- Bon Secours Mercy Health (Cincinnati, OH)
- …Behavioral Health and Wound Care system service lines + Partners with the contracting team to define PSA terms including SLAs and KPIs + Manages outcomes and ... Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, ...**he person in this position will partner with the contracting team to define PSA terms,** **including SLAs and… more
- CVS Health (Lansing, MI)
- …and health care industry. At least three years of experience Medicaid and managed care experience. Must be a physician with a current, unencumbered license ... Qualifications** 1. Demonstrated experience in population health management and Managed Care . 2. Passion and ability to...outcomes in healthcare delivery. 3. Understanding of Value Based Contracting /Accountable Care and how this relates to… more
- Methodist Health System (Dallas, TX)
- …work relationships with coworkers and health plan representatives. **Job Roles:** + Supports managed care contracting + Research healthcare updates online + ... The Provider Services Coordinator provides administrative support to the Director of Contracting and Network Development, as...website + Assist with projects as needed **Age Specific Care Considerations:** ☐ Adults: 18+ years - 35 years… more
- Molina Healthcare (North Las Vegas, NV)
- …practice. + 5 years in a Medical Director role. + 4 years HMO/ Managed Care experience, including Utilization and/or Quality Program management. + 5 years ... managed care administrative experience to include NCQA...relevant experience + Peer Review, medical policy/procedure development, provider contracting experience. + Preferred License, Certification, Association + Active… more
- Waystar (Atlanta, GA)
- …Develop and maintain strong relationships with payers, including health insurance companies, managed care organizations, and government agencies. + Create new, ... and innovative payer strategies. This role will report to the Sr Director of Product Operations. **WHAT YOU'LL DO** **Payer Relationship Management:** + Identify… more
- Henry Ford Health System (Bingham Farms, MI)
- …to seven (7) years of leadership experience within integrated health systems and/or managed care organizations. + Exemplary oral and written communication skills ... innovative pharmacy solutions with clinical excellence, affordability, and patient-centered care . The Vice President is accountable for transforming pharmacy benefit… more
- UCLA Health (Los Angeles, CA)
- …Budget teams. + Manage Medi-Cal Waiver reimbursement, including FFS estimates and Managed Care entitlements. + Track regulatory changes, attend industry ... the financial sustainability of the hospital system. Reporting to the Director of Reimbursement, you will ensure accurate financial reporting, maximize Medi-Cal… more
- Teleflex (Los Angeles, CA)
- …Sales Manager (RSM) (Los Angeles, or Sacramento, CA) is on the acute care hospital market ensuring the sales of our life-saving Arrow(R) EZ-IO(R) Intraosseous ... process-focused, decisive course of action. This role interfaces closely with the Director of Sales in driving profitable revenue and achieving assigned market share… more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals ... monitor and assure the appropriateness and medical necessity of care as it relates to quality, continuity and cost...Director as needed. - Responsible to coordinate with contracting to obtain appropriate contracts as deemed appropriate. -… more
- HCA Healthcare (Sunrise, FL)
- …team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more