- State of Indiana (Indianapolis, IN)
- …Long-Term Service and Supports programs. You will serve as a subject matter expert on managed care programs and contract compliance within the Indiana Health ... compliance liaison with the executive staff of the managed care entities (MCEs), assigned contract...+ Preside over, or serve on, boards of directors, management committees, or other governing boards. + Recruit, select,… more
- UPMC (Pittsburgh, PA)
- …to individuals' needs and goals. The CMA will begin their journey in mobile care management while helping resolve members' SDOH issues, develop a community ... by collecting and assisting with face-to-face documentation for complex care management assignments. This opportunity will also...of those being served. No license is required. + Managed care experience preferred. + Ability to… more
- Henry Ford Health System (Detroit, MI)
- …effective communication and cooperation. Routinely collaborates with corporate departments including Managed Care Contracting/ Revenue Cycle. . Collaborates with ... GENERAL SUMMARY: Under minimal supervision, the Network Contract Manager oversees the tracking and management...Three (3) years of healthcare industry experience, preferably in managed care , or Accounting, Finance, Payor Contracting,… more
- FlexStaff (Flushing, NY)
- …for quality and address any deficiencies. - In collaboration with the Transitions in Care Team, provide care management services across sites and communicate ... services in nursing homes, rehab facilities, etc. as needed. - Monitor care management activities, services, and members' responses to interventions to… more
- 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
- J&J Family of Companies (Titusville, NJ)
- …managers, and government health care institutions. The company also provides contract management , logistics and supply chain functions for the major Johnson ... of the way. Learn more at https://www.jnj.com/innovative-medicine **Johnson & Johnson Health Care Systems Inc** . provides account management and customer… more
- 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
- The Cigna Group (Erie, PA)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and ... relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… more
- Henry Ford Health System (Troy, MI)
- …subject matter expert for provider contracting operations and technical areas using Contract Management Software, FACETS, and other software. + Manages Provider ... with health care plan. + Minimum of three (3) years of experience with project management in a health care operations setting. + At least two (2) years of… more
- UPMC (Pittsburgh, PA)
- …complex situations accurately and in a timely manner. + General knowledge of managed care functions and management techniques preferred. **Licensure, ... UPMC Community Care Behavioral Health is hiring a full-time Contract Specialist II. This role will predominantly work remotely but may require occasional… more
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