- Health Care Service Corporation (Chicago, IL)
- …within the company.9.Provide leadership regarding negotiation of rates for traditional and managed care business. Conduct and assist in the negotiation process ... appropriate education/in-servicing is provided for providers. Education may pertain to managed care and areas where pertinent rulings/regulations could affect… more
- Community Hospital Corporation (Plano, TX)
- Community Hospital Corporation (CHC), a DFW Top 100 Employer, is looking to hire a Manager, Member Success based out of our home office in Plano, TX. The Manager, ... Member Success, manages and coordinates the organization's supply chain and hospital account relationships. This role involves overseeing corporate supply chain… more
- Highmark Health (Monroeville, PA)
- …multiple complex supply chain activities within acute and ambulatory health care institutions. Provides supervision to the various Material Management teams, ... facility leadership teams. Establish alignment between serviced locations and procurement, contracting and distribution operations in relation to customer needs. +… more
- Commonwealth Care Alliance (Boston, MA)
- …experience in provider relations, network management, or healthcare operations within a managed care organization, health plan, or integrated delivery system. * ... performance-based contracting , or population health initiatives. * Prior work with hospital systems, large medical groups, and specialty care networks. *… more
- BrightSpring Health Services (Englewood, CO)
- …Contract Administration and Payer Implementation functions as well as PBM contracting and Managed Care contracting . This is a highly visible position and ... + Minimum of five (5) years of healthcare related experience, preferably with contracting and credentialing responsibilities ( managed care , government, PBM);… more
- Molina Healthcare (San Antonio, TX)
- …* Assists Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . * Identified as contract system lead by developing and ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and... field including, but not limited to, provider's office, managed care , or other health care… more
- Health Care Service Corporation (Philadelphia, PA)
- …+ Bachelor Degree and 5 years provider contracting experience OR 9 years managed care experience including 5 years provider contracting experience. + ... independent hospital systems, integrated & non-integrated systems, value based contracting , etc). The individual in this role will develop and maintain… more
- Ascendis Pharma (Princeton, NJ)
- …administration of rebate programs, including government rebates (eg, Medicaid, Medicare), managed care rebates, and commercial rebates. Ensure accurate ... formulary validation processes accurately and before payment deadlines, oversee payments of managed care and government rebates, and manage Market Access… more
- Molina Healthcare (Miami, FL)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... and/or Director in the negotiation of medical group/IPA and hospital VBC contracting . * Serves as VBC...large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider… more
- Beth Israel Lahey Health (Cambridge, MA)
- …Population Health & Managed Care ** is responsible for: + Leading the Managed Care Contracting team and providing strategic insight on managed ... analytics and best practices to manage chronic conditions, reduce hospital admissions, and promote preventive care . *Community-Based... and governmental contracts (MassHealth and MSSP). Work with Managed Care contracting team to… more