- University of Michigan (Ann Arbor, MI)
- Managed Care Contract Administrator... Care Contract Administrators will lead contract negotiations without Senior Director or Chief ... class, and emerging health care industry developments. Managed Care Contract Administrators will...+ Prepares and presents analyses findings and recommendations to Sr . Director and/or Chief Contracting Officer for contracts valued… more
- Omaha Children's Hospital (Omaha, NE)
- …equal opportunity employer including veterans and people with disabilities. **A Brief Overview** The Sr . Managed Care Contract and Revenue Analyst will ... + Minimum 2 years' experience in analysis of financial, reimbursement, or managed care contract modeling. Required **Skills and Abilities** + Knowledge of… more
- AdventHealth (Maitland, FL)
- …adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... contract data elements which are populated into the Managed Care database including addition of new...to Senior Staff, AdventHealth Florida and Multi-State Managed Care Directors and Ancillaries. * Accountable… more
- Houston Methodist (Houston, TX)
- …+ Knowledge of acute care contracts, financial modeling techniques and managed care contracting, contract pricing, language requirements, rates and ... At Houston Methodist, the Director Managed Care Contracting position is responsible for the development, negotiation, maintenance and payer relations of the… more
- AdventHealth (Maitland, FL)
- …managed care contracting initiatives as directed by AdventHealth leadership; managed care contract review, interpretation and analysis, negotiation, ... can be made to contract strategy and action. + Collaborates with the Managed Care contract administration team to provide timely notification and… 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
- CommonSpirit Health (Phoenix, AZ)
- …+ Knowledge and experience in reimbursement, the financial aspects of contracting and managed care operations + Contract language + Effective project ... **Job Summary and Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR)...compliance on a regional and market level; ensuring that managed care contracts are correctly negotiated and… 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
- Baylor Scott & White Health (Dallas, TX)
- …Cycle's interests in contract negotiations; maintain a strong working knowledge of managed care contract language and operational implications * Provide ... with the Revenue Analytics team and Managed Care to assess financial impacts of commercial contract... compliance, and denial management, present viable opportunities to senior leadership * Utilize a broad range of technology… more
- Guthrie (Sayre, PA)
- …workflows/processes that impact the Revenue Integrity functions: chargemaster, Federal, State & managed care contract rule development and charge capture ... Summary The Senior Director, Revenue Integrity is responsible for developing...a part of a tradition of excellence in health care . In all areas and at all levels of… more
- AdventHealth (Maitland, FL)
- …contractual payment term changes that achieve net revenue targets developed by the Regional Managed Care Directors and Contract negotiators Oversees the both ... that achieve net revenue targets developed by the Regional Managed Care Directors and Contract ...financial impact of changes and presenting the findings with Senior Leadership Strong ability to handle multiple projects including… more
- Hartford HealthCare (Hartford, CT)
- …this is *your moment*. **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** * Sr Payer Analyst / Managed Care Contracting* ... across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr . Payer Analyst is responsible for payer… more
- HCA Healthcare (Brentwood, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Sr Contract Pricing Advisor? At HCA Healthcare, you come first. HCA Healthcare has ... make a difference. We are looking for a dedicated Sr Contract Pricing Advisor like you to...responsible for the What-if modeling of the more advanced managed care contracts and performance of advanced… more
- Lilly (Durham, NC)
- …and maintenance of departmental training matrixes and scheduling training for personnel managed . The Sr . Manager will be required to utilize technical ... life better for people around the world. **Position Title:** Sr . Manager - QC Chemistry and Device (Night Shift)...controls, as required. + Lead and manage relationships with contract personnel, as required. + Provide support for internal… more
- Commonwealth Care Alliance (Boston, MA)
- …years + Experience working in a health care or managed care setting with specific background in contract negotiations and management. + Specific ... CCA-Network Contracting **Position Summary:** Under the direction of the Senior Contract Manager, Provider Contracting, the ...background in complex managed care provider contracting including Health Systems,… more
- PVH Corp. (Bridgewater, NJ)
- …delivery of Network & Network Security services to the organization. + Helps the Sr Director Managed Services to develop operational policies in the area of ... at PVH **here (https://www.pvh.com/responsibility/inclusion-diversity)** . **About the Role:** The Senior Manager, Network Services, will be responsible for overseeing… more
- Prime Therapeutics (Jefferson City, MO)
- …including pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid. The Sr Director, Pharm Trade Relations leads a ... that. It fuels our passion and drives every decision we make. **Job Posting Title** Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director,… more
- Catholic Health Services (Rockville Centre, NY)
- …new entities on the Strata Decision Support system. + Provides accurate cost data for managed care contract negotiations. + Assists in the preparation of ... and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network… more
- Medtronic (Northridge, CA)
- …time managing their disease. Click here to learn more about products. The Sr Strategic Sourcing Manager - Professional Services will lead the development and ... to play a key role in a business preparing for a strategic transformation. Sr Strategic Sourcing Manager - Professional Services role will report to the Director of… 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