- Commonwealth Care Alliance (Boston, MA)
- …experience in provider relations, network management, or healthcare operations within a managed care organization, health plan, or integrated delivery system. - ... leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role… more
- Commonwealth Care Alliance (Boston, MA)
- …Strong claims experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/Medicaid) + Experience in health plan ... for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital,… more
- Pairtu (San Francisco, CA)
- …looking for a senior, hands-on operator who can work across credentialing, payer contracting , provider onboarding, and day-to-day ops while keeping a sharp eye on ... advocates to guide Medicare patients through diagnoses, bills, and care plans. Investors from Omada, Oscar, and UnitedHealthcare believe...need structure and predictability or 'need to be a manager ' this isn't for you. The upside? You'll level… more
- Organon & Co. (Columbus, OH)
- …issues. **Required Education, Experience and Skills** + BA/BS. + Two plus years of managed care account manager or equivalent experience. + Customer ... with analytical capabilities. + Highly developed Leadership Skills. + Working Knowledge: Managed Care Operations, Contracting Strategy, Healthcare Systems… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Managed Care Contracting and Rates.../ DHS Manager + **Division/Unit** : Health Care Administration / Managed Care ... (MCCR) Director** **Job Class: Human Services Manager 4** **Agency: Human Services Dept** + **Job ID**...This position exists to direct all aspects of the Managed Care contracting , rate setting,… 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
- Beth Israel Lahey Health (Wakefield, MA)
- … to manage key divisional initiatives that support Managed Care Contracting . The Contracting Program Manager will be responsible for managing ... within contracts to serve as the operational backbone for Managed Care Contracting . This...Department or Unit are identified and maintained by the Manager as an Addendum to the Job Description. **Pay… more
- The Cigna Group (Richmond, VA)
- **LOCATION:** **Virginia, Maryland or Washington, DC** The **Physician & Ancillary Contracting Manager ** serves as an integral member of the Provider ... Contracting Team and reports to the Provider Contracting Senior Manager or VP of ...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- Walmart (Bentonville, AR)
- …finance, accounting, economics, or related area with 7 years' experience in managed care contracting /negotiations, healthcare billing, healthcare finance, or ... healthcare compliance/legal; or Ten years of relevant experience in managed care contracting /negotiations, healthcare billing, healthcare finance, or… more
- Centene Corporation (Carson City, NV)
- …years of contracting experience or provider relations in a healthcare and/or managed care environment. Knowledge of contracting language and the ... principles of negotiation. Familiarity with managed care , State and/or Federal health ...health care programs. Preferred Experience: Value Based Care contracting experience is ideal. **License/Certification:** Current… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …Contracting and Network Strategy and is responsible for supporting the negotiation of managed care contracts for all Aspirus Health and Aspirus Network Inc. ... Day. Aspirus Health in Wausau, WI is seeking a MANAGER - PAYOR CONTRACTING to join our...systems for monitoring and improving levels of reimbursement under managed care and total cost of … more
- The Cigna Group (Sunrise, FL)
- …lieu of a bachelor's degree **.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... The **Provider Contracting Manager ** serves as an integral...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- Abbott (Abbott Park, IL)
- …for managing contract development and negotiation for the Market Access / Managed Care Channel. The position will work cross-functionally with Account ... measure, track and analyze glucose levels. As a Senior Manager of Strategic Pricing & Contracting , you...+ Lead the negotiation of complex contract terms for Managed Care / Market Access contracts across… more
- Centene Corporation (Lansing, MI)
- …years of Provider Contracting or Provider Affairs in a healthcare and/or managed care environment. Knowledge of contracting language and the principles ... markets. + Initiate and manage provider data process improvements including contracting models, provider reimbursement, and risk modeling. Collect, track, prepare,… more
- Elevance Health (Lake Mary, FL)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Cost of Care /Provider Contracting Data Analyst** **Location** :...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Grand Prairie, TX)
- …or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... **Cost of Care /Provider Contracting Data Analyst Senior** **Location:**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… 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
- CVS Health (Trenton, NJ)
- …internal departments. **Required Qualifications** + Minimum of 3 to 4 years recent Managed Care Network Value Based Contacting experience with 2-3 years Medicaid ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… 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
- Fresenius Medical Center (Waltham, MA)
- …high-performing team, fostering collaboration and innovation to achieve organizational goals in managed care contracting , quality outcomes, and marketing ... be responsible for the direct supervision of Directors of Managed Care , Manager of Revenue...SKILLS:** * 10 years of extensive, direct experience in managed care contracting . * 5+… more
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