- Henry Ford Health System (Troy, MI)
- …contracting, provider relations or provider reimbursement experience. + Knowledge of managed care organizations and integrated health systems. + Comprehensive ... Reporting to Director or Manager, assist in the development of...Excel. Additional Information + Organization: Corporate Services + Department: Managed Care Contracting + Shift: Day Job… more
- Prime Therapeutics (Jefferson City, MO)
- …including pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid. The Sr Director , Pharm Trade Relations leads a ... Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director , Pharmaceutical Trade Relations is responsible for managing Prime's Trade Relations… more
- Marriott (Bethesda, MD)
- …US and Canada (US/CAN) Food & Beverage team and will report to the Senior Director , Food & Beverage, US & Canada. This position is responsible for supporting US/CAN ... activities and support needs to deliver upon all activities assigned across Managed by Marriott (MxM) and Franchise hotels, Franchise Management Companies (FMCs),… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …identifying contractual variances between posted and expected reimbursement for Article 28, Managed Care , Commercial Insurance and other payers. Analyze, audit ... appeals and final solution to claims. Collaborate with the Director of Insurance Strategy in developing, implementing...Required Skills, Knowledge and Abilities: Knowledge of guidelines of managed care and claims guidelines and ability… more
- Adelante (Phoenix, AZ)
- …Marketing and Community Engagement department. Working together with the department director and the entire marketing team, this highly organized individual plays ... a pivotal role in operationalizing the organization's marketing strategy in alignment with business goals. This individual will...Support + Serve as key partner to the Marketing Director , Marketing & Communications team, and broader organization -… more
- Sharp HealthCare (San Diego, CA)
- … Committee. **Knowledge, Skills, and Abilities** + Demonstrated working knowledge of managed care , capitation, provider payment mechanisms and member benefits. + ... Will Do** Under the direction of the Sharp Community Medical Group (SCMG) Director for Health Service and in collaboration with the Health Services leadership team,… more
- Compass Group, North America (Sioux Falls, SD)
- …choice for hospitality professionals. Everything we do means more when it's served with care . The exceptional care and culinary artistry of our team members is ... Policy, email [email protected]._** **Job Summary** Working as a **Senior Director of Dining Services (Sr DDS)** , you will...and ensures implementation of the Compass Community Living's service strategy as well as be the face of the… more
- Elevance Health (Atlanta, GA)
- …HS diploma or equivalent and a minimum of 2 years of experience in a managed care healthcare setting; or any combination of education and experience, which would ... medical necessity. + Extrapolates and summarizes medical information for medical director , consultants and other external review. + Prepares recommendations to… more
- Molina Healthcare (North 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 ... the health plan in the areas of strategic planning, strategy execution and implementation of care management...managed care administrative experience to include NCQA… more
- Georgetown Univerisity (Washington, DC)
- …This includes goal setting, portfolio development, idea generation or development, strategy , direct fundraising, and volunteer engagement, principally as it relates ... and Biomedical Graduate Research studies. This position will provide ultimate strategy , direction, support, and advocacy for unit and constituent development… more
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