- BD (Becton, Dickinson and Company) (Stuart, FL)
- …payers.. + Negotiates and manages, either directly or indirectly, with managed care providers to ensure the best possible reimbursement for products and ... for the establishment, development and execution of the payor, managed care , and payer contracting medical policy...+ Leads the development and execution of the commercial reimbursement strategy including Medicaid and Managed Medicare… more
- BrightSpring Health Services (Louisville, KY)
- …Contract Administration and Payer Implementation functions as well as PBM contracting and Managed Care contracting. This is a highly visible position and will ... work closely with Directors of Managed Care , RCM, Sales Executive and Field...Short-Term and Long-Term Disability * Employee Discounts * Tuition Reimbursement * Paid Time Off & Holidays Responsibilities +… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …contract strategy, and represent needs of the customer. *Remain cognizant of managed care coverage throughout the business territory including major accounts ... approach to respond to business customers. The SSR will liaise with Marketing, Managed Markets, Operations, CL&D, Medical Affairs and Telesales to achieve the goals… more
- Molina Healthcare (Dallas, TX)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated… more
- Catholic Health Services (Rockville Centre, NY)
- …complex data analysis. The ideal candidate possesses in-depth knowledge of Medicare/Medicaid reimbursement , managed care contracts, and healthcare finance. ... Job Details The Senior Financial Analyst reports to the Reimbursement team within the Corporate Finance department, and is...volume, case mix, or payer mix. + Partner with managed care , revenue accounting/reporting, and revenue cycle… more
- Xcel Energy (Minneapolis, MN)
- …benefits: Annual Incentive Program, Medical/Pharmacy Plan, Dental, Vision, Life Insurance, Dependent Care Reimbursement Account, Health Care Reimbursement ... key suppliers. This position is responsible for managing the staff augmentation managed service providers used by Xcel Energy with budgetary responsibilities in the… more
- Albany Medical Center (Albany, NY)
- …be primarily responsible for supporting system-wide service line reporting, financial analysis and managed care contract valuation and analysis for Albany ... gathering all the contractual terms and rates for our managed care contracts in addition to government...evaluation + Solid data analysis skills and familiarity with reimbursement , contract management and other decision support… more
- AdventHealth (Maitland, FL)
- …various CMS programs and bundled payments. . Fosters effective collaboration between the PHSO, Managed Care , CIN providers, AH medical groups, Acute Care ... population health value-based care , risk-based payment models, commercial bundles and managed care contracting. . Ability to build and maintain optimal peer… more
- CVS Health (Frankfort, KY)
- …**Required Qualifications** Active Kentucky Pharmacist License 5 years' experience in managed care pharmacy **Preferred Qualifications** 5 years' experience in ... medication utilization review, prior authorization processes in alignment with contract , and implementing cost-effective drug utilization initiatives. + **Regulatory...Medicaid Managed Care pharmacy or residency in … more
- Molina Healthcare (Vancouver, WA)
- …**Required Experience** + 10+ years progressive experience in Healthcare Administration, Managed Care and/or Provider Services. + Experience managing employees. ... Administration, or related field. **Preferred Experience** Experience with Medicaid and Medicare managed care plans. To all current Molina employees: If you… more