- Molina Healthcare (San Antonio, TX)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated delivery… more
- Molina Healthcare (Seattle, WA)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more
- Molina Healthcare (Miami, FL)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy...large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider… more
- Point32Health (RI)
- …Policy, etc. + Utilizing in-depth understanding of reimbursement methodologies and trends in managed care finance, lead the development and analysis of new ... . **Job Summary** Working under the direction of the Director or Senior Manager, the Senior Network Performance Analyst...professional experience. + Preferred: 5-7 years of experience in managed care or provider environment. New England… more
- Johns Hopkins University (Baltimore, MD)
- …Subject matter expertise in the administration and operation of health insurance and managed care programs, including Medicaid and Medicare Advantage. + Deep ... understanding of the regulatory environment for managed care , including CMS requirements, state/federal regulations, risk-bearing arrangements, and compliance… more
- Molina Healthcare (Cadillac, MI)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care environment. * 3+ years ... in negotiating different provider contract types, ie physician, group and hospital contracting , etc. * Working familiarity with various managed healthcare… more
- BrightSpring Health Services (San Diego, CA)
- …communicating (verbally and in writing) with skilled nursing, assisted living, subacute and managed care organizations to assess market needs. + Works with RVP ... for products and service. Prior experience in B2B Long-Term Care Sales or Pharmacy Services Sales a plus. Remote...of Sales in finalizing contracting , coordinating startup of new account and transitioning account… more
- Community Health Systems (Franklin, TN)
- … care and patient care delivery. + Collaborate with the CHS Managed Care department to engage and negotiate with payers, health plans, and other ... + Develop and lead the overall strategy for value-based care initiatives including contracting and performance monitoring...the MD VP for PPS and the VP of Managed Care Equal Employment Opportunity This organization… more
- Molina Healthcare (WA)
- …equivalent combination of education and experience **Required Experience** + 4+ years managed care experience + Experience participating in value-based program & ... by supporting both the local markets and national value based contracting team. Ensures smooth communication, supports proposal and counter-proposal development,… more
- State of Colorado (Denver, CO)
- …+ Accounting and fiscal reporting + Provider rate setting and reimbursement structures + Managed care rate setting and financial review + Payment reform and ... the Finance Office divisions encompassing Budget, Controller functions, Provider Reimbursement, Managed Care Rates, Payment Reform, Special Financing, and Audits… more