- Sutter Health (Sacramento, CA)
- …financial analysis principles, methods, practices, and procedures. + Knowledge of managed care payment/ reimbursement methodologies (eg, Medicaid/Medi-Cal, ... you are interested in joining Sutter Health! **Organization:** SSC-Sutter Senior Care **Position Overview:** Hybrid position with report requirements in Sacramento,… more
- Molina Healthcare (Albany, NY)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + ... materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.… more
- Red Hat (Boston, MA)
- …Lifecycle team. This team is responsible for provisioning and lifecycling Managed OpenShift services across major cloud platforms, including Amazon Web Services ... for developing and shipping reliable production-ready features and enhancements for managed Red Hat OpenShift platforms. Success in this position requires excellent… more
- Guidehouse (San Antonio, TX)
- …components. * Provides oversight and executive level management to overcall contract operations often involving multiple projects/tasks and groups of personnel at ... leading teams **Experience with oversight and executive level management for overall contract operations** **What Would Be Nice to Have** **:** + Experience with… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...Health System. This individual will ensure the accuracy of contract terms, reimbursement structures, and facilitate the… more
- HCA Healthcare (Brentwood, TN)
- … Pricing Advisor is responsible for the What-if modeling of the more advanced managed care contracts and performance of advanced ad hoc analyses partnering with ... an organization that invests in you as a Sr Contract Pricing Advisor? At HCA Healthcare, you come first....recommendations to drive decision making + Model more advanced managed care contracts through the Alliance for… more
- UTMB Health (Galveston, TX)
- …UTMB Health Requisition # 2504255 **JOB SUMMARY** The primary responsibility of the Managed Care , Senior Contract Administrator position is leading, ... developing, and negotiating managed care agreements to ensure favorable reimbursement , alignment...HMOs, PPOs, ACOs, and Medicaid/Medicare Advantage plans. * Analyze reimbursement methodologies and contract performance to ensure… more
- Community Health Systems (Franklin, TN)
- … analysis required **Knowledge, Skills and Abilities** + Strong understanding of managed care , government contracts, and reimbursement processes. + ... reimbursement by identifying variances between posted and expected revenue for managed care , government contracts, and other payers. This role includes… more
- CommonSpirit Health (Phoenix, AZ)
- …Knowledge and experience in reimbursement , the financial aspects of contracting and managed care operations + Contract language + Effective project ... **Job Summary and Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR)...compliance on a regional and market level; ensuring that managed care contracts are correctly negotiated and… more
- Humana (Springfield, IL)
- …+ Thorough understanding of managed care contracts, including contract language and reimbursement . + Exceptional written and verbal communication skills, ... trainings. + Attend Network Meetings/Conferences. + Ensure compliance with all Virginia managed care contractual requirements for provider relations, such as… more