- Health Care Service Corporation (Chicago, IL)
- …QUALIFICATIONS:** + Bachelor's Degree with 5-7 years experience in a Healthcare or Managed Care environment, including 3 or more years of hands-on experience ... the C Suite and execution of strategies in conjunction with the HCSC Contracting teams. assignments involves complex issues where the analysis of situations or data… 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 ... position is responsible for providing support to the provider recruitment and contracting process to ensure strategic coverage of providers for assigned territory.… more
- Community Health Systems (Franklin, TN)
- … care and patient care delivery. + Collaborate with the CHS Managed Care department to engage and negotiate with payers, health plans, and other ... + Develop and lead the overall strategy for value-based care initiatives including contracting and performance monitoring...the MD VP for PPS and the VP of Managed Care Equal Employment Opportunity This organization… more
- Cardinal Health (Atlanta, GA)
- …OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing ... be focused on expanding the organization's strategic footprint and influence in value-based care contracting . Functioning as a strategic hunter, this Director is… more
- Commonwealth Care Alliance (Boston, MA)
- …Bachelor's Degree or equivalent experience **Experience (Required)** + 3-5 years + Managed Care experience + Experience in health plan provider relations. ... responsible for cultivating, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) provider community. In this highly visible field… more
- LA Care Health Plan (Los Angeles, CA)
- …to LA Care 's organizational documents, including but not limited to managed care licensure; ensure timely preparation and submission of all documents ... of the unit. This includes preparing and maintaining documentation pertinent to LA Care 's Managed Care licensure and ensure timely preparation and… more
- Oracle (San Antonio, TX)
- …The Customer Deal Desk Specialist III leads and manages the contracting process end-to-end for strategic, complex transactions that meet regional criteria ... Customer Deal Desk Specialist III sets the overall direction for his/her assigned managed deal(s) and is responsible for the successful execution of the … more
- LA Care Health Plan (Los Angeles, CA)
- …etc. Preferred: At least 5 years of experience working with a California Medi-Cal managed care plan or commercial health plan, medical group, or management ... services organization. Skills Required: Advanced understanding of managed care operations (including but not limited to, claims processing; provider … more
- Commonwealth Care Alliance (Boston, MA)
- …active RN license required Required Experience: * 7-10 years * 8-10 years of managed care operations experience, including a minimum five (5) years of leadership ... care delivery Required Knowledge, Skills & Abilities: * Medicare and Medicaid managed care experience * Demonstrated knowledge of federal and state… more
- Molina Healthcare (Saginaw, MI)
- …position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully engage complex providers, including ... Resolves complex provider issues that may cross departmental lines including Contracting , Finance, Quality, Operations, and involve Senior Leadership. * Responsible… more