- Walmart (Bentonville, AR)
- …accounting, economics, or related area with 7 years' experience in managed care contracting/negotiations, healthcare billing, healthcare finance, or healthcare ... compliance/legal; or Ten years of relevant experience in managed care contracting/negotiations, healthcare billing, healthcare finance, or healthcare… more
- Illumination Foundation (Santa Ana, CA)
- …+ Recuperative care and health-related programs + CalAIM and other managed care -related programs, including Enhanced Care Management and Community ... strategic oversight and coordination for CalAIM-related programs and other health plan or managed care contracts. + Ensure compliance with state, county, and … more
- Abbott (Abbott Park, IL)
- …to constantly shifting priorities. **What You'll Do** + Lead the negotiation of complex contract terms for Managed Care / Market Access contracts across ... managing contract development and negotiation for the Market Access / Managed Care Channel. The position will work cross-functionally with Account… more
- Baylor Scott & White Health (Dallas, TX)
- …correspondence to collect inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts ... to resolve payment difficulties and penalties owed to BSWH in accordance with Managed Care contracts. Contacts insurance company representatives by telephone or… more
- Genentech (South San Francisco, CA)
- …and meaningful impacts on GNE's P&L and patient access, and requires considerable managed care and contracting expertise, deep segment subject matter expertise, ... priorities to create win-win solutions + Segment Expert: Expert understanding of managed care , and subject matter expert within relevant customer segment… more
- Red Hat (Boston, MA)
- …runs many of Red Hat's most important multi-tenant Software-as-a-Service (SaaS) and Managed -service offerings. Using your expertise in SRE principles, you will help ... to define and iterate upon processes for onboarding new managed services at Red Hat and demonstrate good judgment...coverage * Flexible Spending Account - healthcare and dependent care * Health Savings Account - high deductible medical… more
- The Cigna Group (Los Angeles, CA)
- …will be considered in lieu of a bachelor's degree.** + **3+ years of 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
- Albany Medical Center (Albany, NY)
- …payer relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting, as well as the provision and ... the AMHS market. Leading and mentoring, negotiating, continuous monitoring of contract performance, and engaging with internal and external stakeholders to optimize… more
- Robert Half Office Team (Trumbull, CT)
- …funding referrals in line with departmental policies. * Maintain compliance with managed care requirements and healthcare regulations to ensure patient safety. ... applications in a high-pressure environment. * Familiarity with healthcare regulations and managed care requirements. * Proficiency in scheduling systems and… more
- AmeriHealth Caritas (Washington, DC)
- …setting. + 3 years of supervisory/ management/ leadership experience, preferably in a managed care setting. + Valid driver's license and automobile insurance. ... analyzes comparable Plan pricing guidelines. + Resolves difficult complex contract issues to ensure that provider contracts are in...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more