- Gilead Sciences, Inc. (Santa Monica, CA)
- …all contracts are managed in a compliant manner + Lead all contracting processes, SOPs, and US Pricing Committee submissions and engagements _Trade Strategy & ... accountable for all operations and process-related components of pricing and contracting , including oversight and management of ASP, AMP, gross-to-net, … more
- Scripps Health (San Diego, CA)
- …fee-for-service, partial risk, and full global risk HMO, PPO, and Ancillary services managed care agreements with health plans on behalf of Scripps Health's ... actively engage in the analysis, management, accounting, and budgeting of all managed care agreements. Establish effective lines of communication between Payer… more
- The Cigna Group (Austin, TX)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... live in the Houston, TX area** The **Manager, Provider Contracting Network Management** serves as an integral member of...with provider partners. + Intimate understanding and experience with hospital , managed care , and provider… more
- Humana (Denver, CO)
- …to make an impact** **Required Qualifications** + Bachelor's Degree + 5+ years of managed care market operations experience + 2+ years of people leadership ... on mid to large scale projects + 2+ years' hospital contracting negotiation experience and/orknowledge of facility...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- The Cigna Group (Jersey City, NJ)
- …+ Experience in developing and managing relationships + Understanding and experience with hospital , managed care , and provider business models a plus ... lieu of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare** ** Hospital /Provider/Ancillary** **group experience required**… more
- Mount Sinai Health System (New York, NY)
- … contracting , finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is responsible for ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
- The Cigna Group (Cleveland, OH)
- …+ Intimate understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with ... markets)** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley.… more
- Humana (Austin, TX)
- …+ 5 or more years of progressive network management experience including hospital contracting and network administration in a healthcare company + ... and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital...Experienced in negotiating managed care contracts with large physician groups… more
- Option Care Health (Nashville, TN)
- …negotiations, preparation, financial analysis, business review, and implementation of assigned Managed Care clients, 340B, and Health System Partnership ... home and alternate site infusion services provided by Option Care . . Responsible for managed care...lead meetings with health plans and corporate teams, including Managed Markets and Contracting leadership, to review… more
- Humana (Richmond, VA)
- …impact** **Required Qualifications** + 2+ years of experience in negotiating or servicing managed care contracts with physician, hospital and/or other ... community and help us put health first** The Provider Contracting Professional initiates, negotiates, and executes behavioral health provider...serve to achieve their best health - delivering the care and service they need, when they need it.… more