- Unknown (Fort Worth, TX)
- Vice President, Revenue Cycle & Managed Care About the Company Large regional healthcare system Industry Hospital & Health Care Type Non Profit Founded 1906 ... is seeking a Vice President for Revenue Cycle and Managed Care to provide strategic, financial, and.... Preferred qualifications include a background in leading payer contract negotiations and value-based reimbursement strategies, as well as… more
- Unknown (Raleigh, NC)
- …or behavioral health networks, as well as experience in payer contracting, managed care negotiations, and reimbursement modeling, is essential. The role ... providing support services to individuals with disabilities Industry Mental Health Care Type Non Profit Founded 1940 Employees 1001-5000 Specialties cerebral palsy… more
- Fresenius Medical Center (Waltham, MA)
- …* May be responsible for the direct supervision of Directors of Managed Care , Manager of Revenue support, Contract Managers, and other staff as ... care organizations. + Develops long-term strategies and tactics for managed care contract review and analysis. + Leads the initiation, negotiation, and… 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
- HCA Healthcare (Nashville, TN)
- …for clinical and non-clinical audiences + Comprehensive knowledge of formulary managed care systems, principles and practices **What qualifications you ... join an organization that invests in you as a Senior Pharmacy Benefit Account Manager ? At HealthTrust, you come first. HCA Healthcare has committed up to $300… more
- Bristol Myers Squibb (Madison, NJ)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as all aspects with evaluating implications of and reporting Managed Care data required for US and...of contingent/portfolio agreements, legal requests, SOX compliance, deal analytics, contract performance analytics and ad hoc data analytics +… more
- Cardinal Health (Atlanta, GA)
- …for all lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the ... within territory. + Support member pharmacies when there are specific managed care operations questions including contract questions and analysis related… more
- Fresenius Medical Center (Dallas, TX)
- … programs (HMOs, PPOs, POS, etc). Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… 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
- 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 (New Bern, 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
- Sedgwick (Helena, MT)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Managed Care Client Service Director (REMOTE) Are you looking for an ... and your career path. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. **ARE YOU AN IDEAL… 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
- UPMC (Pittsburgh, PA)
- …it will be a contract role employed by Strategic Consulting Partners (SCP). The Care Manager Associate (CMA) position will be part of the UPMC Health Plan's ... and psychosocial well-being of those being served. No license is required. + Managed care experience preferred. + Ability to interact with other health care … 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
- US Physical Therapy (Houston, TX)
- …motivated, autonomous individual who has a positive attitude to join our company as a ** Contract Manager /Analyst.** This is a dual role that will support the ** ... Managed Care Operations Team** . The person...care contracts and government reimbursement methodologies to create contract modeling calculation. + Prepare pre-negotiation analysis to support… more
- J&J Family of Companies (Titusville, NJ)
- …Johnson & Johnson Innovative Medicine's Strategic Customer Group is recruiting for a Manager , Contract Strategy & Analytics, located in Titusville, NJ or ... leading health plans, pharmacy benefit managers, and government health care institutions. The company also provides contract ...functions for the major Johnson & Johnson franchises. The Manager , Contract Strategy & Analytics, is responsible… more
- Walgreens (Deerfield, IL)
- …in retail + Experience in pharmacy industry in areas such as Retail, PBM, Managed Care , Mail Service, and Specialty Pharmacy. We will consider employment of ... team members and communities. \#LI-TO1 **Job ID:** 1716269BR **Title:** Account Manager , Contract Development & PBM **Company Indicator:** Walgreens **Employment… more
- Amgen (Washington, DC)
- …transform the lives of patients while transforming your career. Strategic Sourcing Senior Manager , Contract Manufacturing **What you will do** Let's do this. ... role you will serve as the Strategic Sourcing Senior Manager for Contract Manufacturing. Reporting to the...organization and is implemented effectively. + Ensure that all Contract Manufacturing procurement activities are managed in… more
- Sedgwick (Pierre, SD)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Contract Manager II **PRIMARY PURPOSE** : To negotiate and/or renegotiate ... medical contracts for multiple lines of business in managed care markets. Grow the network by...degree. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent combination of education and… more
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