- 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 ... of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms… more
- e CancerCare (Nashville, TN)
- …(ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review, ... Job Purpose: Manager of Payor Contracting is responsible...compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
- Cardinal Health (Carson City, NV)
- …(ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review, ... between payer and provider(s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing,...any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …equity. This posting will remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is ... Coordinates communication and problem resolutions regarding payment issues with all contracted payors. Manages the contract review process for RCSSD 3rd party contracts, contracts with payors, IPA's, PPO's, ancillary providers and other vendors. Responsible… more
- Rush University Medical Center (Chicago, IL)
- …Degree + At least five (5) years' experience in a managed care environment with direct payer contracting experience. + Experience in multi-facility health ... through Rush University Medical Center Human Resources. The Payer Contracting Manager is responsible for developing and...with third party payers including but not limited to Managed Care Commercial payers, Medicare Advantage payers… more
- Humana (Madison, WI)
- …caring community and help us put health first** Humana is seeking a Provider Contracting Manager to join the Wisconsin Medicaid Market (iCare) team. The Provider ... Contracting Manager will oversee a talented group... Contracting Manager will oversee a talented group of Provider ...care for the underserved in our society is managed . Share your talents and develop your leadership skills… more
- Dignity Health (Bakersfield, CA)
- …position is work from home** **within California** **.** **Position Summary:** The Manager Contracting reports to the Director of Network Operations/ ... and preparing contract proposals. The position supervises the direct contracting team and is responsible for organizing contract information...- 5 years experience preferred with background in a managed care facility, IPA or health plan.… more
- The Cigna Group (Newton, MA)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… more
- The Cigna Group (Richmond, VA)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... or Washington, DC or the Baltimore, MD area.** This ** Manager , Hospital Contracting ** serves as an integral...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- Intermountain Health (Salt Lake City, UT)
- **Job Description:** The Payer Contracting Manager - Joint Ventures is responsible for effective management of assigned Joint Venture payer contracts, including ... Contracting + Dispute Resolution + Relationship Management + Finance + Managed Care + Legal Practices **Qualifications:** **Required** + Experience leading… more
- Covenant Health Inc. (Knoxville, TN)
- …contracts and reimbursement trends including Medicare, TennCare, etc. + Oversee the Managed Care Contracting Specialist, who coordinates and maintains ... Centers. + Oversee the Credentialing Verification Office (CVO) Operations Manager who supervises the managed care...required. Individual must have a solid fundamental understanding of managed care contracting , enrollment and… more
- LA Care Health Plan (Los Angeles, CA)
- …Team internship will receive first-hand experience in understanding and developing health care contracting and provider relation efforts at the health plan ... Student Intern ( Contracting and Relationship Management Ancillary Team) Job Category:...educate the intern and ensure they understand the Medi-Cal Managed Care world and familiarize the intern… more
- Providence (Irvine, CA)
- …retain the best people, we must empower them.** **Providence is calling a Senior Manager Contracting who will:** + Be responsible for leading, or participating ... As a mission-based, not-for-profit healthcare provider, our commitment to providing compassionate care to all lives on through our five core values: Compassion,… more
- Albany Medical Center (Albany, NY)
- …and payer relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting , as well as the provision and ... Ensures adherence to all federal, state, and local regulations for governing payer contracting , stays informed of the health care regulatory environment to… more
- Mount Sinai Health System (New York, NY)
- …transformation + Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- Saint Francis Health System (Tulsa, OK)
- …Tulsa, OK Schedule: Monday - Friday | 8:00am - 5:00pm Job Summary: The Manager , Managed Care oversees the modeling, rate development and negotiation ... but not limited to the execution, implementation, and performance of all managed care agreements. Minimum Education: Bachelor's degree in Business Administration… more
- The Cigna Group (Providence, RI)
- …as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day ... contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages...and managing relationships + Understanding and experience with hospital, managed care , and provider business models a… more
- Cedars-Sinai (Los Angeles, CA)
- …people throughout Los Angeles and beyond. **Req ID** : 10223 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting all facets of...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- Mount Sinai Health System (New York, NY)
- …as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other institutional departments to ensure ... **Job Description** The Nursing Clinical Manager (NCM) for Case Management is responsible for...supports the mission of efficient and clinically appropriate patient care . 4. Demonstrates integral involvement in the Nursing Department… more
- Centene Corporation (Sacramento, CA)
- …4+ years of provider relations or contracting experience in health care , managed care , Medicare or Medicaid services environment. ... inquiries and response times. + Draft contracts and manage contracting process to verify that contract deadlines are met...Serves as lead on projects as requested by department manager . + Ability to travel + Performs other duties… more