- iCare Health Solutions Enterprise (Miami, FL)
- …system screenshots, and reconciliation logs Stay current on industry trends in managed care contracting and reimbursement methodologies Requirements Job ... NextGen Contract Utility, supporting both traditional fee-for-service (FFS) reimbursement and managed care models, including capitated, global payment, and… more
- Merck & Co. (North Wales, PA)
- …meta-analyses, and economic modelling. Key responsibilities also include development of American Managed Care Pharmacy (AMCP) dossiers for US payers and Global ... and standards, including Good Pharmacoepidemiology Practice (GPP) for applicable work.Develops American Managed Care Pharmacy (AMCP) dossiers for US payers and… more
- Merck & Co. (Rahway, NJ)
- …meta-analyses, and economic modelling. Key responsibilities also include development of American Managed Care Pharmacy (AMCP) dossiers for US payers, and Global ... and standards, including Good Pharmacoepidemiology Practice (GPP) for applicable work.-Develops American Managed Care Pharmacy (AMCP) dossiers for US payers, and… more
- VITAS Healthcare (Blue Bell, PA)
- …with respect to hospice. Assist in introducing the VITAS program to long term care providers, managed care providers, hospitals, and others. Conduct ... the position: The medical director has overall responsibility for medical direction of the care and treatment of patients and their families rendered by the hospice … more
- RWJBarnabas Health (West Orange, NJ)
- …educational background, skills and professional experience. Assistant Vice President of LegalAffairs, Managed Care Contracting Job Overview: RWJBarnabas ... to serve as Assistant Vice President of Legal Affairs with a concentration in managed care contracting . This role will focus on legal matters involving … 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 ... responsible for developing, managing, and leading the day-to-day activities associated with managed care contracting for both fee for service and risk… 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 ... of acute care contracts, financial modeling techniques and managed care contracting , contract pricing, language requirements, rates and schedules,… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director, Managed Care Payer Contracting Date: Jul 22, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals ... generation of pharmaceutical access in a high-growth environment.** The Associate Director, Managed Care Payer Contracting plays a pivotal role in supporting… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director, Managed Care Payer Contracting (V&A) Date: Jul 3, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: ... and new people to make a difference with. **The opportunity** The Director, Managed Care Payer Contracting is a key leadership role within Value &… more
- Prime Healthcare (Aurora, IL)
- …various forms of risk contracting . Negotiates and administers contracts with managed care payers. Responsible for planning, evaluating, and implementing the ... https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/210025/regional-vice-president%2c- managed - care - contracting… more
- Albany Medical Center (Albany, NY)
- …and payer relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting , as well as the provision and ... all federal, state, and local regulations for governing payer contracting , stays informed of the health care ...payer contracting , stays informed of the health care regulatory environment to mitigate risks. + Engages staff… more
- Cardinal Health (Atlanta, GA)
- …that take place between payer and provider(s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing, and any other ... (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review,… more
- The Cigna Group (Los Angeles, CA)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… more
- The Cigna Group (Houston, TX)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... live in the Houston, TX area** The **Manager, Provider Contracting Network Management** serves as an integral member of...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- Point32Health (Canton, MA)
- …responsible management experience in a complex healthcare setting. Experience in managed care contracting and experience working collaboratively ... and lead teams to achieve goals. + Strong working knowledge of managed care /risk contracting payment methodologies. + Savvy negotiator with experience in… 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 ... related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts on:… more
- Cedars-Sinai (Los Angeles, CA)
- …related field Work Experience: + **Minimum of 10 years of progressive experience** in managed care contracting at the management or supervisory level, within ... **Job Description** Job Summary The Director of Managed Care develops and implements ...relationships with internal and external stakeholders involved in the contracting process, developing contract language and negotiation strategy, and… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …of Western Kentucky Healthcare System (WKHS). Develops, manages, and monitors the managed care contracting , credentialing, and provider enrollment processes. ... * Knowledge of budget preparation. Essential Functions * Functions as primary managed care contracting , credentialing and enrollment contact for all internal… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting , Reimbursement, or related ... + Five to seven (5-7) years of experience in healthcare finance, managed care contracting , or reimbursement in a professional capacity including experience… more
- Banner Health (Phoenix, AZ)
- …role responsible for the growth, development and optimization of the healthcare system's managed care contracting strategy across the organization, including ... ventures and partners. The role will lead strategic oversight of managed care contracting , encompassing comprehensive payment models from traditional… more
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