- Bristol Myers Squibb (Tampa, FL)
- …the latest government contracting and reporting requirements, and ensure Managed Care government pricing calculation implications are identified and ... leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D...ability to think strategically about the impact of various contracting approaches and government regulations + Firm understanding of… more
- MaineGeneral Health (Augusta, ME)
- …We are actively seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects ... of reimbursement, managed care contracts, and payer enrollment. The successful candidate will...and manage payer relationships + Utilize Soarian and StrataJazz contracting modules + Perform contract modeling and troubleshoot payer… 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 ... business hours.** **Position Summary:** The Manager, Network Strategy and Contracting reports to the Director of Provider...pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to… more
- Ascendis Pharma (Princeton, NJ)
- …Requirements Key Responsibilities: Rebate Management . Administer and oversee government, managed care , and commercial rebate programs. . Collaborate with ... compliance with regulatory and contractual rebate requirements. . Collect and analyze managed care data for rebate payments, pricing, and financial planning.… more
- The Cigna Group (Franklin, TN)
- …and organizations, required** + **3+ years experience in Healthcare, Health Insurance, Managed Care , required** + Experience in developing and managing key ... Management** serves as an integral member of the Provider Contracting Team and reports to the Senior Director...provider partners + Intimate understanding and experience with hospital, managed care , and provider business models +… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …of Western Kentucky Healthcare System (WKHS). Develops, manages, and monitors the managed care contracting , credentialing, and provider enrollment processes. ... Works under the supervision of the Managed Care Director . Organizational Expectations...of budget preparation. Essential Functions * Functions as primary managed care contracting , credentialing and… 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …as well as pricing methodologies used within contracts + Reporting to the Director of Medical Economics and EHN Analytics, this role provides critical insights into ... contract trends, identifying areas for process improvement, and supporting efforts to optimize the organization's revenue decision support contract performance + Contract Modeling, Implementation, and Validation: + Responsible for the configuration and build… more
- Caris Life Sciences (Tallahassee, FL)
- …policy coverage initiatives and contracting strategies within assigned regional managed care organization(s), and employer groups (employee benefit plans). ... Responsible for obtaining positive payer coverage policies, securing in-network contracting and maximizing reimbursement while minimizing access barriers for...+ Stay up to date on trends in the managed care market and develop strategy with… more
- Molina Healthcare (Albuquerque, NM)
- …SKILLS & ABILITIES** : * 7+ years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to… more