- US Physical Therapy (Houston, TX)
- …+ An understanding of contracting within closed networks + Interprets managed care contracts and government reimbursement methodologies to create contract ... This is a dual role that will support the ** Managed Care Operations Team** . The person...work experience required + Minimum of 3-5 years' experience contracting experience a must. + Outpatient Therapy Experience preferred… more
- Martin's Point Health Care (Portland, ME)
- …with progressively increasing leadership responsibilities. + Experience with Managed Care insurance offerings Skills/Knowledge/Competencies (Behaviors): + ... Join Martin's Point Health Care - an innovative, not-for-profit health care...business unit leaders to evaluate initiatives related to provider contracting , technology investments, and market expansion. + Translates financial… more
- Commonwealth Care Alliance (Boston, MA)
- …Strong claims experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/Medicaid) + Experience in health plan ... for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital,… more
- Elevance Health (Tampa, FL)
- …or related field and a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as well as in depth experience ... the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the… more
- UNC Health Care (Morrisville, NC)
- …research and analysis, for growth, partnership affiliations, direct to employer relationships, managed care contracts, joint ventures, and other market expansion ... broader marketplace. They provide thoughtful business direction in support of value-based contracting rooted in thorough analysis of financial and quality data. The… more
- Scotland Health Care System (Laurinburg, NC)
- …the hospital including but not limited to physician employment, physician call, managed care , agency, maintenance, compliance, leases, This includes maintenance ... required, or 2-3 years of relevant experience in health care legal office + Contracting + Develops and maintains contract database and prepares/scans contract… more
- Commonwealth Care Alliance (Boston, MA)
- … policy. + A minimum of three (3) years of experience with Medicaid & Medicare managed care and other public health care programs is required. + Experience ... with the Vice President, Government Affairs in the identification, selection, contracting and oversight of state lobbyists and other consultants. + Ensure… more
- Commonwealth Care Alliance (Boston, MA)
- …(must have):** + 5+ years of experience working within community-based health and/or managed care **Desired Experience (nice to have):** + Experience working ... The role supports efforts of the organization's Network and Provider Contracting department and will have regular interaction with relevant internal Clinical,… more
- State of Colorado (Denver, CO)
- …+ Accounting and fiscal reporting + Provider rate setting and reimbursement structures + Managed care rate setting and financial review + Payment reform and ... the Finance Office divisions encompassing Budget, Controller functions, Provider Reimbursement, Managed Care Rates, Payment Reform, Special Financing, and Audits… more
- AmeriHealth Caritas (Charleston, SC)
- …a healthcare setting. + 3 years of supervisory/management/leadership experience, preferably in a managed care organization setting. + Must be able to communicate ... is also responsible for all provider network recruiting and contracting management activities by ensuring that the department and...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more