- Sutter Health (Sacramento, CA)
- …provider payment terms and trends for healthcare providers. + Ability to perform managed care contract analysis, draft language, document review, and ... to support or lead payer negotiations, implementation of the managed care payer agreements and contract...knowledge of the operational implications of managed care contracts relative to both medical groups, ancillary… more
- Billings Clinic (Townsend, MT)
- …quality of care or patient safety. + b) Participates in the managed care relationships, including monitoring of related reimbursement, negotiation with third ... Develops and maintains community relationships as it relates to the continuum of care . Monitors clinic practice and ancillary services medical activities and… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Responsible for seeking contract opportunities, reviewing contract language and terms, conducting data analysis on financial terms, negotiating ... problem resolutions regarding payment issues with all contracted payors. Manages the contract review process for RCSSD 3rd party contracts, contracts with payors,… more
- Hackensack Meridian Health (Edison, NJ)
- …Specialist Managed Care ** at Hackensack Meridian Health includes: + Managed Care Contract Negotiation: Develop and negotiate owned and affiliated ... recredentialing for assigned payer/partner companies within payer time frames. Demonstrate advanced managed care contract negotiation skills within a… more
- AdventHealth (Maitland, FL)
- …value you'll bring to the team:** . Provide documentation to internal departments on managed care contract requirements and changes including but not limited ... is in Kansas City** **The role you'll contribute:** The Managed Care Coordinator is a responsible member...of the requirements of each Agreement for all hospital, ancillary , and physician services. In addition, s/he must communicate… more
- Point32Health (Canton, MA)
- …are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Contract Manager, Ancillary Network Contracting, will be part of ... Ancillary Network Contracting team reporting to the Manager, Ancillary Network Contracting. Senior Contract Manager will...required) **:** + 5-7 years related experience in a managed health care environment, with a thorough… more
- Elevance Health (Columbus, OH)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract /Cost of Care Consultant** **Location:** This...process. Can work with multiple provider types, eg physicians, ancillary , medical groups, or hospitals. Supports a full range… more
- Commonwealth Care Alliance (Farmington Hills, MI)
- …- 3-5 years of experience - Specific background in provider contracting in a health care or managed care setting required. - Exceptional provider partnership ... contracts for a set of provider types, such as hospitals, PHOs, primary care or specialty physicians, behavioral health providers, ancillary providers (eg DME,… more
- Atrius Health (Newton, MA)
- …management fees. . Interfaces between Utilization Analysis and Clinical Programs (UACP), Managed Care Finance (MCF), Sites and Specialties to coordinate ... but not limited to health plans, hospitals, contracted physicians, and ancillary vendors. Key responsibilities include developing contract strategy, directing… more
- Point32Health (Canton, MA)
- …+ Bachelor's Degree or equivalent experience. + 5-7 years' work experience, preferred in managed care or other health care environment, with knowledge of ... a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are… more
- The Cigna Group (Bloomfield, CT)
- …**Responsibilities:** + Analyze impact to trends for professional, facility and ancillary contract negotiations. + Effectively influence contracting in a ... skills to include written, oral, and group presentation. + Understanding of managed care business processes, data, systems, and applications for claims… more
- The Cigna Group (Birmingham, AL)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... Market. Must live in either Alabama or Mississippi._** The **Manager, Provider Contract Network Management** serves as an integral member of the Provider Contracting… more
- CVS Health (Topeka, KS)
- …provider market. * 3-5 years related experience, proven and proficient managed care network negotiating skills.Preferred Qualifications * Strong communication, ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Elevance Health (Louisville, KY)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Cost of Care Consultant** **Location:** This position will work a...develop contracting strategy and supports all aspects of the contract negotiation process. + Can work with multiple provider… more
- Elevance Health (Columbus, OH)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract /Cost of Care Consultant** **Location:** This...process. Can work with multiple provider types, eg physician, ancillary , medical groups, or hospitals. Works on complex enterprise-wide… more
- The Cigna Group (Franklin, TN)
- …Experience in developing and managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus + Team player ... reimburse physicians and providers. Solicits participation of physicians, hospitals, ancillary , institutional, and other health service providers to establish… more
- Providence (Irvine, CA)
- …our Acute, physician group, and ancillary entity relations with respect to managed care , and in the development, implementation and monitoring of managed ... **Description** **THE ROLE** The Regional Contracting Director is the managed care leader for Providence Health &...is responsible to help assign appropriate individuals to staff contract negotiation teams on behalf of Acute, Physician Group,… more
- Molina Healthcare (Boise, ID)
- …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different ... and experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 5-7 years contract -related experience in the health care field including, but not… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …data, budget cost/expenditure documents, staffing, and other reports in decision-making. Understands managed care practices, including health care finance, ... and resolving issues related to local service line operations, overall health care system operations, ancillary and support operations, and VISN-wide mandates.… more
- Martin's Point Health Care (PA)
- …license) Skills/Knowledge/Competencies (Behaviors): + Significant proven advanced knowledge of managed care contracting and reimbursement methodologies + ... care including provider contracting involving physician, facility, and ancillary contracts experience Required License(s) and/or Certification(s): + Valid… more