- Humana (Olympia, WA)
- …Degree + 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
- 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 (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
- 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 (Tallahassee, FL)
- …**Required Qualifications** + 2+ years of experience in negotiating or servicing managed care contracts + Understanding of contract terms, payment structures ... Contracting Professional 2 initiates, negotiates, and executes physician, hospital , and/or other provider contracts. The Provider Contracting Professional… more
- Huron Consulting Group (Chicago, IL)
- …Huron offers a rewarding path forward. As the Healthcare Consulting Senior Director - Managed Care & Payment Strategy, you will: + Lead complex healthcare ... design, ACO development (eg, MSSP, ACO REACH, Commercial shared risks), Medicaid managed care participation. Experience with population health initiatives such… more
- Saint Francis Health System (Tulsa, OK)
- …performs on going analysis, which maintains the integrity of financial expectations of managed care contracts within the Epic system. Resolves programming issues ... 3 - 4 years related experience. Experience with health plan insurance contracting and reimbursement for providers and facilities. Experience with Microsoft Access,… more
- Mount Sinai Health System (New York, NY)
- …+ Experience working in healthcare provider analytics related to revenue modeling, managed care contracting , population management, case management, clinical ... claims system such as Facets, Amisys, etc.; or a hospital /provider system such as IDX, Soarian, etc. + Knowledge...identify trends in performance to inform our clinical or contracting staff to improve contract outcomes. b. Care… more
- Community Hospital Corporation (Clayton, NM)
- …programs through internal and external resources + Takes a proactive approach to managed care , healthcare reform and related issues + Develops new business ... + Must have a track record of leading staff to provide safe quality patient care + Critical Access Hospital experience, a plus Skills and Knowledge + Ability… more
- Sharp HealthCare (San Diego, CA)
- …as a result of legislation, regulated or health plan directed. Incorporate managed care contracting priorities with organizational strategic direction ... contractual modifications and new or terminated contracts. Work with Managed Care Operations, hospital and...lead and develop personnel involved in payer strategy, payer contracting and Managed Care finance.… more