- CDM Smith (Miami, FL)
- …performed by the construction contractors. **Job Title:** Construction Representative 4 ( Contract Compliance Manager ) **Group:** CEI **Employment Type:** Regular ... Transportation and Public Works has awarded our team the contract to provide Construction Engineering and Inspection services for...Where it's a priority that the company takes good care of you and your family. Our employees are… 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 Contract /Cost of Care Consultant** **Locations:** This...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Arkansas Children's (Little Rock, AR)
- …in a related field of study. **Required Work Experience:** Related Field - 3 years managed care , payer relations, payer contract , or physician or hospital ... 8:00 am - 5:00 pm - Hybrid The Payer Contract Specialist is responsible for managing payer contracts to... Experience** **Familiarity with insurance contracts, reimbursement terms, and managed care agreements.** **Data & Financial Analysis**… more
- AmeriHealth Caritas (Detroit, MI)
- … managed health care requirements + 3 to 5 years in a managed care -related or healthcare industry + Proven experience with contract management tools ... (ie, we use Contract Manager , Emptpros) + Proficiency in researching regulatory..., Emptpros) + Proficiency in researching regulatory requirements and managed care industry best practices **Skills &… more
- Henry Ford Health System (Troy, MI)
- …contracting, provider relations or provider reimbursement experience. + Knowledge of managed care organizations and integrated health systems. + Comprehensive ... Reporting to Director or Manager , assist in the development of Contract...Excel. Additional Information + Organization: Corporate Services + Department: Managed Care Contracting + Shift: Day Job… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health in a telephonic environment, assesses and evaluates ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work... care + Minimum of 1 year of managed care experience **OR** A current, valid,… more
- The Cigna Group (Richmond, VA)
- …Experience in developing and managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus + Team player ... the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports...and projects financial impact of provider contracts and alternate contract terms. + Creates "HCP" agreements that meet internal… 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
- Baptist Memorial (Memphis, TN)
- …senior management of contract activity. + Maintains proficient knowledge of managed care contracting concepts, including but not limited to reimbursement ... develop new business and expand provider network. In-depth understanding of health care and managed care contracting concepts, reimbursement, methodologies,… more
- Rush University Medical Center (Chicago, IL)
- …may vary depending on the circumstances of each case. **Summary:** The Social Work Care Manager I is an Illinois licensed social worker who provides patient ... care coordinator, and advocate. The Social Work Care Manager I collaborates with other members...Experience utilizing motivational interviewing preferred. * Experience working with managed care in a health care… more
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