- Hartford HealthCare (Wethersfield, CT)
- …programs and other common practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, ... **Title:** * Managed Care Database Administ / Managed Care Contracting * **Location:** *Connecticut-Wethersfield-1290 Silas Deane Hwy Wethrsfld… 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 ... * Flexible spending and health savings accounts Qualifications Be the Best Director Managed Care Contracting You Can Be If you meet these qualifications, we… more
- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 14 **Position:** Manager Managed Care Contracting **Union Code:** 00 - Non ... - KH Reimbursement **Job Description:** Primarily responsible to manage third party contracting . Include being the lead contact for third party contracting ,… more
- Hartford HealthCare (Wethersfield, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Payer Analyst / Managed Care Contracting * **Location:** *Connecticut-Wethersfield-1290 ... Payer Analyst develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops payment related tools such as… more
- Hackensack Meridian Health (Edison, NJ)
- …rate and language parameters. **Candidates should be experienced in all aspects of Managed Care Contracting including a full and comprehensive knowledge ... healthcare and serve as a leader of positive change. The **Senior Contracting Specialist Managed Care ** will develop and negotiate owned and affiliated… more
- Sutter Health (Sacramento, CA)
- …position is to support or lead payer negotiations, implementation of the managed care payer agreements and contract compliance, including performance analysis ... litigation. Negotiations of proposed and/or existing payers or third-party payer managed care contracts. Supports the negotiation process and documentation… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Responsible for seeking contract opportunities, reviewing contract language and terms, conducting data analysis on financial terms, negotiating contracts, and ... managing executed contracts for all RCHSD entities. 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,… more
- Northern Light Health (Brewer, ME)
- Northern Light Health Department: Managed Care Contracting Position is located: Cianchette Professional Blding Work Type: Full Time Hours Per Week: 40.00 ... PM Summary: This position supports the policy, and practices of the Managed Care Contracting Department, collaborates with operational departments of other… 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 ... leader of positive change. The **Manager of Revenue & Contracting Operations (MRCO)** is responsible for the modeling and...Home Care , Hospice, Infusion, and DME). Perform managed care contract modeling analytics; Revenue Integrity… 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 ... the unique communities we serve. **Job Summary:** The System Executive Director - Managed Care position is responsible for planning, directing and coordinating… more
- Pfizer (Collegeville, PA)
- …education but not required: MS/MBA + Relevant work experience in the pharmaceutical industry, managed care , or contracting :5+ years of experience if BA, 3+ ... a general working knowledge of the pharmaceutical, Provider and managed care industries. You will be responsible...or have a general working knowledge of Commercial Vaccines Contracting (GPO, IDN, LOC, PBG, and Retail), general concepts… 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 ... UHS is currently recruiting for our Regional Director of Managed Care for the acute division in...and contracting tools to ensure creation of managed care contracts that meet UHS corporate… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …contracts includes hospitals, physicians and ancillary services. The position collaborates with Managed Care Contracting , Decision Support, Revenue Cycle, ... and other analyses necessary to support the accuracy and profitability of managed care contracting initiatives. Prepares regular reports to management at the… more
- HCA Healthcare (Brentwood, TN)
- …contract negotiation process for designated Division/Market/Practice Management + Oversee individual practice managed care contracting efforts + Analyze and ... Market projects as requested by leadership + Administer company's guidelines for managed care contracting and compliance + Maintain knowledge of state and… more
- HCA Healthcare (Nashville, TN)
- …with business and operational leaders. . Provide legal guidance and advice regarding managed care contracting and dispute resolution, as well as ... to be a part of our team. **Job Summary and Qualifications** The Managing Counsel- Managed Care Litigation position is a leadership role within HCA's 270-person… more
- AdventHealth (Maitland, FL)
- …degree of understanding of the managed care payers and managed care contracting requirements. . Knowledge of healthcare, hospital/provider operations ... **This position is in Kansas City** **The role you'll contribute:** The Managed Care Coordinator is a responsible member of a multi-disciplinary team. S/he… more
- Universal Health Services (Denison, TX)
- …Qualifications Job Requirements: + Bachelor's Degree + Comprehensive working knowledge of managed care contracting and practices sufficient to maximize ... Kingdom. UHS is currently searching for a Director of Managed Care for our acute locations. The...+ Assist Regional Director in supporting due diligence and contracting efforts of UHS acquisitions in the South Texas… 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
- e CancerCare (Nashville, TN)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... Job Purpose: Manager of Payor Contracting is responsible for reviewing, auditing and negotiating...compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
- Baptist Memorial (Memphis, TN)
- …and expand provider network. In-depth understanding of health care and managed care contracting concepts, reimbursement, methodologies, and health ... renewal process for payor contracts. Responsibilities + Identifies and evaluates managed care contracting opportunities to grow the existing business,… more
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