- 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
- UTMB Health (Galveston, TX)
- …Finance UTMB Health Requisition # 2504255 **JOB SUMMARY** The primary responsibility of the Managed Care , Senior Contract Administrator position is ... Senior Contract Administrator - Revenue Cycle...leading, developing, and negotiating managed care agreements to ensure favorable reimbursement, alignment with organizational… more
- Cedars-Sinai (Beverly Hills, CA)
- …people throughout Los Angeles and beyond. **Req ID** : 12414 **Working Title** : Senior Financial Analyst ( Managed Care ) - Hybrid **Department** : MNS ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and… more
- HCA Healthcare (Nashville, TN)
- …for clinical and non-clinical audiences + Comprehensive knowledge of formulary managed care systems, principles and practices **What qualifications you ... Do you want to join an organization that invests in you as a Senior Pharmacy Benefit Account Manager? At HealthTrust, you come first. HCA Healthcare has committed… more
- UNC Health Care (Morrisville, NC)
- …plants to execute such projects. The HCS Director of Managed Care Contracting will optimize the organization's contract performance with its contracted ... the health and well-being of the unique communities we serve. Summary: The HCS Director of Managed Care Contracting serves as one of the Health Care System's… more
- Sutter Health (Sacramento, CA)
- …so glad you are interested in joining Sutter Health! **Organization:** SSC-Sutter Senior Care **Position Overview:** Hybrid position with report requirements in ... analysis principles, methods, practices, and procedures. + Knowledge of managed care payment/reimbursement methodologies (eg, Medicaid/Medi-Cal, Medicare,… more
- UNC Health Care (Morrisville, NC)
- …Policy analysis. Reviews billings and claims payments according to managed care contracts as needed. 4. Contract Negotiation- Provide assistance to the ... well-being of the unique communities we serve. Summary: The Managed Care Coordinator assists in the day-...a regular basis. Provides summarized and necessary information to senior Analytic team members, including Contract Management… more
- Fresenius Medical Center (Waltham, MA)
- … managed care organizations. + Develops long-term strategies and tactics for managed care contract review and analysis. + Leads the initiation, ... Care and Payor Strategy** **PURPOSE AND SCOPE:** The Senior Director of Managed Care ...Oversee the evaluation, analysis and preparation and completion of Managed Care contract proposals for… more
- St. Luke's Health System (Boise, ID)
- …remote from the states of Idaho, Oregon, Utah and Arizona only.** The Director, Managed Care Analytics is responsible for the creation and development of ... financial metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for financial performance, identifying areas for… more
- Prime Healthcare (Victorville, CA)
- …is actively seeking new members to join our corporate team! Responsibilities The Senior Managed Care Biller/Collector is responsible for both billing ... with the specific payer guidelines, policies, procedures, and compliance regulations for managed care . This includes maintaining the deficiency lists used to… more
- Elevance Health (Lake Mary, FL)
- **Provider Contract Cost of Care Analyst Senior ** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... accommodation is granted as required by law. The **Provider Contract Cost of Care Analyst Senior...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as… more
- Huron Consulting Group (Chicago, IL)
- …pressure to improve clinical outcomes and reduce the cost of providing patient care . Investing in new partnerships, clinical services and technology is not enough to ... you are now and create your future. The Huron Managed Services Coding Operations Director oversees a portfolio of...future client opportunities. This leader works directly with HMS Senior Leadership to design and deliver both internal and… 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...across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst** will play a… more
- Amgen (Washington, DC)
- …and transform the lives of patients while transforming your career. Strategic Sourcing Senior Manager, Contract Manufacturing **What you will do** Let's do this. ... vital role you will serve as the Strategic Sourcing Senior Manager for Contract Manufacturing. Reporting to...organization and is implemented effectively. + Ensure that all Contract Manufacturing procurement activities are managed in… 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 and ... LOCATION: Pittsburgh, PA - Western PA/West Virginia market** The Senior Healthcare Contract Negotiator serves as an...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- J&J Family of Companies (Titusville, NJ)
- …more at https://www.jnj.com **Job Function:** Procurement **Job Sub** **Function:** Contract & Processing Services **Job Category:** Professional **All Job Posting ... of the way. Learn more at https://www.jnj.com/innovative-medicine This role manages contract strategy and vendor relationships to support Data Science and Digital… more
- Hawaii Pacific Health (Honolulu, HI)
- … Analysis department provides financial analysis and planning in the review of managed care contracts. This dedicated team of professionals audits and monitors ... Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including...the contract reimbursement system and measures payor performance to ensure… more
- CommonSpirit Health (Englewood, CO)
- … modeling system. The Senior Analyst, Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract ... daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract modeling strategy and… more
- CVS Health (Tallahassee, FL)
- …**Required Qualifications** - Candidate must reside in Florida (FL) - 5 years experience in managed care quality and/or 3 years in Medicaid managed care ... - National Committee for Quality Assurance (NCQA) accreditation experience - Medicaid managed care experience - Master's Degree **Education** Bachelor's Degree… 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 ... within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System...work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is… more
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