- AdventHealth (Maitland, FL)
- …adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... for the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred ...contract data elements which are populated into the Managed Care database including addition of new… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- AdventHealth (Maitland, FL)
- …partners, vendors and leadership after identifying and quantifying the issue. Supports the Managed Care Contract Administration, AH Central Denials team, and ... non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical...issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst. Contributes to the… more
- Molina Healthcare (Dayton, OH)
- …integrity and other cost recovery processes + Direct PM experience in Managed Care Operations (claims, system configuration, provider data management preferred) ... and appreciates the member environments we serve + Exposure to all Managed Care industry functional departments **JOB QUALIFICATIONS** **Required Education** +… more
- CVS Health (Austin, TX)
- …with heart, each and every day. **Position Summary** Join our team as an IT Managed Services Operations Manager , where you'll serve as the Managed Services ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …new people to make a difference with. **The opportunity** **Position Summary:** The Senior Manager , Managed Care Rebates leads department staff in the ... to Gross to Net and Government Pricing. The Senior Manager , Managed Care Rebates reports...3 years Pharmaceutical experience; Experience with Managed Care Rebate Processing, Rebates Disputes, Contract Terms… more
- Dignity Health (Bakersfield, CA)
- …and compliance standards are met. + **Strategic Partnerships** + Collaborate closely with the Managed Care COO to ensure contract compliance and successful ... Responsibilities** This role is the key clinical leader for Managed Care Services within the Population Health...of five years (5) of direct management / people manager experience in health care . + Medical… more
- Fresenius Medical Center (Dallas, TX)
- … programs (HMOs, PPOs, POS, etc). Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… more
- Cardinal Health (Helena, MT)
- …for all lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the ... within territory. + Support member pharmacies when there are specific managed care operations questions including contract questions and analysis related… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street ... across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr....Minimum: BA/BS degree . Preferred: BA/BS degree in Health Care , MIS, Finance, Statistics or Mathematics *Experience* . Minimum:… more
- Elevance Health (Seattle, WA)
- ** Managed Care Coordinator** **Location:** The candidate should reside within Jefferson, King, or Pierce County. **Field** : This field-based role enables ... an accommodation is granted as required by law._ The ** Managed Care Coordinator** is responsible for overall...of position, as required by applicable state law and contract . **How you will make an impact:** + Responsible… more
- Elevance Health (Robbinsville, NC)
- **CFSP Managed Care Coordinator** **We are currently seeking people in the following counties and look forward to speaking with you!** (Alexander, Alleghany, ... thrive in safe, stable, and nurturing homes._ The **CFSP Managed Care Coordinator** is responsible for the...CFSP Program, as required by applicable state law and contract . **How you will make an impact:** + Provide… more
- Elevance Health (Martinsville, VA)
- …for employment, unless an accommodation is granted as required by law. The ** Managed Care Coordinator - Southwest Virginia** is responsible for performing ... and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review ... * Identify and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). *… more
- US Tech Solutions (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). ... **Duration: 3+ Months Contract (Possible Extension)** **Job Description:** + Must be...coordinate with team, providers, and patient representatives regarding patient care . + Skill sets/qualities: Same as required skills listed… 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...the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play a critical… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Under minimal supervision, the Network Contract Manager oversees the tracking and management of value-based contracts within the Clinically ... effective communication and cooperation. Routinely collaborates with corporate departments including Managed Care Contracting/ Revenue Cycle. . Collaborates with… more
- J&J Family of Companies (Titusville, NJ)
- …Health Care Systems Inc. (Strategic Customer Group) is recruiting for a Manager , Contract Strategy & Analytics, located in Titusville NJ. **About Innovative ... leading health plans, pharmacy benefit managers, and government health care institutions. The company also provides contract ...for the major Johnson & Johnson franchises. Overview The Manager , Contract Strategy & Analytics, will be… more
- US Physical Therapy (Houston, TX)
- …motivated, autonomous individual who has a positive attitude to join our company as a ** Contract Manager /Analyst.** This is a dual role that will support the ** ... Managed Care Operations Team** . The person...care contracts and government reimbursement methodologies to create contract modeling calculation. + Prepare pre-negotiation analysis to support… more
- CVS Health (Raleigh, NC)
- …+ Must reside in North Carolina or South Carolina + In-depth knowledge of the managed care industry and practices, as well as a strong understanding of ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more