- 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 e-Team, the Managed Service Provider for Genentech's Contingent Workforce, to work on a Genentech… more
- Grifols Shared Services North America, Inc (Rockford, IL)
- …or local system/institution/account vs Grifols responsibilities/expectations. Assess needs for potential contract opportunities. Know Managed Care throughout ... respond to customers, business and environmental needs like connection to Marketing, Managed Markets, Operations, CL&D, and Medical Affairs. They are also tasked at… more
- Genentech (Portland, OR)
- …job posting. In this role, applicants would be employed through e-Team, the Managed Service Provider for Genentech's Contingent Workforce, to work on a Genentech ... to patients, and serves as a liaison between patients and their care providers (physicians, infusion center, etc.). **Key Accountabilities** + You will act… 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
- LA Care Health Plan (Los Angeles, CA)
- …Required: Minimum of 6 years of recent care management experience in a managed care setting, such as a health insurance environment and/or experience as ... Manager, Enhanced Care Management (Clinical) Job Category: Clinical Department: ...state/federal compliance are met. + Track data related to contract compliance and member complaints. + Formulate reports and… more
- Molina Healthcare (Ann Arbor, MI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... specialty or multispecialty provider groups. * 3+ years experience in provider contract negotiations in a managed healthcare setting **PREFERRED EXPERIENCE** :… more
- CVS Health (Tallahassee, FL)
- …**Required Qualifications** - Candidate must reside in Florida (FL) - 5 years experience in managed care quality and/or 3 years in Medicaid managed care ... - National Committee for Quality Assurance (NCQA) accreditation experience - Medicaid managed care experience - Master's Degree **Education** Bachelor's Degree… more
- CommonSpirit Health (Rancho Cordova, CA)
- …position. The Senior Analyst, Payer Analytics & Economics performs managed care financial analysis, strategic pricing and payer contract modeling activities ... + Assure satisfactory contract financial performance. Analyze and publish managed care performance statements and determine profitability. Drive strategies… 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
- Humana (Jefferson City, MO)
- …duty family members; assistance with regional transfers and ensuring the receiving Managed Care Support Contractor receives the appropriate paperwork; processes ... Puerto Rico. + 3 years experience working in a clinic, hospital case management, managed care / healthcare setting - working with providers, taking phone calls… more