• Dir ACO Quality and Post Acute Care

    Community Health Systems (Franklin, TN)
    …with other departments such as Market Operations, Physician and Clinical Services, Managed Care , Strategy and Business Development, Legal, and Compliance. This ... management , case management collaborations, utilization, and quality reviews, contract management , data and reporting, training and coaching. Compile… more
    Community Health Systems (06/24/25)
    - Related Jobs

  • Sr Medical Economics Analyst

    AdventHealth (Maitland, FL)
    … Care , Patient Financial services, health insurance claims processing, contract management , or medical economics Proficiency in understanding professional ... financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The... contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have… more
    AdventHealth (08/28/25)
    - Related Jobs

  • Manager Payor Contracting

    Novant Health (Charlotte, NC)
    …Payor Strategy and Relationship Management is a professional advisor supporting managed care contracts with health plans, payors, employer groups and ... consultants, and executive level staff to answer internal operations management questions about managed care ...trends. **This is a Remote Position Responsibilities + Commercial Managed Care Payor Contract Negotiations… more
    Novant Health (08/13/25)
    - Related Jobs

  • Executive Service Line Director - Cardiovascular

    Catholic Health Initiatives (Omaha, NE)
    …development and management of patient-centered quality initiatives with CVSL Executive Managed Market Director; and, in conjunction with the SSVP of the PE, and ... national best practices. + Works (in partnership with Executive Managed Market Director and CHI Health leadership) to build...improve the patient experience for those patients in the care of the CVSL based on opportunities identified through… more
    Catholic Health Initiatives (08/03/25)
    - Related Jobs

  • Care Coordinator (Region III)

    Humana (Burlington, IA)
    …long-term care services, Home and Community-Based Services (HCBS), and/or managed care organizations. + Intermediate to advanced computer skills and ... care as appropriate and required by our comprehensive contract . **Use your skills to make an impact** **Required...One (1) or more years of experience in health care and/or case management . + One (1)… more
    Humana (08/27/25)
    - Related Jobs

  • Manager, Provider Contracting Network…

    The Cigna Group (Los Angeles, CA)
    …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
    The Cigna Group (07/26/25)
    - Related Jobs

  • Ambulatory Social Work Care Manager I

    Rush University Medical Center (Chicago, IL)
    …format which is specific to the patient/family learning abilities and language preference. * Identifies care management contract outcomes by using care ... the health care team to facilitate effective care management and support services at the... managed care in a health care setting preferred. * Case Management certification… more
    Rush University Medical Center (07/29/25)
    - Related Jobs

  • Behavioral Health Care Manager II

    Elevance Health (Independence, OH)
    …of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. **Preferred Skills, Capabilities, and ... offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty...Experiences:** + Managed care organization experience + Cover letter… more
    Elevance Health (09/06/25)
    - Related Jobs

  • Delegation Management Specialist I

    Dignity Health (Bakersfield, CA)
    …Delegation Management Specialist will possess extensive experience in healthcare compliance, contract management , and delegation management . Will act as ... and other regulatory bodies preferred. - Knowledge of HIPPA, managed care environment preferred. - Strong technical...the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is… more
    Dignity Health (09/04/25)
    - Related Jobs

  • Executive Director, Network Management…

    CVS Health (Lansing, MI)
    …or be willing to relocate to Michigan. + 10+ years of experience in managed care ; leading and managing teams. + Comprehensive understanding of hospital and ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
    CVS Health (08/20/25)
    - Related Jobs