- Penn State Health (Hershey, PA)
- …care of a select patient population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts. Mobilizes ... patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community. **Penn State Health offers an… more
- Molina Healthcare (West Valley City, UT)
- …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different ... that result in high quality, cost effective and marketable providers. Contract /Re-contracting with large scale entities involving custom reimbursement . Executes… more
- Penn State Health (Enola, PA)
- …care of a select patient population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts. Mobilizes ... patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community. **Penn State Health offers an… more
- Stony Brook University (East Setauket, NY)
- …Care Hospital Revenue Cycle or Patient Accounting Department resolving hospital Managed Care payment variances and/or denials. **Job Responsibilities may ... + Educates and trains new staff regarding departmental/unit policy and procedure, including Managed Care Contracts. + Monitors work queues and staff productivity… more
- GE HealthCare (IL)
- …responsible for leading and directing all strategic initiatives, project management workstreams, and contract delivery for a Care Alliance customer. The role is ... **Job Description Summary** The Care Alliance Executive is a critical position to...or medtech. + Experience successfully delivering Long-Term Partnerships / Managed Equipment Service contracts. \#LI-KC1 \#LI-Remote We will not… more
- Health Care Service Corporation (Tulsa, OK)
- …least one year experience developing and negotiating provider contracts OR 5 years managed care operations experience handling independent work with at least one ... providers for assigned territory. Specific responsibilities include small to mid-size contract negotiations for small hospitals, physicians and physician groups and… 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...within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for all Commercial,… more
- CVS Health (Springfield, IL)
- …skills while executing national, regional, and market-level strategies + Experience in negotiating managed care (including vbc) contract terms across the ... and execution of Contracts with providers and delivery systems to participate in Aetna managed care networks. Work will include, but not be limited to active… more
- AmeriHealth Caritas (Charleston, SC)
- …Degree or equivalent experience preferred with emphasis in health services administration, managed care , or equivalent experience required + Minimum **five (5) ... for the oversight of the local Plan's Provider data, reimbursement rules, and address provider inquiries and complaints. In...years** of management experience in a managed care setting, managing teams and projects… more
- CVS Health (Columbus, OH)
- …in the State of Ohio 5+ years' progressive pharmacist experience in managed care pharmacy Active, unrestricted pharmacist licensure Demonstrated understanding of ... utilization management and formulary administration within the managed care pharmacy environment Demonstrated understanding of pharmacy regulatory environment as… more