- Bristol Myers Squibb (Princeton, NJ)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as all aspects with evaluating implications of and reporting Managed Care data required for US and...of contingent/portfolio agreements, legal requests, SOX compliance, deal analytics, contract performance analytics and ad hoc data analytics +… more
- Fresenius Medical Center (Waltham, MA)
- … programs (HMOs, PPOs, POS, etc). Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …practice in order to process appeals + Experience in Utilization Management in a managed - care or risk contract environment (committee work, large group ... and medical necessity criteria. In making coverage decisions regarding level of care , benefit and medical policy, evaluate individual case information received from… more
- Humana (Frankfort, KY)
- …of Kentucky Medicaid policies, processes, and procedures. + Understanding of Kentucky managed care contracts, including contract language and reimbursement. ... and Humana locations.** + Bachelor's Degree. + 2+ years of health care or managed care experience working with providers (eg, provider relations, claims… more
- Banner Health (Phoenix, AZ)
- …staff, professional staff and physicians' office staff. 4. Identifies and resolves managed care issues concerning claims, contract interpretation, ... **background in medical billing, medical claims, customer service, and managed care ** to answer complex questions and...a resource for internal and external clients to interpret contract language and resolves contract issues by… more
- Elevance Health (Halifax, VA)
- ** Managed Care Coordinator** **Sign On Bonus-$1000** **Location:** The locations for this position will be Lynchburg, Roanoke, Pittsylvania, or Halifax Virginia. ... an accommodation is granted as required by law._ The ** Managed Care Coordinator** is responsible for the... Program, as required by applicable state law and contract . **How you will make an impact:** + Responsible… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for all Commercial,… more
- Elevance Health (Bryson City, NC)
- **CFSP Managed Care Coordinator** **Sign-on Bonus: $2500** **We are currently seeking people in the following counties and look forward to speaking with you!** ... thrive in safe, stable, and nurturing homes._ The **CFSP Managed Care Coordinator** is responsible for the...CFSP Program, as required by applicable state law and contract . **How you will make an impact:** + Provide… more
- Elevance Health (Seattle, WA)
- ** Managed Care Coordinator** **Location:** The candidate should reside within Jefferson, King, or Pierce County. **Field** : This field-based role enables ... an accommodation is granted as required by law._ The ** Managed Care Coordinator** is responsible for overall...of position, as required by applicable state law and contract . **How you will make an impact:** + Responsible… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street ... the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics… more