- Genentech (Portland, OR)
- …is preferred. + 3 years of reimbursement experience preferred. + Knowledge of the managed care industry, including government payers. + Proficient in all aspects ... job posting. In this role, applicants would be employed through Kelly, the Managed Service Provider for Genentech's Contingent Workforce, to work on a Genentech… more
- Genentech (South San Francisco, CA)
- …degree is required. + Reimbursement experience preferred with knowledge of the managed care industry. + Strong critical thinking, independent decision-making, ... job posting. In this role, applicants would be employed through Kelly, the Managed Service Provider for Genentech's Contingent Workforce, to work on a Genentech… more
- Abbott (Alameda, CA)
- …to constantly shifting priorities. **What You'll Do** + Lead the negotiation of complex contract terms for Managed Care / Market Access contracts across ... Pricing & Contracting, you will be responsible for managing contract development and negotiation for the Market Access /... development and negotiation for the Market Access / Managed Care Channel. The position will work… more
- Genentech (South San Francisco, CA)
- …job posting. In this role, applicants would be employed through Kelly, the Managed Service Provider for Genentech's Contingent Workforce, to work on a Genentech ... assistance to patients, and serves as a liaison between patients and their care providers (physicians, infusion center, etc.). The Patient Navigator is an Individual… more
- State of Massachusetts (Boston, MA)
- …a general summary and not all inclusive):_*//*__*/ * Support hospital administration in contract negotiations with Managed Care Providers and ensure ... operational alignment with managed care and capitated arrangements. * Develop and implement Case...payer requirements. * Coordinate appeals and reconsideration processes with managed care agencies and third-party payors. *… more
- MyFlorida (Tallahassee, FL)
- …Plan Management Operations (PMO). PMO is responsible for the primary oversight of Medicaid's managed care programs, with a focus on the Statewide Medicaid ... Managed Care (SMMC) program. The bureau's primary...Organization. * One (1) year of experience working with contract -related activities (eg monitoring receipt of deliverables, compliance, and… more
- Robert Half Office Team (Palm Springs, CA)
- …credentialing and recredentialing process for healthcare providers participating in managed care networks. Verify licenses, certifications, education, training, ... (CMS), The Joint Commission (TJC), and California-specific guidelines. Knowledge of Managed Care Requirements: Maintain up-to-date understanding of managed… more
- TEKsystems (San Bernardino, CA)
- …Works under the supervision of the Government Contracts Managed Care Supervisor. Analyzes and interprets Commercial contract language, terms, conditions ... regarding timely processing of claims. Has a strong understanding of Managed Care and insurance company payment principles, rules, and regulations to perform… more
- AdventHealth (Maitland, FL)
- …analyzing and evaluating financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on financial ... Must be able to complete extensive and complex financial and operational analyses of managed care contracts and proposals, analyze fee schedules, and determine … more
- LA Care Health Plan (Los Angeles, CA)
- …topics. Preferred: At least 4 years of experience in Program Management within a Managed Care Organization or Top 10 management consulting role in Healthcare ... industry. Strong experience in Medicaid and Medicare managed care . Skills Required: Demonstrated success managing programs with multiple, large scale, diverse… more
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