- Humana (Sacramento, CA)
- …training and certification + 5+ years clinical practice + 5 + years in managed care industry, either provider or payer. + Thorough knowledge of health ... trusted relationships with CMOs and senior executive/clinical leaders at provider and care delivery partner organizations. First and foremost, this is a role focused… more
- Actalent (Tempe, AZ)
- …Experience in Pharmacy Benefits Management (PBM) is preferred. + Experience in retail, hospital , or long-term care settings is beneficial. + Expertise in ... knowledge of all types of pharmacy services with an emphasis on the managed health care environment. + Current, unrestricted Registered Pharmacist license. Work… more
- Prime Healthcare (Ontario, CA)
- …(10) years prior work experience in Claims Operations and Health Plan Strategy, in a Managed Care , Self-Funded or hospital setting is required. + Analytical ... as collaborate with Network Development, Provider Affiliation and Member Relations, Contracting , and Benefits Administration to ensure data integrity and to drive… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …required. Qualifications: + Minimum of two (2) years previous experience in a managed care organization's Credentialing department. + NAMSS CPCS certification is ... for completeness and requesting missing data from the practitioner offices and/or Contracting Department staff; + Creating a new electronic record in the… more
- Novant Health (Charlotte, NC)
- …ventures, strategic partnerships and foundational knowledge of healthcare operations. + Managed care , value based arrangements and physician network experience ... This role supports facilities and physician network operations, including physician contracting , employment law, and patient care related legal matters.… more
- Defense Health Agency (Lackland AFB, TX)
- …robust job market that seems partial to government and defense/security contracting ensures employment opportunities for spouses or transitioning service members. ... San Antonio is the country's seventh fastest growing city yet has somehow managed to retain a "small town feel." Quality schools and friendly locals (most with… more
- CVS Health (Hartford, CT)
- …have the following key attributes: + 15+ years of experience in managed care ; leading and managing teams. + Experience contracting with providers and ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...rates to help manage costs and improve access to care . Aetna is seeking an Executive Director to lead… more
- Humana (Albany, NY)
- …in a management field + Prior healthcare industry experience, preferably in the managed care or provider sector **Additional Information** The role reports to ... membership acquisition strategy, identifying key go-to-market priorities, developing new contracting models for value-based care providers, evolving key… more
- HCA Healthcare (Nashville, TN)
- …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... counseling, long-term care coverage, moving assistance, pet insurance and more. +...Support relationships with CSC Procure-to-Pay departments, HPG Standardization and Contracting to ensure master files are maintained and assist… more
- ZOLL Medical Corporation (Chelmsford, MA)
- Acute Care Technology At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful ... treat patients suffering from serious cardiopulmonary and respiratory conditions.The Acute Care Technology division of ZOLL Medical Corporation develops and delivers… more