- 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 ... of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms… 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 contract ... 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 alignment and… more
- e CancerCare (Nashville, TN)
- …(ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review, ... Job Purpose: Manager of Payor Contracting is responsible...compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting * **Location:** *Connecticut-Hartford-100 Pearl ... across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst...Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary.… more
- Covenant Health Inc. (Knoxville, TN)
- …contracts and reimbursement trends including Medicare, TennCare, etc. + Oversee the Managed Care Contracting Specialist, who coordinates and maintains ... Centers. + Oversee the Credentialing Verification Office (CVO) Operations Manager who supervises the managed care...required. Individual must have a solid fundamental understanding of managed care contracting , enrollment and… more
- Novo Nordisk (Plainsboro, NJ)
- …internal and external stakeholders to leverage and implement knowledge of reimbursement, managed care and healthcare policy to develop execution strategies and ... ready to realize your potential? The Position Develops and executes the pricing and contracting strategy for a key Novo Nordisk product category. Collaborates with… more
- The Cigna Group (Pittsburgh, PA)
- …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 (Mclean, VA)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... or Washington, DC or the Baltimore, MD area.** 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
- State of Massachusetts (Boston, MA)
- …to improve services for MassHealth members. This role will also support broader MassHealth managed care policy development as a member of the Accountable Care ... agency's Office of Accountable Care and Behavioral Health (ACBH). ACBH oversees MassHealth's managed care plans, behavioral health care , and many of the… more
- Option Care Health (Carmel, IN)
- …negotiations, preparation, financial analysis, business review, and implementation of assigned Managed Care clients, 340B, and Health System Partnership ... home and alternate site infusion services provided by Option Care . . Responsible for managed care...lead meetings with health plans and corporate teams, including Managed Markets and Contracting leadership, to review… more
- Providence (Irvine, CA)
- …retain the best people, we must empower them.** **Providence is calling a Senior Manager Contracting who will:** + Be responsible for leading, or participating ... As a mission-based, not-for-profit healthcare provider, our commitment to providing compassionate care to all lives on through our five core values: Compassion,… more
- City of Portland (Portland, OR)
- Contracting Analyst (Analyst II - CPPW) Print (https://www.governmentjobs.com/careers/portlandor/jobs/newprint/4914784) Apply Contracting Analyst (Analyst II - ... (RTO) policy which could change in-person requirements with notice. The hiring manager for this position will have more up-to-date information at the time… 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 ... Ensures adherence to all federal, state, and local regulations for governing payer contracting , stays informed of the health care regulatory environment to… more
- Mount Sinai Health System (New York, NY)
- …transformation + Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… 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 of the ... payer contracting process. The payer contracts include the various terms...less costly care . Primary responsibilities of the Managed Care Contract Manager include… more
- Healthfirst (NY)
- …Diploma or GED equivalent + Contract negotiation experience + Medicare and/or Medicaid managed care experience + Excellent oral and written communication skills ... point of contact for all plan related issues including marketing, enrollment, contracting , billing and reimbursement. + Responsible for the resolution of all issues,… more
- The Cigna Group (Providence, RI)
- …as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day ... contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages...and managing relationships + Understanding and experience with hospital, managed care , and provider business models a… more
- Saint Francis Health System (Tulsa, OK)
- …Tulsa, OK Schedule: Monday - Friday | 8:00am - 5:00pm Job Summary: The Manager , Managed Care oversees the modeling, rate development and negotiation ... but not limited to the execution, implementation, and performance of all managed care agreements. Minimum Education: Bachelor's degree in Business Administration… 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
- Mount Sinai Health System (New York, NY)
- …as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other institutional departments to ensure ... **Job Description** The Nursing Clinical Manager (NCM) for Case Management is responsible for...supports the mission of efficient and clinically appropriate patient care . 4. Demonstrates integral involvement in the Nursing Department… more
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