- Baystate Health (Springfield, MA)
- Summary Description: The Sr. Managed Care Contract Manager will act as the catalyst between the contract , contract parties and the data. ... Managed Care Contract Team at Baycare Health Partners. The Sr. Managed Care Contract Manager , will also perform research and collect data to… more
- Pfizer (New York, NY)
- **R** **ole Summary** As a Contract Manager you will be accountable for having a general working knowledge of the pharmaceutical and managed care ... to learn or have a general working knowledge of Managed Care (Commercial, Part D, Medicare, Medicaid,...upper management for approval; assistance and support from Sr. Contract Manager , Director/Team Leader, and Strategy Leads… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- CVS Health (New York, NY)
- …And we do it all with heart, each and every day. **Position Summary** The Manager , Intake Operations ( Managed Long-Term Care ) will oversee the day-to-day ... operations. You will develop a team to manage MLTC ( Managed Long-Term Care ) referrals processing, eligibility verification,...contract requirements; work to improve the quality of care provided to upcoming members. + Present new strategies… more
- Huron Consulting Group (Van Buren, AR)
- …a rewarding path forward. Create your future at Huron. As the Healthcare Consulting Manager in Managed Care , you will: + Manage complex multi-workstream ... leadership and workplan management experience with a focus on managed care with fee-for-service contract ...and may be implemented in the future. **Position Level** Manager **Country** United States of America At Huron, we're… more
- Atrius Health (Newton, MA)
- …welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Senior Managed Care Analyst* **Location:** *Newton MA - ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical… more
- Elevance Health (Norfolk, VA)
- …integration, and ensures essential face-to-face onboarding and skill development._ The Managed Care Coordinator Clinician Non-RN is responsible for contributing ... to the care coordination process by performing activities within the scope...member's case, as required by applicable state law and contract . **Primary responsibilities include, but are not limited to**… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review ... * Identify and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). *… more
- CommonSpirit Health (Phoenix, AZ)
- …+ Knowledge and experience in reimbursement, the financial aspects of contracting and managed care operations + Contract language + Effective project ... **Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy &...compliance on a regional and market level; ensuring that managed care contracts are correctly negotiated and… more
- AdventHealth (Maitland, FL)
- …department leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the ... Enterprise leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues. . Ensures key stakeholders… more