- Bristol Myers Squibb (Princeton, NJ)
- …experience in claims reimbursement required, including billing and coding; managed care coverage processes and practices; distribution and dispensing of ... summer hours flexibility. Parental, caregiver, bereavement, and military leave. Family care services such as adoption and surrogacy reimbursement ,… more
- Centene Corporation (Austin, TX)
- …Plans (D-SNPs) (compliance, product, and operations)._** + **_Experience in Medicare Managed Care and D-SNP compliance programs (audits, risk, regulations)._** ... department functions, including but not limited to, regulatory and D-SNP contract review and interpretation, periodic monitoring and auditing activities based on… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …+ Extensive understanding of private and public payers, across all settings of care , to include the complexities of reimbursement in each settingand demonstrated ... The **Senior Director,** **Head of** **US Trade,** **Pricing and Contract ** **ing** reports to the Head of US Market...and provider contracts, incl. ensuring that all contracts are managed in a compliant manner + Lead all contracting… more
- Prime Healthcare (Denville, NJ)
- …Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. #LI-BM2 Qualifications EDUCATION, EXPERIENCE, TRAINING… more
- Centene Corporation (Jefferson City, MO)
- …Stay abreast of industry trends and regulatory changes affecting network development, provider reimbursement , and managed care arrangements. + Develops and ... required 5+ years corporate or health law required required 3+ years managed care /provider contracting experience preferred preferred Knowledge of Medicare… more
- AmeriHealth Caritas (Charlotte, NC)
- …position working with providers. + 3 to 5 years experience in the managed care /health insurance industry. + Medicaid experience preferred. + Demonstrated ... assuring financial integrity of the Plan is maintained and contract management requirements are adhered to, including language, terms...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more
- Point32Health (Canton, MA)
- …industry **Experience** + Required (minimum): A minimum of 5-7 years' experience Managed Care , preferably at a Health Plan, in a ... Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to.... **Job Summary** The Provider Vendor Manager supports sourcing, contract execution, and performance management for key vendor partners,… more
- PVH Corp. (Bridgewater, NJ)
- ….com Services:** Access to services for childcare, elder care , adoption preparation, pet care , plus reimbursement for backup care when your regular plans ... service quality, customer satisfaction and operational efficiency next to owning contract management, delivering top-tier service to our associates. The diversity… more
- Banner Health (Phoenix, AZ)
- …Educates other health care providers, payors and patients on concepts of managed care , managed care networks, transplant networks, individual ... **Department Name:** Pre-Kidney Trans-Hosp **Work Shift:** Day **Job Category:** Clinical Care Great options and great opportunities. Banner Health has both the… more
- CVS Health (Tallahassee, FL)
- …executing national, regional, or market level strategies. + In-depth knowledge of the managed care industry and practices, as well as a strong understanding ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more