- CommonSpirit Health (Omaha, NE)
- …to this exciting role. 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
- Cedars-Sinai (Beverly Hills, CA)
- …Healthcare Management, or related field of study **Req ID** : 6681 **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
- Prime Healthcare (Lynwood, CA)
- …Responsibilities The Senior Managed ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/203310/ senior - managed - care -biller-collector/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare… more
- Covenant Health (Lubbock, TX)
- …Area. In this pivotal role, you will spearhead the Managed Care Contracting Program, guiding our organization through contract analysis, negotiation, ... you! **The Role:** Join our dynamic team as the Senior Director of Contracting for the Texas/New Mexico Service...+ **Master Negotiator:** Lead the charge in negotiating favorable managed care rates and contractual terms for… more
- Motion Recruitment Partners (St. Louis, MO)
- Senior QA Analyst / Managed Accounts St Louis, Missouri **Hybrid** Contract $53.09/hr - $59.82/hr **Job Title:** Senior QA Analyst - Managed Accounts ... **Location:** St Louis, MO or Charlotte NC **Job Type:** Contract **Duration:** 1 year **Job Overview:** We are seeking...1 year **Job Overview:** We are seeking an experienced ** Senior QA Analyst** to support a high-profile initiative. This… more
- University of Miami (Medley, FL)
- …in managed care . + Leads and manages care staff, including network contracting, contract implementation/operations, non-participation agreements, ... sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of Business Development and Managed Care is currently seeking an Executive… more
- Houston Methodist (Houston, TX)
- …of individual payer contract performance. + Ensures the dissemination of managed care financial information to internal finance departments and partners to ... At Houston Methodist, the Vice President Managed Care position is responsible for...and mentorship as needed. This position collaborates with all senior leadership to meet the organization's objectives, ensuring operational… more
- Saint Francis Health System (Tulsa, OK)
- …managing multiple priorities with competing deadlines. Essential Functions and Responsibilities: Oversees managed care contract negotiations with payors for ... Friday | 8:00am - 5:00pm Job Summary: The Manager, Managed Care oversees the modeling, rate development...internal business partners, this role manages the rate and contract negotiations, and the full contracting process including but… more
- AdventHealth (Maitland, FL)
- …role you'll contribute:** This position will be responsible for execution of the managed care payor dispute resolution processes for all AdventHealth providers ... an extensive knowledge and library of state regulations related to insurance and managed care regulations in all states where AdventHealth has a presence.… more
- AdventHealth (Maitland, FL)
- …managed care contracting initiatives as directed by AdventHealth leadership; managed care contract review, interpretation and analysis, negotiation, ... data, etc.) to preserve the integrity of those contracts. Shows full comprehension of managed care contract language for the betterment of the AdventHealth… more
- AmeriHealth Caritas (Raleigh, NC)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... system, including chief executive officers, chief financial officers, and directors of managed care leadership. **Responsibilities:** + Lead the development 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
- Atrius Health (Newton, MA)
- …management fees. . Interfaces between Utilization Analysis and Clinical Programs (UACP), Managed Care Finance (MCF), Sites and Specialties to coordinate ... and welfare benefit package. **Job:** **Supervisors/Managers/Directors* **Organization:** **Administration* **Title:** * Senior Contract Manager* **Location:** *Newton MA -… more
- Mount Sinai Health System (New York, NY)
- …President of the Hospital in the evaluation and negotiations of managed care contracts and operations in conjunction with senior management. 19. Supports ... **Job Description** The Senior Director is responsible for providing leadership, direction,...minimum of 3 years preferred leadership in a health care setting. Non-Bargaining Unit, E01 - Partner MSO Services… more
- AdventHealth (Maitland, FL)
- …+ The Senior Compliance Analyst role requires extensive knowledge in Managed Care contract interpretation and payment methodologies, billing, and ... methodologies. The Senior Compliance Analyst works with Managed Care staff in all AH Divisions,...service and maintain relationships with clients who include AH Managed Care Directors, Contract Denial… more
- RWJBarnabas Health (Somerset, NJ)
- …is a highly analytical health care finance professional with experience in managed care contract negotiations, innovative and value based contracting ... Senior Manager - Somerset, NJReq #:0000193987 Category:Leadership Status:Full-Time...amendments for RWJBH system entities + Reviews and recommends managed care contract language and… more
- Elevance Health (Atlanta, GA)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract Cost of Care Consultant** **Location**...skills strongly preferred. + Experience with Python preferred. + Managed health care industry experience preferred. +… more
- HCA Healthcare (Brentwood, TN)
- …The Contract Pricing Advisor is responsible for the What-if modeling of managed care contracts, partnering with Payer Contracting & Alignment in creating ... terms on profitability, trend and other metrics. **Responsibilities:** + Model managed care contracts through available modeling tools. + Maintain service… more
- Sharp Electronics Corporation (Renton, WA)
- **Overview** The Senior Contract Coordinator position is responsible for the timely and accurate creation and processing of contract billing, in compliance ... procedures. **Responsibilities** + Ensure completeness and accuracy of maintenance contract documents including MICAS (meter automation) requirements and valid… more
- Centene Corporation (Latham, NY)
- …or risks for readmission or complications preferred. + Strong knowledge of healthcare managed care principles preferred. + Experience working with providers and ... to the development, implementation, monitoring, and ongoing improvement of the long-term care management process + Develops and provides senior leadership team… more
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