- 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
- Highmark Health (Pittsburgh, PA)
- …thorough understanding of clinical reimbursement, federal and state regulations, and managed care issues. Identifies opportunities to optimize clinical ... trends, policies, and issues affecting physician practices. + Familiarity with risk, managed care , capitation, ACO development, and population health management.… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …medical centers, integrated health systems, Fortune 500 self-insured employers, or managed care organizations + **Direct experience** negotiating and managing ... year history. Your leadership will directly impact healthcare affordability, value-based care innovation, and population health for the entire Emory community.… more
- Molina Healthcare (Ann Arbor, MI)
- …+ 2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare ... setting ideally in negotiating different provider contract types, ie, physician, group and hospital contracting , etc. To all current Molina employees: If you are… 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
- 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
- Pfizer (Frankfort, KY)
- …brand contracting strategy * Develop productive relationships with decision makers at managed care organizations and other health plans to ensure access and ... decision making roles of all levels at integrated health systems, large hospital systems, health insurance plans, state departments of health, county/city health… more
- Amgen (Atlanta, GA)
- …applicable competitors, specialty experience + District Management / Reimbursement / managed care experience + Demonstrates solid understanding of the ... innovative market strategies to reach difficult to access health care providers and accounts in a compliant manner. +...accounts in a compliant manner. + Amgen Bone Health contracting point. + Leads contract delivery, business reviews and… more
- Chenega Corporation (Rockville, MD)
- … care unit (ICU) and/or Emergency Department (ED) or in an acute care hospital , with excellent technical writing skills and Task specific knowledge of ... worker's compensation, injury compensation programs, or managed care . + Professional Background: Relevant experience in claims review, healthcare administration,… more