- Cardinal Health (Sacramento, CA)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... contract retention and administrative tracking of all various managed care payors. Advances company payor strategy...In collaboration with the Director of Managed Care , negotiate and manage assigned contracts , including… more
- Molina Healthcare (San Francisco, CA)
- …knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts , negotiates Complex Provider contracts including ... Relationship Contracts . * Develops and maintains provider contracts in contract management software. * Targets...care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting… more
- Molina Healthcare (Riverside, CA)
- …SKILLS & ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including 2+ years ... a direct or matrix leadership position * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different… more
- CommonSpirit Health (Rancho Cordova, CA)
- …system standards for contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented ... reside in CA** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships...applicable, ensure standardized monthly, quarterly and ad-hoc meetings with Managed Care Organizations occur and issues are… more
- Molina Healthcare (San Diego, CA)
- …QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- Dignity Health (Bakersfield, CA)
- …- Masters degree preferred. - 5 years experience with background in a managed care facility, IPA or health plan preferred. **Overview** The purpose ... care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals,… more
- Stanford Health Care (Palo Alto, CA)
- …Care Palo Alto campus, a Level 1 Trauma and Academic Medical Center. Stanford Health Care is seeking a dynamic Manager to lead our team of Facility Managers, ... and facility operations! **This is a Stanford Health Care job.** **A Brief Overview** The Manager ...oversight of cost centers for region for cost control managed through metrics. Drives cost efficiency improvement initiatives for… more
- LA Care Health Plan (Los Angeles, CA)
- …topics. Preferred: At least 4 years of experience in Program Management within a Managed Care Organization or Top 10 management consulting role in Healthcare ... Portfolio Delivery Program Manager III Job Category: Administrative, HR, Business Professionals...industry. Strong experience in Medicaid and Medicare managed care . Skills Required: Demonstrated success managing… more
- Gilead Sciences, Inc. (Foster City, CA)
- …lead in managing Gilead's day-to-day administration, project management and processing of all Managed Care Commercial/Medicare Part D contract payments. This ... management and resolves escalated issues + Facilitates successful product launches from a Managed Care rebates perspective (IRA, MFP, L4P). + Assists with… more
- The Cigna Group (Los Angeles, CA)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and ... and projects financial impact of larger or complex provider contracts and alternate contract terms. + Creates...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more