- Health eCareers (Phoenix, AZ)
- …professional management team: HR, IT, Billing, Collections, Marketing, Managed Care and Enrollment, Compliance, and Payor Contracting .EMR: EMA by Modernizing ... practice in Phoenix, Arizona!If you enjoy providing comprehensive dermatologic care including medical & surgical dermatology, dermatologic oncology, and aesthetic… more
- Stony Brook University (Commack, NY)
- Director of Managed Care Contracting **Position Summary** Stony Brook Medicine is seeking an experienced and strategic Director of Managed Care ... Contracting to lead our Managed Care Contracting Team within the Department of...and direct the negotiation, execution, and administration of all hospital , physician, and ancillary Managed Care… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director, Managed Care Payer Contracting Date: Aug 20, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals ... the next generation of pharmaceutical access in a high-growth environment.** The Associate Director, Managed Care Payer Contracting plays a pivotal role in… 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 ... developing, managing, and leading the day-to-day activities associated with managed care contracting for both...or closely related field + 10 years' experience of hospital contracting or payer contracting … more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Managed Care Contracting position is responsible for the development, negotiation, maintenance and payer relations of the ... + Knowledge of acute care contracts, financial modeling techniques and managed care contracting , contract pricing, language requirements, rates and… more
- Select Medical (Mechanicsburg, PA)
- **Overview** The Senior Director is responsible for leading the Managed Care Contracting team and planning, analyzing, negotiating, and implementing new and ... and Integration planning and coordination. + Supervise Directors of Managed Care Contracting . Set objectives,...10 or more years of demonstrated experience in a managed care setting, acute/post-acute hospital … more
- Select Medical (Mechanicsburg, PA)
- **Overview** The Director of Managed Care Contracting is...in a managed care setting, hospital setting, preferably working in contracting or ... financial analysis, negotiation, and execution of new and renewed managed care agreements across an assigned hospital portfolio. This role serves as… more
- RWJBarnabas Health (Jersey City, NJ)
- …on business and clinical operations, nursing, social work, hospital networks and managed care contracting + Works collaboratively with local executive ... processes. + Maintains a thorough understanding of clinical reimbursement and managed care issues specific to an oncology service line. Identifies opportunities… more
- The Cigna Group (Baltimore, MD)
- …strong external relationships with provider partners. + Intimate understanding and experience with hospital , managed care , and provider business models. + ... **LOCATION:** **Virginia, Maryland or Washington, DC** This **Manager, Hospital Contracting ** serves as an integral...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- Parkview North Hospital (Fort Wayne, IN)
- …experience in a comparable job. Experience: Minimum of two years experience in managed care arena with one year of experience negotiating contracts. Must ... Supports the Payor Contracting department in coordinating and implementing Parkview Health's...in Microsoft Office products. Has direct experience with health care classification and coding methods including but not limited… more
- RWJBarnabas Health (New Brunswick, NJ)
- …on business and clinical operations, nursing, social work, pharmacy, hospital networks and managed care and contracting , + Serves as a key member of ... services. The AVP, Nursing provides executive leadership throughout the Children's Hospital , focusing on high-quality, patient-centered, and equitable care while… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …all contracts are managed in a compliant manner + Lead all contracting processes, SOPs, and US Pricing Committee submissions and engagements _Trade Strategy & ... accountable for all operations and process-related components of pricing and contracting , including oversight and management of ASP, AMP, gross-to-net, … 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 (Overland Park, KS)
- …strong external relationships with provider partners. + Intimate understanding and experience with hospital , managed care , and provider business models. + ... **WORK LOCATION: Kansas City, KS** The **Provider Contracting Director** serves as an integral member of...and value-based reimbursements with hospitals and other providers (eg, Hospital systems, Ancillaries, and large physician groups). + May… more
- Scripps Health (San Diego, CA)
- …fee-for-service, partial risk, and full global risk HMO, PPO, and Ancillary services managed care agreements with health plans on behalf of Scripps Health's ... actively engage in the analysis, management, accounting, and budgeting of all managed care agreements. Establish effective lines of communication between Payer… more
- Humana (Austin, TX)
- … + Experience with Value Based Contracting + Experienced in negotiating managed care contracts + Texas market experience (live within region, preferred TX ... years of network management experience including but not limited to: provider and hospital contracting , network administration in a healthcare company or related… more
- Lumeris (St. Louis, MO)
- …ability to impact results. + Highly skilled at payer/provider value-based negotiations and/or managed care contracting . + Expert knowledge of provider ... contracting /negotiations, network development and configuration, standards for managed care delivery, and cost containment programs. + Woking knowledge of… more
- The Cigna Group (Jersey City, NJ)
- …+ Experience in developing and managing relationships + Understanding and experience with hospital , managed care , and provider business models a plus ... lieu of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare** ** Hospital /Provider/Ancillary** **group experience required**… more
- Mount Sinai Health System (New York, NY)
- … contracting , finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is responsible for ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
- The Cigna Group (Cleveland, OH)
- …+ Intimate understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with ... markets)** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley.… more
