- McLaren Health Care (Auburn Hills, MI)
- …or related field; or an Associate degree and two (2) years' experience in managed care ; or a high school diploma or equivalent and four (4) years' experience ... escalated contractual, payor policy and operational issues through collaboration with managed care organizations and internal stakeholders. 7. Facilitates Joint… more
- University of Miami (Medley, FL)
- …other outside accrediting bodies including JCAHO, AHCA, CMS, etc. Reporting to the UHealth Associate Vice President of Managed Care , the incumbent leads and ... in managed care . + Leads and manages care staff, including network contracting, contract implementation/operations, non-participation agreements,… more
- UPMC (Pittsburgh, PA)
- …physical, and psychosocial well-being of those being served. No license is required. + Managed care experience preferred. + Ability to interact with other health ... by assisting in their transition home following a hospital stay. This care management associate position is a great opportunity for someone who wants to get… more
- US Tech Solutions (Columbia, SC)
- …both health care providers and members. **Experience:** + Required Education: Associate degree - Nursing, OR, Graduate of Accredited School of Nursing, OR, ... 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)
- **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 ... plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in… more
- Point32Health (MA)
- …day in service to our members, partners, colleagues and communities. **Job Summary** The Associate Contract Manager serves as the primary point of contact for ... a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are… more
- Parkview Health (Fort Wayne, IN)
- …license. Experience Must have three to five years of comprehensive experience in managed health care field with experience that involves negotiating and writing ... contracts. Must be familiar with reading and understanding contract language Other Qualifications Must have excellent verbal and written communication skills; Must… more
- Henry Ford Health System (Detroit, MI)
- …+ Microsoft Excel required. Additional Information + Organization: Corporate Services + Department: Managed Care Contracting + Shift: Day Job + Union Code: Not ... 6. Escalate payer contract non-compliance issues to contract administrators/consultants EDUCATION/EXPERIENCE REQUIRED: + Associate degree required… more
- ConvaTec (Greensboro, NC)
- …on solutions for the management of chronic conditions, with leading positions in advanced wound care , ostomy care , continence care , and infusion care . ... of at-risk skin, to improved patient outcomes and reduced care costs. Convatec's revenues in 2023 were over $2...do the same. This role is a fixed term contract position with the expectations of lasting approximately 2… more
- Mount Sinai Health System (NJ)
- … contract compliance activities with the goal of optimizing and improving managed care reimbursement through efficient clinical delivery and aligned clinical ... economical and effective healthcare + Completes in a timely manner all managed care applications, credentialing, and re-credentialing requests from the corporate… more
- Gilead Sciences, Inc. (Foster City, CA)
- …preferred + Minimum of 5years of pharmaceutical experience in Market Access, Managed Care Marketing, Health Economics, Insights & Analytics or ... and reports to the Sr. Director, Contracting and Pricing Strategy, Virology, Managed Markets. As ** Associate ** **Director of US** **Pricing** **&**… more
- Humana (Lansing, MI)
- …with credentialing and contract management systems + Working knowledge of managed care health plan and provider operations + Experience claims adjudication ... management systems, and practice transformation. + Ensure team's compliance with Michigan's Managed Care Contractual requirements for provider relations, such as… more
- University of North Carolina- Chapel Hill (Chapel Hill, NC)
- …physicians, contract physicians and agencies, peer institutions, third-party payers, managed care companies, and vendors. The Chair and Associate ... Departmental activities and as the liaison to the Health Care System and University at large. The Associate... Care System and University at large. The Associate Chair also serves as the Departmental representative to… more
- Merck (Rahway, NJ)
- …relationships in the pursuit of organizational success. The role of the ** Associate Director Global Sourcing & Contracting** is critical in driving strategic ... and handling other sourcing-related tasks within the SAP Ariba platform. The ** Associate Director Global Sourcing & Contracting** plays a pivotal role in supporting… more
- Organon & Co. (Albany, NY)
- …Education, Experience and Skills** + BS/BA degree. + At least seven years of combined Managed Care related experience (eg, Customer Team Leader, Managed ... **Job Description** **The Position** The primary responsibility of the Associate Director, Retail Accounts within the Market Access & Account Management group… more
- Compass Group, North America (Florence, SC)
- …position assists the successful operation of Food & Nutrition Services in an Acute Care Hospital. The Associate Director of Food and Nutritional Services will ... Morrison Healthcare Position Title: Associate Food Service Director - Florence, SC Reports...cost controls, and presentation + Previous P&L accountability or contract - managed service experience is desirable + Strong… more
- Staffing Solutions Organization (Augusta, ME)
- …Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse ... of our clients and the people they serve. **Program Associate I** **Location:** Maine Department of Health and Human...for low-income Mainers so they can access the health care services they need to work, care … more
- Compass Group, North America (Austin, TX)
- …position assists the successful operation of Food & Nutrition Services in an Acute Care Hospital. The Associate Director of Food and Nutritional Services will ... food cost controls, and presentation + Previous P&L accountability or contract - managed service experience is desirable + Strong supervisory, leadership,… more
- Banner Health (Sun City, AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... Category:** Facilities, Environmental Services, and Culinary Help change health care ; help change the world. We want to change...our patients, staff and visitors can thrive. As an Associate Manager of Facility Operations, you will lead and… more
- Kelly Services (West Palm Beach, FL)
- **Inventory/Shipping & Receiving Associate - West Palm Beach, FL** Kelly Outsourcing & Consulting Group (KellyOCG), a managed solution provider and business unit ... Inc., is currently seeking an Inventory/ Shipping & Receiving Associate at one of our Global clients in West...PTO **Hours:** M-F 1 st shift **Duration:** Long term contract (minimum 1 year) **Job Description:** Inventory Control/Shipping and… more
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