- Nestle (Bridgewater, NJ)
- …nutrition for patients and consumers. **Job Description:** The Senior Government Pricing and Contracting Manager for Nestle Health Science USA will play a ... to collaborate effectively with cross-functional teams. The Senior Government Pricing and Contracting Manager reports to the Director of Market Access (Trade,… more
- 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 ... Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms and reimbursement… more
- CVS Health (Columbus, OH)
- …impact by:** . Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing ... day. **Position Summary** Aetna is recruiting for a Senior Manager , Value Based Contractor who will partner with business...relationships with leaders of specialty or Medicaid provider organizations to design and execute on strategies… more
- CVS Health (Columbus, OH)
- …post-release checkout + Act as Project Manager /subject matter expert on Conga Medicaid Contracting for all Medicaid Network plans and Duals plans ... excited to invite a highly motivated and detail-oriented Project Manager to join our team. The Project Manager...Platform Solutions - Contracts & Pricing Team to support Medicaid Contracting IT projects in Conga and… more
- Centene Corporation (Trenton, NJ)
- …flexibility. **Position Purpose:** Implement development activities for the recruitment, contracting and retention of providers. Negotiate contracts and develop ... network development initiatives. + Monitor business processes related to provider contracting to determine their efficiency and protective value, and assure… 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 ... for revenue primarily associated with Commercial, Medicare Advantage, and managed Medicaid products + Develop complex negotiation strategies and secure acceptable… more
- Albany Medical Center (Albany, NY)
- …and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in conjunction ... Finance and other stakeholders. The Director possesses deep marketplace and payer contracting expertise to meet the high level, multifaceted competencies needed for… more
- State of Massachusetts (Boston, MA)
- …**Exec Office Of Health and Human Services* **Title:** *Program Manager , Integrated Policy and Contracting * **Location:** *Massachusetts-Boston-1 Ashburton ... This Program Manager for Policy and Contracts on the Accountable...o Answering questions from the Centers for Medicare and Medicaid (CMS) regarding the ACO and MCO contracts o… more
- Healthfirst (NY)
- …point of contact for all plan related issues including marketing, enrollment, contracting , billing and reimbursement. + Responsible for the resolution of all issues, ... reporting on providers' clinical quality & financial performance, working with their manager and other internal departments to create strategic improvement plans. +… more
- Mount Sinai Health System (New York, NY)
- …within Mount Sinai. The team includes 400+ employees with clinical, contracting , finance, IT, analytics, operations, and product development expertise. MSHP is ... the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation,...to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's… more
- Abbott (Austin, TX)
- …Alpharetta, GA)** is looking for a **Contract Strategy & Business Engagement Manager ** **.** This person will spearhead the development, execution, and optimization ... of contract pricing strategies for all Cardiovascular contracting businesses. This role entails shaping and deploying innovative pricing frameworks, ensuring… more
- Molina Healthcare (Columbus, OH)
- …_** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the value-based payments (VBP) network strategy ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of Complex contracts with Alternative Payment Methods… more
- LA Care Health Plan (Los Angeles, CA)
- …to comply with State and Federal requirements for all product lines of business ( Medicaid , Medicare, and Commercial). The Account Manager III is responsible for ... Provider Network Account Manager III Job Category: Provider Relations Department: Provider...for all aspects of the LA Care (LAC) provider contracting and relationship management process, including drafting, reviewing, negotiating… more
- Amgen (Washington, DC)
- …the lives of patients while transforming your career. **Contracts & Pricing Execution Manager ** **What you will do** Let's do this. Let's change the world. In ... this vital role the Contracts & Pricing Execution Manager will be responsible for the calculation and submission...requirements under federal programs including Centers for Medicare and Medicaid (CMS) programs, the Federal Supply Schedule, and the… more
- Molina Healthcare (Columbus, OH)
- …States _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... result in high quality, cost effective and marketable providers. Contract/Re- contracting with large scale entities involving custom reimbursement. Executes… more
- Abbott (Pleasanton, CA)
- …and professionals measure, track and analyze glucose levels. As a Senior National Account Manager , you will be managing the entire line of ADC Products to assigned ... to drive growth for ADC products (ie Field Sales, Contracting and Pricing, Trade, Marketing etc. This is a...PBMs. + Comprehensive knowledge and experience negotiating commercial, managed Medicaid and Medicare access. + Also critical for success:… more
- Boehringer Ingelheim (Ridgefield, CT)
- …Part D group efforts as required in order to support the Contracting Department's efforts to maximize revenue and minimize liabilities. Within the Contract's ... and discount offerings according to mandated legislation (ie340B) and/or contracting guidelines. In addition, ensure compliance of member eligibility as… more
- Trinity Health (Columbus, OH)
- …to get paid every day! **About the job:** The Provider Relations & Network Manager is responsible for a full range of provider relations and service interactions in ... MediGold's Ohio market, including: contracting and recruitment, issue resolution and escalations, strategy development...of protocols and procedures of Centers For Medicare and Medicaid Services + Proven ability to work effectively with… more
- CVS Health (Columbus, OH)
- …**For this role you will need Minimum Requirements** . 7+ years of provider contracting experience * Knowledge of Medicare and Medicaid programs. * Ability to ... it all with heart, each and every day. **Position Summary** The Senior Manager , Dental Business Consultant is an individual contributor role with the following… more
- CareOregon (Portland, OR)
- …Program (DMAP) contracting requirements and the Centers for Medicare and Medicaid (CMS) requirements. + Ensure program compliance with DMAP, CMS, and other ... Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Clinical Operations Manager Department Clinical Operations Exemption Status Exempt Requisition # 24958… more