- Commonwealth Care Alliance (Boston, MA)
- …Strong claims experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/Medicaid) + Experience in health plan ... and supporting operational excellence to enhance provider satisfaction and member access to care . Reporting to the Senior , Director of Delegation Partnerships.,… more
- UnityPoint Health (Fort Dodge, IA)
- … Care : Assume a support role, in collaborating with System leadership teams regarding managed care contracting and payer contracting issues. * Revenue ... collaborative member of the market leadership team, the Executive Director of Finance is responsible for a market with...of the finance function in either a hospital/group setting/health care system or an organization of similar complexity. Strong… more
- Cedars-Sinai (Beverly Hills, CA)
- …Research Operations is accountable to the Department Chair and/or Institute Executive Director and serves as the primary source of information for the department. ... for the department and organization. Strategizes and collaborates with the Director and senior leadership, along with Academic Affairs regarding development and… more
- Boehringer Ingelheim (Ridgefield, CT)
- …to managing the terms and conditions of complex contractual rebate obligations to managed care , institutional, retail and wholesale customers for the life of ... assets of BIPIs and to provide support to the Director , Contract Compliance by: managing the administration of Administrative...related industry with six (6) years' experience in a contracting , pricing, reimbursement, or managed markets role… more
- Kelly Services (Titusville, NJ)
- …Science project in Major Depressive Disorder MDD, conducted with health care organizations. MAJOR DUTIES AND RESPONSIBILITES + Collaborate closely with the ... Population Health Director on assigned project, with responsibility for overall research...overall research project management, including budget management and invoicing, contracting processes, and obtaining needed approvals. + Responsible for… more
- HCA Healthcare (Austin, TX)
- …+ Provides medical consultation on contracting , pricing, and analysis of managed care issues. Offers clinical support for appeals and denials process, ... regarding delegated utilization management and disease management operations under managed care contracts. Meets all regulatory/contractual/accreditation requirements… more
- Hartford HealthCare (Farmington, CT)
- …to collaborate with Finance leadership in defining opportunities for revenue optimization through managed care contracting to ensure that we capture all ... registration, health insurance practices and benefit design, billing, accounts receivable, managed care contractual terms and requirements, industry regulatory… more
- Trinity Health (Syracuse, NY)
- …operational initiatives including new services/programs, revenue enhancement, expense reduction, managed care utilization systems, and strategies. Responsible ... driving excellence in clinical pharmacy practice, regulatory compliance, and patient-centered care .** **POSITION PURPOSE** The Pharmacy Director - Regional… more
- Amgen (Atlanta, GA)
- …applicable competitors, specialty experience + District Management / Reimbursement / managed care experience + Demonstrates solid understanding of the ... - Bone Health will report into the Key Account Director . Their primary responsibility is to assess and diagnose...innovative market strategies to reach difficult to access health care providers and accounts in a compliant manner. +… more
- Molina Healthcare (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