- Merck & Co. (Rahway, NJ)
- …Associate Director, is accountable for meeting customer demand at the Contract Manufactures (CMO's) they manage by achieving excellence in Compliance, Supply, ... External Manufacturing Operations Associate Director is a "Virtual Plant Manager " within External Manufacturing. They oversee our Manufacturing Division relationship… more
- Baystate Health (Springfield, MA)
- …forecasting Under the direction of the Director of Managed Care , the Managed Care Contract Manager is responsible for the key components ... providing higher quality or less costly care . Primary responsibilities of the Managed Care Contract Manager include performing contract analysis,… more
- Baylor Scott & White Health (Dallas, TX)
- …reporting of expenses and operating/net income by entity and line of business. ** MANAGED CARE ANALYTICS & CONTRACT SPECIFIC RESPONSIBILITIES** + Manage ... 100% remote option available at this time. + The Manager Finance is responsible for managing the annual forecasting/budgeting...Makes decisions and recommendations on critical initiatives related to managed care analytics and contract … more
- Option Care Health (Carmel, IN)
- …Education and Experience Requirements** High school diploma and 10yrs of experience in managed care account management or contract analysis and negotiation ... care services. Experience in working with managed care clients and familiarity with contract terms and conditions in the ancillary arena. Experience with… 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
- Saint Francis Health System (Tulsa, OK)
- …managing multiple priorities with competing deadlines. Essential Functions and Responsibilities: Oversees managed care contract negotiations with payors for ... - Friday | 8:00am - 5:00pm Job Summary: The Manager , Managed Care oversees the...internal business partners, this role manages the rate and contract negotiations, and the full contracting process including but… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the ... physicians of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract… more
- St. Luke's Health System (Boise, ID)
- …& Contracting is a key leadership role accountable for St. Luke's Health System's managed care contract portfolio, to include activities related to new ... As an internal expert in payer reimbursement strategies, the Manager will provide insight and guidance to internal stakeholders...internal stakeholders and the leadership team with regard to managed care contract capabilities, in… more
- Cedars-Sinai (CA)
- …people throughout Los Angeles and beyond. **Req ID** : 5668 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting all facets of...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street ... across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr....Minimum: BA/BS degree . Preferred: BA/BS degree in Health Care , MIS, Finance, Statistics or Mathematics *Experience* . Minimum:… more
- Elevance Health (Winston Salem, NC)
- ** Managed Care Coordinator Clinician Non-RN** **Location:** Within 50 miles of a Pulse Point location **Hours:** Monday - Friday, between the hours of 9 am - 6 ... pm CST. The ** Managed Care Coordinator Clinician Non-RN (US)** is...members case, as required by applicable state law and contract , contributes to the care coordination process… more
- Elevance Health (Wichita, KS)
- ** Managed Care Coordinator - Foster ...of position, as required by applicable state law and contract . **How you will make an impact:** + Responsible ... Kansas - Sedgewick County **$2,500 Sign On Bonus** The ** Managed Care Coordinator - Foster Care...experience may be required based upon state law and contract requirements. + Travels to worksite and other locations… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review ... * Identify and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). *… more
- US Tech Solutions (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). ... Nurse UM II** **Location: Columbia SC 29229** **Duration: 3+ month's Contract ** **Job Description:** + Reviews and evaluates medical or behavioural eligibility… more
- US Tech Solutions (Columbia, SC)
- …+ Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, etc.). ... **Job Description:** + Hours/Schedule - Monday-Friday, 8:30AM - 5:00PM + Contract to hire - no timeframe on when that will happen. + Will be required to be onsite… more
- AdventHealth (Maitland, 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
- Mount Sinai Health System (New York, NY)
- **Job Description** **IT Governance Contract & Compliance Manager II - Digital and Technology Partners Governance - Remote** The Mount Sinai Health System's ... commitments + Provide transition support to teams to ensure understanding of Managed Services Governance processes + Provide contract and procurement process… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play a critical… more
- Atrius Health (Newton, MA)
- …management fees. . Interfaces between Utilization Analysis and Clinical Programs (UACP), Managed Care Finance (MCF), Sites and Specialties to coordinate ... welfare benefit package. **Job:** **Supervisors/Managers/Directors* **Organization:** **Administration* **Title:** *Senior Contract Manager * **Location:** *Newton MA - Riverside*… more
- UPMC (Pittsburgh, PA)
- …health needs that might be negatively impacting the member's health and well-being. The Care Manager Associate will work daylight hours in a hybrid work ... clinical, and financial outcomes along the defined continuum of care . The Care Manager Associate...of those being served. No license is required. + Managed care experience preferred. + Ability to… more
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