- 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
- 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
- Molina Healthcare (Seattle, WA)
- …Assists Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider Contract Specialists on negotiation ... **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