- Centene Corporation (Queens, NY)
- …Bachelor's degree in related field or equivalent experience. 4+ years of managed care , health delivery system and/or project and staff management ... for maintaining existing and developing new provider relations, and assisting with contracting activities + Manage the staff in contracting area including… more
- Beth Israel Lahey Health (Boston, MA)
- … process with internal teams for creation of charges, billing workflows and managed care contracting . (essential) 4. Maintains knowledge of regulatory ... expenses on Medicare Cost Report including mgmt of time studies. Liaisons with managed care to optimize contracts. Represent heart transplant with internal and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …for account-related disputes **Your experience and qualifications** Required: + Thorough understanding of Managed Care contracting as it relates to formulary ... the position is to identify and resolve compliance and eligibility issues with contracted managed care customers. This position works with the Teva Market Access… more
- AdventHealth (Altamonte Springs, FL)
- …planning, information systems utilization, financial management, budgeting, reimbursement, managed care , healthcare economics, medical practice management, ... staff development, case management, and clinical protocol development. + Managed care and health policy knowledge with...for public and privately reported metrics to establish the hospital as a leading care provider. +… more
- Trinity Health (Columbus, OH)
- …supports performance in alternative payment models. Collaborates with MCHS and Trintiy Health managed care teams on APM contracting . Attends Board meetings ... strategy, design, development and implementation of agreed upon clinical strategies. Partners with Managed Care leadership in the development of managed … more
- UnityPoint Health (Fort Dodge, IA)
- … Care : Assume a support role, in collaborating with System leadership teams regarding managed care contracting and payer contracting issues. * Revenue ... and opportunities of the finance function in either a hospital /group setting/health care system or an organization of similar complexity. Strong leadership,… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Behavioral Health and Wound Care system service lines + Partners with the contracting team to define PSA terms including SLAs and KPIs + Manages outcomes and ... Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, ...**he person in this position will partner with the contracting team to define PSA terms,** **including SLAs and… more
- Houston Methodist (Sugar Land, TX)
- …+ Maintains knowledge of Federal, State, and local billing regulations and partners with managed care contracting as needed. + Maintains knowledge of ... determinations and, denial reason and trending as appropriate, Monitors CMS, managed care and payor communications for updates/alerts/releases and functions… more
- Sanofi Group (Dallas, TX)
- …functional areas of the business (eg Sales Training, Customer Solutions, Sales Operations, Managed Care and Marketing) **Why Choose Us?** + Bring the miracles ... business targets by products, segments (Independents, LOCs, etc) and contracting modalities (PBGs, etc). + Strategically direct ABMs in...care or vaccine products + Knowledge of the managed market dynamics and competitive landscape in the acute… more
- BJC HealthCare (St. Louis, MO)
- …continuum of care . **Responsibilities** + Assists in the development of global managed care and single patient discount contracts. + Completes the financial ... residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care , Barnes-Jewish Hospital was the first adult hospital … more