- Cambia Health Solutions, Inc (Renton, WA)
- …experience in one of the following areas: population health management, Provider contracting and reimbursement, managed care , healthcare delivery, risk ... Provider Performance Director , Medicare Advantage (HEALTHCARE)Telecommute or Tele-Flex Options (Depending on location) - Must reside in ID, OR, UT or WAWHO WE… more
- Option Care Health (Albany, NY)
- …Experience RequirementsBachelor's degreeFive (5) or more years of experience within the managed care space Basic Qualifications Strong relationships with Key ... no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and...non-market access teams on access, including education.Work with the Director of Contracting to maintain on-going account… more
- AccentCare, Inc. (TX)
- Overview Find Your Passion and Purpose as a Director Managed Care Contracting Reimagine Your Managed Care Contracts Career With Us Working for a ... 401(k) * Flexible spending and health savings accounts Qualifications Be the Best Director Managed Care Contracting You Can Be If you meet… more
- Omnicell, Inc. (Grapevine, TX)
- …Client Solutions, Information Technology, Accounting, and Finance Teams to ensure all managed pharmacies are performing at the highest level. Essential functions + ... + Provides PBM audit and recredentialing support for all managed pharmacies. + Educates pharmacy teams on the PBM...growth. Significant knowledge of the specialty pharmaceutical and health care industry. competencies + Ability to present to future… more
- Henry Ford Health System (Troy, MI)
- …units. PRINCIPAL DUTIES AND RESPONSIBILITIES: 1. Under supervision of Director or Managed Care Contracting , works directly with Payors to negotiate ... or extreme temperatures. Additional Information + Organization: Corporate Services + Department: Managed Care Contracting + Shift: Day Job + Union Code: Not… 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 ... Job Purpose: Manager of Payor Contracting is responsible for reviewing, auditing and negotiating...negotiation with strategy. Essential Functions: In collaboration with the Director of Managed Care , negotiate… more
- Providence (Irvine, CA)
- **Description** **THE ROLE** The Regional Contracting Director is the managed care leader for Providence Health & Services. The leader is responsible to ... physician group, and ancillary entity relations with respect to managed care , and in the development, implementation...objectives. + Works with key Region leadership to define Contracting Principles and contracting strategies that further… more
- Hartford HealthCare (Wethersfield, CT)
- …programs and other common practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, ... Relationships_* . *Job Title of Individual(s) Reports To:* Sr Director of Managed Care Payer...* Managed Care Database Administ / Managed Care Contracting * **Location:** *Connecticut-Wethersfield-1290… more
- Ascendis Pharma (Princeton, NJ)
- …administration of rebate programs, including government rebates (eg, Medicaid, Medicare), managed care rebates, and commercial rebates. Ensure accurate ... formulary validation processes accurately and before payment deadlines, oversee payments of managed care and government rebates, and manage Market Access… more
- UNC Health Care (Morrisville, NC)
- …managed care contracts, including the establishment of tools to support the managed care contracting process. **Job Responsibilities:** 1. Managed ... and well-being of the unique communities we serve. **Job Summary:** The System Executive Director - Managed Care position is responsible for planning,… more
- HCA Healthcare (Brentwood, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Director Managed Care ? At HCA Healthcare, you come first. HCA Healthcare ... make a difference. We are looking for a dedicated Director Managed Care like you...process for designated Division/Market/Practice Management + Oversee individual practice managed care contracting efforts +… more
- Universal Health Services (King Of Prussia, PA)
- …contract performance. Qualifications + Bachelor's Degree + Comprehensive working knowledge of managed care contracting and practices sufficient to maximize ... United Kingdom. UHS is currently recruiting for our Regional Director of Managed Care for...and contracting tools to ensure creation of managed care contracts that meet UHS corporate… more
- CVS Health (Bloomington, MN)
- …considered based on experience. Required Qualifications*A minimum of 8 years experience in managed care which may include PBM, Pharma, market access, account ... to increasing access, lowering costs and improving quality of care . In this Director level role you...on high-value rebate contracts for Commercial, Health Exchange, and Managed Medicaid segments. This includes management of the business… more
- CVS Health (Downers Grove, IL)
- …assigned manufacturers. Required Qualifications + A minimum of 8 years experience in managed care which may include PBM, Pharma, market access, account ... to increasing access, lowering costs and improving quality of care . In this Director level role you...on high-value medical rebate contracts for Medicare Part B, Managed Medicaid, and Commercial segments. This includes management of… more
- Universal Health Services (Denison, TX)
- …Qualifications Job Requirements: + Bachelor's Degree + Comprehensive working knowledge of managed care contracting and practices sufficient to maximize ... the United Kingdom. UHS is currently searching for a Director of Managed Care for... managed physician practices (IPM). + Assist Regional Director in supporting due diligence and contracting … more
- CVS Health (Bloomington, MN)
- …success in driving sophisticated contract negotiations and completion of contracts, PBM and managed care expertise, with a focus on the management of pharmacy ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...your next role?! In this high impact role as Director of Trade Relations - Contract Negotiator, you will… more
- Hackensack Meridian Health (Edison, NJ)
- …ability to understand relational databases, a comprehensive knowledge of system charging/billing and managed care contracting as well as an understanding of ... Home Care , Hospice, Infusion, and DME). Perform managed care contract modeling analytics; Revenue Integrity...projects as requested by the Manager of Revenue & Contracting Strategy/ Director . + Hire, develop and manage… more
- Amgen (Washington, DC)
- …Let's do this. Let's change the world. In this vital role you will lead contracting activities for Amgen's Managed Care Organization (MCO) customers. The ... top national MCO customers. This role reports to a Director of Payer Contracting . The Senior Manager...and execution of one of the Big 3 ("Mega") managed care PBM/GPO customers. + Implement MCO… more
- Point32Health (Canton, MA)
- …within the organization's established legal, financial and operational guidelines. The Manager, Contracting will work closely with the Director , Contracting ... provisions are included in the signed agreement. + Assist Contract Managers and Director , Contracting in developing the organization's position on key issues… more
- University of Utah Health (Murray, UT)
- …experience in provider or payer relations, provider or payer reimbursement, and/or managed care contracting . **Qualifications (Preferred)** **Preferred** + ... mission. EO/AA_ Under the direction of the Provider Network Director , the Manager of Provider Contracting is...as well as ongoing evaluation, administration and monitoring of managed care and governmental payer agreements for… more
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