- Molina Healthcare (Jackson, MS)
- …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
- Novant Health (Charlotte, NC)
- …healthcare economic trends. **This is a Remote Position Responsibilities + Commercial Managed Care Payor Contract Negotiations + Specialty Contracting ... Manager, Payor Strategy and Relationship Management is a professional advisor supporting managed care contracts with health plans, payors, employer groups and… more
- Valor Health (Altus, OK)
- …the VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Completes any and all clinical reminders "due" at the time of ... Primary Care Physician Outpatient Only Recruitment Incentive Altus, OK...dental, vision + 401K and company match + CE reimbursement and time off + Supportive CMO and PACT… more
- Valor Health (New Braunfels, TX)
- …the VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Completes any and all clinical reminders "due" at the time of ... Primary Care Physician - VA employees welcome New Braunfels,...of salary + 401K plus company match + CME reimbursement and extra time off + Generous time off… more
- Alameda Health System (Oakland, CA)
- …Commission, Title 22 and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case Management ... the VP of CM with completion of financial analyses including cost of care to reimbursement , denials management, and non-reimbursed services, promoting effective… more
- CommonSpirit Health (Rancho Cordova, CA)
- …and experience in reimbursement , the financial aspects of contracting and managed care operations + Effective project planning skills + Excellent written ... system standards for contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for… more
- Dr. Reddy's Laboratories (Princeton, NJ)
- …pricing strategies for success. + Monitor key external trends in the areas of managed care , reimbursement and other healthcare policies which would impact ... provider networks. The person will direct the pricing and reimbursement strategy for new launches and in-line products, own...the Buy & Bill Biologics space. Strong expertise in managed care landscape across medical and pharmacy… more
- Humana (Weston, WI)
- …to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity(R) which ... join our team, serving members in the Wisconsin Family Care (FC) program. In this vital role, you will...+ Daily documentation in member files within required DHS contract timeframes. + Participate in member monthly phone contacts… more
- Centene Corporation (Dover, DE)
- …or risks for readmission or complications preferred. Strong knowledge of healthcare managed care principles preferred. Experience working with providers and ... 40% field based work. _** **Position Purpose:** Supervises the care coordination team that serves long-term care ...Clinical Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMSW, LMFT, LMHC, and RN… more
- Trinity Health (Caldwell, ID)
- …time **Shift:** Day Shift **Description:** **CLINICAL PHARMACIST** **VALUE-BASED CARE ** Responsible for providing comprehensive medication management services for ... for by the Saint Alphonsus Medical Group (SAMG) Clinics and/or patients managed by the Saint Alphonsus Health Alliance (SAHA). Works collaboratively with physicians,… more