- The Cigna Group (Oakland, 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
- Pfizer (Springfield, IL)
- …a complex portfolio comprised of 180+ molecules across 600+ NDCs across 300+ managed contracts, which are managed by 25+ customer facing health system/National ... reports for accounts with agreements and programs, enabling performance tracking and contract measurement in collaboration with RBDs, NGDs, and HSDs + Translate… more
- Zions Bancorporation (Midvale, UT)
- …business areas. The successful candidate will have experience with handling pharmacy contracts, managed care contracts, or other contract background; be able ... UT. This position will assist with management of the contract lifecycle for our clients, including template setup, ...+ Health Savings (HSA), Flexible Spending (FSA) and dependent care accounts + Paid Training, 15 days of Paid… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …system aimed at improving patient care . Utilization of performance reports and managed care practices, including health care finance, billing, coding, ... data, budget cost/expenditure documents, staffing, and other reports in decision-making. Understands managed care practices, including health care finance,… more
- Henry Ford Health System (Grand Rapids, MI)
- …of computer systems and personal computers. + Knowledge and experience of a managed care organization's operations are required. + Knowledge of physician ... information including new contracts, terminations and modifications, and configuration of Contract Manager, Facets or its successor systems. As a team member,… more
- Centene Corporation (Frankfort, KY)
- …investigations with audit and risk analysis. 1+ year of experience in managed care or health insurance company. **Candidate Skills:** In-depth knowledge ... all reports submitted to the state + Monitor state contract and regulatory changes that may arise + Works...of government programs, the managed care industry, Medicare, Medicate laws and… more
- Centene Corporation (Carson City, NV)
- …6+ years of contracting experience or provider relations in a healthcare and/or managed care environment. Knowledge of contracting language and the principles of ... business relationships and opportunities + Oversee provider set-up and contract configuration to ensure accurate claims adjudication and facilitate...negotiation. Familiarity with managed care , State and/or Federal health … more
- Highmark Health (Pittsburgh, PA)
- …understanding of clinical reimbursement , federal and state regulations, and managed care issues. Identifies opportunities to optimize clinical ... trends, policies, and issues affecting physician practices. + Familiarity with risk, managed care , capitation, ACO development, and population health management.… more
- Prime Healthcare (Denville, NJ)
- …The Medical Biller is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. #LI-BM2 Qualifications 1. Minimum of four years… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …include revenue cycle management and supervisory experience. Preferred Experience Involvement with managed care contract negotiation and payer relations. ... financial planning, revenue cycle management, budgeting, financial reporting, oversight of managed care contracts, and to ensure compliance with regulatory… more