- The Cigna Group (Denver, CO)
- …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
- 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
- CVS Health (Springfield, IL)
- …practice and health care industry. 2. Preferred 3 years of experience Medicaid and managed care experience. 3. Must be a resident of Illinois and a physician ... experience. **Preferred Qualifications:** 1. Demonstrated experience in population health management and managed Care . 2. Passion and ability to influence and… more
- AmeriHealth Caritas (Philadelphia, PA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... and grievance requests, including review of UM/claim denial reasons, contract /regulatory rules, benefits, and documentation received on appeal/grievance +...minimum of two (2) years' work experience in a Managed Care environment + 1 to 3… 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
- AmeriHealth Caritas (Charleston, SC)
- …a healthcare setting. + 3 years of supervisory/management/leadership experience, preferably in a managed care organization setting. + Must be able to communicate ... and analyzes comparable Plan pricing guidelines. + Resolves complex contract issues to ensure the contracts comply with state,...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more
- Apex Health Solutions (Houston, TX)
- …* Preferred: Master's Degree Experience * Required 3+ years of experience in managed care environment, health plan finance, provider network management or ... Collaborative and their office staff. The position assists in contract negotiations, contract management and optimizing a...managed care consulting. * At least one… more
- Bristol Myers Squibb (Tampa, FL)
- …summer hours flexibility. Parental, caregiver, bereavement, and military leave. Family care services such as adoption and surrogacy reimbursement , ... fertility/infertility benefits, support for traveling mothers, and child, elder and pet care resources. Other perks like tuition reimbursement and a recognition… more
- Houston Methodist (Katy, TX)
- …Medicaid, Workers Comp, Commercial plans, etc.; knowledge of how to interpret a managed care contract , Medicare and Medicaid and Workers Compensation ... focus and application of positive language principles + Extensive knowledge of claims reimbursement and collection efforts for Managed Care , Medicare,… 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