthcare (GA)
- …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
- Aveanna Healthcare (Atlanta, GA)
- Contracts Manager ApplyRefer a FriendBack Job...end to end contracting activities for managed care payers including review and analysis of contract ... As a key member of Aveanna's contracting department, the Contracts Manager is responsible for the development,...and manages annual renewal process for school and government contracts . + Assist in maintaining contract template… more
- CommonSpirit Health (Rancho Cordova, CA)
- …system standards for contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented ... reside in CA** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships...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
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position is On-Site The Behavioral Health Nurse - Managed Care is responsible for coordinating, monitoring, and delivering behavioral health services within a ... managed care environment. This role involves working...or master's degree in nursing (BSN/MSN) + Certified Case Manager (CCM) or similar certification + Fluent in Spanish… more
- Providence (Irvine, CA)
- **Description** ** Contracts Manager \*Hybrid This position is responsible for leading or participating as a team member in negotiations with Payors for ... acceptable reimbursement terms and contract language for all entities... language for all entities within the continuum of care (ie hospitals, physician organizations, home health and hospice… more
- Elevance Health (Franklin, NC)
- **CFSP Managed Care Coordinator** **Sign-on Bonus: $2500** **We are currently seeking people in the following counties and look forward to speaking with you!** ... thrive in safe, stable, and nurturing homes._ The **CFSP Managed Care Coordinator** is responsible for the...CFSP Program, as required by applicable state law and contract . **How you will make an impact:** + Provide… 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
- Genentech (South San Francisco, CA)
- …with and influencing leadership and other stakeholders across the organization; + Providing Managed Care Contracts (MCC) expertise and strategic leadership ... partners when considering engagement with an account; + Providing Managed Care Contracts (MCC) expertise.../ high impact products and segments; + Creating unique contract solutions autonomously in alignment with access, distribution and… more
