- Trinity Health (Livonia, MI)
- …operational initiatives including new services/programs, revenue enhancement, expense reduction, managed care utilization systems, and strategies. Responsible ... Knowledge of current trends and developments in the Pharmacy practice and changing hospital and health care environment. Critical thinking skills and ability to… more
- Intermountain Health (Billings, MT)
- …. + Assist Practice Administrators and Intermountain Health (Coding and Payer Relations, Managed Care Contracting , Finance and Accounting, and Patient ... **Job Description:** Medical Group Medical Director of Specialty Care in Montana Market, Billings is a leadership position reporting to and collaborating with the… more
- Commonwealth Care Alliance (Boston, MA)
- …Strong claims experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/Medicaid) + Experience in health plan ... responsible for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, … 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. + Experience...identify trends in performance to inform our clinical or contracting staff to improve contract outcomes. 2. Care… more
- HCA Healthcare (Campbell, CA)
- …of health plan economics analyses, metrics and health plan reporting in a Managed Care environment relating to the financial, quality and operational performance ... systems that will be used for Health plan Metrics, Analytics and Reporting for a Managed Care organization + Develop and maintain related reports for Managed … more
- Health Care Service Corporation (Chicago, IL)
- …and/or MBA. + Quality experience and Medical Management experience in a leading managed care /insurance or provider organization. + Health Informatics Training + ... improvement best practices and innovative strategies to improve the quality of care and member experience. **J** **ob Responsibilities:** 1) Oversee a team… more
- UNC Health Care (Morrisville, NC)
- …research and analysis, for growth, partnership affiliations, direct to employer relationships, managed care contracts, joint ventures, and other market expansion ... broader marketplace. They provide thoughtful business direction in support of value-based contracting rooted in thorough analysis of financial and quality data. The… more
- HCA Healthcare (Nashville, TN)
- …various teams, including payer contracting and analytical teams, payer relations, managed care , legal support, and service line leaders. Your primary ... sharing, and best practices when collaborating with customers and peers. + Assist the Payor Relations Managed Care teams and Managed Care Legal teams in… more
- Ascendis Pharma (NM)
- …+ Serves as scientific resource at key medical, scientific, and other managed care -related conferences as assigned Contributes to Ascendis Pharma's Medical ... leveraging deep expertise in Pharmacoeconomics, real-world evidence generation, and value-based care solutions to function as a disease state, clinical, and health… more
- Humana (Richmond, VA)
- …an impact** **Required Qualifications** + 2 - 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider ... community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider...serve to achieve their best health - delivering the care and service they need, when they need it.… more