- Merck (North Wales, PA)
- …the guidance of a senior leader, an Associate Principal Scientist/Associate Director , has primary responsibility for planning/managing real world and economic ... and epidemiology, treatment patterns, healthcare resource utilization and costs, physician and patient satisfaction surveys, clinical and patient reported outcomes… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? **Summary:** + The Associate Director ("AD") will assist in the planning, development, coordination and administration of ... high quality services across UPHS and works closely with the affiliating physician practices for the placement of clinical pharmacy specialists into the practices.… more
- Travelers Insurance Company (Annapolis, MD)
- …Will You Do?** + Provide overall program leadership as the organization's lead physician . Serve as the key enabler and facilitator for the Travelers medical ... input and support medical vendor strategies including vendor selection, negotiation and contracting . + Medical Direction and Oversight: + Participate in the design… more
- Banner Health (Phoenix, AZ)
- …So a knowledge and background working with ACOs, managed care, provider contracting , incentives, Medicare, and CMS would all be helpful. **Schedule: Monday - ... laws and regulations pertaining to health care, regulatory compliance, physician billing and information systems, Medicare/Medicaid and financial reimbursement… more
- Molina Healthcare (Seattle, WA)
- …Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… more
- Molina Healthcare (Cincinnati, OH)
- … Director , Provider Contracts, develops health plan-specific VBP provider contracting strategies. This includes identifying VBP provider targets and assist with ... the development of new reimbursement models in concert with Director . * Oversees the maintenance of all Provider and...setting ideally in negotiating different provider contract types, ie physician , group and hospital contracting , etc. *… more
- Molina Healthcare (Columbus, OH)
- …managed healthcare setting ideally in negotiating different provider contract types, ie physician , group and hospital contracting , etc. * Working familiarity ... Ohio _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more
- CommonSpirit Health (Englewood, CO)
- …under the SSRM umbrella in fulfillment of the requirements of our Sourcing and Contracting Calendar as well as work with stakeholders on new products. This must be ... goals. This is in collaboration with the VP of Contracting and Vendor Management, VP of Implementation and Operations...each category as well as across categories, planning cycles, physician and clinician sensitivity areas, and operating with a… more
- Fresenius Medical Center (Kennesaw, GA)
- …ensure external reporting is timely and accurate. Oversees and monitors payer contracting functions for all Access Site locations. Oversees and monitors intake ... staffing requirements needed to assure quality level expectation. + Oversees payer contracting . + Assures training is provides to include; + Front Desk Coordinator,… more
- HCA Healthcare (Las Vegas, NV)
- …program development, and overall hospital strategy. + Provides medical director services to facility-level physician credentialing, business development, ... quality management and promote optimum patient experience. Major Responsibilities: Physician Alignment + Leads clinical performance expectations that support the… more
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