- Mass Markets (Las Cruces, NM)
- …applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, ... Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal &… more
- Molina Healthcare (West Valley City, UT)
- …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different ... and experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 5-7 years contract -related experience in the health care field including, but not… more
- BrightSpring Health Services (Englewood, CO)
- …Contract Administration and Payer Implementation functions as well as PBM contracting and Managed Care contracting. This is a highly visible position and will ... work closely with Directors of Managed Care , RCM, Sales Executive and Field...on payment rate and structure, and all aspects of contract language + Provides insight and knowledge in order… more
- United Therapeutics (CA)
- …Access. You love to cultivate and manage key payer relationships with identified Managed Care Organizations (MCOs), Pharmacy Benefit Managers (PBMs), GPOs, and ... partnering with field sales and educating them on key managed care concepts + Strategic Planning and...the clinical and economic benefits of UT products + Contract Negotiation and Compliance: Negotiate and implement contracts within… 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 ... healthcare administration and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in… more
- Point32Health (NH)
- …responsible management experience in a complex healthcare setting. Experience in managed care contracting and experience working collaboratively with providers. ... results and lead teams to achieve goals. + Strong working knowledge of managed care /risk contracting payment methodologies. + Savvy negotiator with experience in… more
- WellSpan Health (York, PA)
- …market information regarding market payment rates and methods for various types of managed care payors: including Medicare, Medical Assistance, & Commercial ... **General Summary** Participates in third party payor contract negotiations and manages contract performance...managed care payors. + Oversees working with appropriate ancillary department… more
- Molina Healthcare (Saginaw, MI)
- …provider contract network relations and management experience in a managed healthcare setting. * Working experience servicing complex providers with various ... healthcare administration. * Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare… more
- Dignity Health (Rancho Cordova, CA)
- …guidelines. This position supports the Medical Group in effective management of the managed care patient. This position may be assigned cases in ... and outcomes of patients. **Job Requirements** **Minimum Qualifications:** - 3 years Managed Care /Utilization Management (UM) experience. - 5 years LVN… more
- Dignity Health (Rancho Cordova, CA)
- …guidelines. This position supports the Medical Group in effective management of the managed care patient. This position may be assigned cases in ... all work activities. **Job Requirements** **Minimum Qualifications:** - 3 years Managed Care /Utilization Management (UM) experience. 5 years LVN experience.… more