• Manager, Physician Contract Management

    Sutter Health (Modesto, CA)
    …of specific standards, contract negotiations and document management. Provides contract administration oversight for managed care provider network. ... contract terminology, provisions, and various reimbursement methodologies including managed care risk contracting + Ability to systematically analyze… more
    Sutter Health (05/16/25)
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  • RN - Care Delivery Manager…

    FlexStaff (Flushing, NY)
    …diagnostic & treatment clinic preferred. - Customer Service experience is required. - Managed long-term care insurance experience beneficial. - Minimum of one ... nursing standards of excellence with advance professional education to deliver high-quality care . Serve the organization as a member of the management team, working… more
    FlexStaff (07/29/25)
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  • Care Manager Associate (Hybrid)…

    UPMC (Pittsburgh, PA)
    …physical, and psychosocial well-being of those being served. No license is required. + Managed care experience preferred. + Ability to interact with other health ... The Care Manager Associate (CMA) position will be part...Paramedic Team. The team expands paramedic roles from emergency care to a focus on non-emergent and preventative health… more
    UPMC (07/15/25)
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  • Division Coordinator - Outpatient Behavioral…

    DESC (Seattle, WA)
    …agency. + Support clinical staff in understanding and implementing Medicaid Integrated Managed Care requirements, value-based payment contract metrics, and ... in providing routine administrative tasks related to Medicaid Integrated Managed Care (IMC), Collective Medical Technology online...in the area of data systems and tracking for contract compliance. Time will be spent coordinating with other… more
    DESC (07/29/25)
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  • Contract Manager/Analyst

    US Physical Therapy (Houston, TX)
    …a ** Contract Manager/Analyst.** This is a dual role that will support the ** Managed Care Operations Team** . The person in this role should have experience ... in Managed Care , WC, Replacements & Auto lines...care contracts and government reimbursement methodologies to create contract modeling calculation. + Prepare pre-negotiation analysis to support… more
    US Physical Therapy (08/01/25)
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  • Contract Technician

    UHS (Binghamton, NY)
    …Services (UHS) is seeking a detail-oriented Contract Technician to support our Managed Care Contracting team. In this role, you'll assist with the ... together to support healthier communities. Primary Department, Division, or Unit: UHS Managed Care Contracting Primary Work Shift: Day Regular Scheduled Weekly… more
    UHS (07/29/25)
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  • Manager, IT Vendor & Contract Management

    St. Luke's University Health Network (Allentown, PA)
    …and ensuring active governance across the vendor pool + Deliver a structured managed contract process from determining needs, assisting in vendor selection, ... which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses...are not limited to organizing and directing vendor evaluations, contract engagement, and value analysis for IT, RFI/RFPs as… more
    St. Luke's University Health Network (07/12/25)
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  • Sr Manager, Commercial Contracting

    Gilead Sciences, Inc. (Foster City, CA)
    …lead in managing Gilead's day-to-day administration, project management and processing of all Managed Care Commercial/Medicare Part D contract payments. This ... management and resolves escalated issues + Facilitates successful product launches from a Managed Care rebates perspective (IRA, MFP, L4P). + Assists with… more
    Gilead Sciences, Inc. (07/16/25)
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  • Provider Network Manager Sr. / Contract…

    Elevance Health (South Portland, ME)
    …+ 3 years contract negotiation experience, preferably within health plan/ managed care environment. + Experience with standard reimbursement methodologies. + ... Provider Network Manager Sr. / Contract Negotiations (JR151123) **Sign-On Bonus: $3,000** **Hybrid 1:**...with strong competition or where greater provider education around managed care concepts is required. Contracts involve… more
    Elevance Health (07/29/25)
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  • Contract Specialist II

    UPMC (Pittsburgh, PA)
    …situations accurately and in a timely manner. + General knowledge of managed care functions and management techniques preferred. **Licensure, Certifications, and ... UPMC Community Care Behavioral Health is hiring a full-time Contract Specialist II. This role will predominantly work remotely but may require occasional… more
    UPMC (07/17/25)
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