- 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 ... The Vice President, Pharmacy Health Plan Administration, leads pharmacy strategy across Health Alliance Plan (HAP) to ensure cost-effective, high-quality drug… more
- New York University (New York, NY)
- …a talented and motivated individual to serve as a program associate for our Managed Care Technical Assistance Center (MCTAC) and Healthcare Innovation team. This ... Program Associate may also support the projects of the Managed Care Technical Assistance Center (MCTAC), an...Medicaid landscape. This position, under the direction of the Director of Healthcare Innovation, will plan, administer, and execute… more
- HCA Healthcare (Loxahatchee, FL)
- …contracting issues. + Provides medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials ... regarding delegated utilization management and disease management operations under managed care contracts. Meets all regulatory/contractual/accreditation requirements… more
- Marriott (Bethesda, MD)
- …and resolve service delivery issues across the portfolio. Reporting to the Sr Director of Property Networks, this key position is responsible to ensure overall ... an operational Recovery Time Objective (RTO) and Recovery Point Objective (RPO) strategy for all Property Network Infrastructure areas. + Establish cross team level… more
- New York State Civil Service (NY)
- …changes and system modifications required for quality improvement and the transition to managed care . Develop business intelligence solutions to report on data ... with disabilities.. Assist the DQI Data Analysis and Evaluation Director in overseeing the maintenance and improvement of DQI's...CMS Access Rule. Design and implement the data analysis strategy related to Access Rule Reporting.. Act as a… more
- Humana (Boise, ID)
- …+ Advanced Degree (such as MSN, MBA, MHA, MPH). + Experience in managed care , health plan operations, or Medicare Advantage programs (including various ... the regional clinical team responsible for supporting data-driven clinical strategy , performance monitoring, and continuous quality improvement within the Medicare… more
- Beth Israel Lahey Health (Boston, MA)
- …to evaluate effectiveness of interventions. Implements relevant information systems, such as managed care , insuring accuracy of data input and patient ... practices on operational matters. 2. Partners with the Administrative Director or CAO and Medical Director to...assigned meetings. 7. Works closely with the Manager of Managed Care Department and shares oversight of… more
- Molina Healthcare (Jackson, MS)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care environment. * 3+ years ... Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational… more
- Molina Healthcare (Dallas, TX)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated… more
- AmeriHealth Caritas (Newtown Square, PA)
- …and experience communicating progress for multiple projects + Knowledge of Medicaid Managed Care , Medicare, and/or Qualified Health Plans (QHP/Exchange) + Proven ... care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral… more