- AdventHealth (Maitland, FL)
- …coordinating depositions, and participation in any trial or hearing. . Audits existing Managed Care agreements for payer compliance with terms, timely ... This position will be responsible for execution of the managed care payor dispute resolution processes for...dispute resolution processes. The position reports to the Executive Director of Reimbursement and Compliance . Experience in… more
- State of Georgia (Fulton County, GA)
- …(also known as Georgia Families)). The position reports directly to the Director , Managed Care Services & Compliance , and is based in Downtown Atlanta, ... qualified candidate for the Contracts Compliance Resolution Supervisor position in the Managed Care Services & Compliance Unit. The Managed Care … more
- University of Miami (Medley, FL)
- …. The Department of Business Development and Managed Care is currently seeking an Executive Director , Managed ... work at our offices in Medley, Florida. The Executive Director , Managed Care Operations develops,...auditing process of hospital and physician managed care contracts to measure and maintain compliance .… more
- City of New York (New York, NY)
- …to function as the Executive Director , of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under the ... for independent initiative, decision making, and judgement, the Executive Director (ED) is responsible for the administration of three...(MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and Third-Party Health… more
- The County of Los Angeles (Los Angeles, CA)
- DEPUTY DIRECTOR , MENTAL HEALTH (UC) - MANAGED CARE OPERATIONS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4843984) DEPUTY ... DIRECTOR , MENTAL HEALTH (UC) - MANAGED CARE OPERATIONS Salary $176,297.52 - $274,178.64...compliance with state and federal mandates. The Deputy Director oversees utilization management, provider expansion, and high-acuity client… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director , Managed Care Payer Contracting (V&A) Date: May 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva ... the next generation of pharmaceutical access in a high-growth environment.** The Associate Director , Managed Care Payer Contracting plays a pivotal role… more
- Charles Schwab (Westlake, TX)
- **Your opportunity** ** Director , Strategy & Execution - Managed Accounts Offers for Advisor Services** We believe that, when done right, investing liberates ... The Director , will report to the Managing Director of Managed Account Solutions, will define...work closely with internal (eg, operations, digital, legal and compliance partners), and external partners (eg, asset managers, technology… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director , Managed Care Payer Analytics (V&A) Date: May 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals ... difference, and new people to make a difference with. **The opportunity** The Associate Director , Managed Care Payer Analytics is responsible for leading the… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director , Managed Care Payer Contracting (V&A) Date: May 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: ... people to make a difference with. **The opportunity** The Director , Managed Care Payer Contracting...closely with the Account Management, Legal, Finance, Operations, and Compliance teams to drive efficiency and consistency across the… more
- MaineGeneral Health (Waterville, ME)
- …We are actively seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects ... of reimbursement, managed care contracts, and payer enrollment. The successful candidate will...issues + Oversee contract management and reporting + Ensure compliance with price transparency regulations + Support the revenue… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director , Managed Care Payer Data & Analytics (V&A) Date: May 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals ... team that's defining the next generation of pharmaceutical access in a high-growth environment.** The Director , Managed Care Payer Data & Analytics is a key… more
- Molina Healthcare (WA)
- … healthcare experience + Understanding of the drivers and strategies across functions in managed care organizations (MCOs) as well as broad knowledge of the ... Duties** + Develops enterprise and domain-specific strategies to drive growth, compliance , and performance improvement within current business units + Leads… more
- Saint Francis Health System (Tulsa, OK)
- …OK Schedule: Monday - Friday | 8:00am - 5:00pm Job Summary: The Manager, Managed Care oversees the modeling, rate development and negotiation of facility, ... but not limited to the execution, implementation, and performance of all managed care agreements. Minimum Education: Bachelor's degree in Business Administration… 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 ... physicians of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract… more
- Baystate Health (Springfield, MA)
- …of contract modeling, risk-based agreements, and financial forecasting Under the direction of the Director of Managed Care , the Managed Care ... higher quality or less costly care . Primary responsibilities of the Managed Care Contract Manager include performing contract analysis, developing payer… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …+ Perform other projects, work, and activities as assigned by the Pharmacy Director Qualifications: + Managed Care experience preferred, but not ... of the Health Plan's Medicare Prescription Drug Program, including compliance and oversight of Medicare Part D laws, regulations...of, or currently enrolled in, residency program (PGY1) in managed care pharmacy, or pharmacy practice. +… more
- UCLA Health (Los Angeles, CA)
- Description UCLA Health is seeking a dynamic Program Manager to support the Managed Care Operations team. This role is instrumental in overseeing the execution ... regulations, support UAT initiatives, and participate in strategic planning related to managed care operations. Salary Range: $83,800 - $179,400 annually… more
- UCLA Health (Los Angeles, CA)
- …UCLA Health is seeking a Program Manager to join the Managed Care Operations team. Reporting to the Assistant Director , this role supports operational ... (IPA, medical group, or health plan preferred). + Strong background in managed care operations, project management, and performance monitoring. + Proficiency… more
- UNC Health Care (Morrisville, NC)
- …and well-being of the unique communities we serve. **Summary** : The System Compliance Director assists with overseeing UNC Healthcare System (UNC HCS) Hospital ... Administration or related field. **Licensure/Certification Requirements** : Certification in Health Care Compliance (eg, CHC, CHPC, CHRC) required or completion… more
- US Tech Solutions (Columbia, SC)
- …plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance , options, and services required to support members ... Director , Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection/input into system for clinical… more