- Community Health Systems (Antioch, TN)
- …identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. This role requires effective ... communication with insurance payers, documentation of account activity, and adherence to applicable regulations to support revenue cycle operations. **Essential Functions** + Performs follow-up on outstanding insurance balances within the required timeframe,… 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
- RWJBarnabas Health (West Orange, NJ)
- Senior Counsel / Assistant Vice President, Legal Affairs, Managed Care ContractingReq #:0000206244 Category:Professional / Management Status:Full-Time Shift:Day ... background, skills and professional experience. Assistant Vice President of LegalAffairs, Managed Care Contracting Job Overview: RWJBarnabas Health, New… more
- Bristol Myers Squibb (Tampa, FL)
- …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
- Stony Brook University (Commack, NY)
- Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook Medicine, as a Managed Care Provider Enrollment Specialist, you will work ... under the oversight of the Director of Managed Care Enrollment and join a team...completion of MCO facility credentialing/re-credentialing applications for MCO network contract offerings; monitors and follows-up as needed. Conduct data… more
- Walgreens (Deerfield, IL)
- …+ Manages the tracking, approval, administration, and post-implementation process of all Managed Care contracts throughout the contract life cycle. ... tools that elevate the analytics group. + Monitors the contract terms and commitments to assure all deliverables are...+ Works with Contracting Directors/Managers to review Third Party Managed Care Contracts to ensure operational requirements… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director, Managed Care Payer Contracting Date: Jul 22, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job ... generation of pharmaceutical access in a high-growth environment.** The Associate Director, Managed Care Payer Contracting plays a pivotal role in supporting… more
- Bon Secours Mercy Health (Cincinnati, OH)
- … sites and clinicians are recognized for clinical and operational excellence. **DIRECTOR MANAGED CARE CONTRACTING - LARGE ACCOUNTS** **| REMOTE** This position ... developing, managing, and leading the day-to-day activities associated with managed care contracting for both fee for...state for Bon Secours Mercy Health. This scope of contract management will range in revenues between $500m and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director, Managed Care Payer Analytics (V&A) Date: Aug 1, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job ... new people to make a difference with. **The opportunity** The Associate Director, Managed Care Payer Analytics is responsible for leading the analytical strategy… more
- Cedars-Sinai (Beverly Hills, CA)
- …implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and ... modeling and forecasting to assess the impact of proposed contract changes and new initiatives. + Monitor and evaluate...identifying trends, variances, and areas for improvement. + Analyze managed care contracts for compliance and financial… more