- Molina Healthcare (Columbus, OH)
- …Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS ... scrubbing, scrapping, and cleaning of data. + 5+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing… more
- Stantec (Plano, TX)
- When you care deeply about the work you do, it's rewarding to see it through from concept to completion. We partner with clients to provide both program management ... transit systems, water treatment facilities, mines, and wind farms, we've successfully managed thousands of projects. Joining our team, turning visionary ideas into… more
- Carnival Cruise Line (Miami, FL)
- …Effectively coordinate and collaborate with stakeholders to ensure ownership and contracting is deliberately/consciously managed and applied. + Measuring and ... compliance targets are met and that corporate reporting requirements are managed . + Responsible for all governance group preparation and administration through… more
- Community Hospital Corporation (Clayton, NM)
- …programs through internal and external resources + Takes a proactive approach to managed care , healthcare reform and related issues + Develops new business ... the CEO is dedicated to ensuring the delivery of safe, high-quality patient care , developing and managing a sustainable annual operating budget, and crafting a… more
- Trinity Health (Syracuse, NY)
- …operational initiatives including new services/programs, revenue enhancement, expense reduction, managed care utilization systems, and strategies. Responsible ... excellence in clinical pharmacy practice, regulatory compliance, and patient-centered care .** **POSITION PURPOSE** The Pharmacy Director - Regional /Chief Pharmacy… more
- Dignity Health (Santa Maria, CA)
- …to company policy. CRE II Basic knowledge of the healthcare industry, Medicare, managed care , insurance reimbursement and accounting practices. Knowledge of ... coach, responsible for the supervision of assigned CRE(s) and/or Care Transition Nurse(s). The CRE II is also the...customers, associates, and shareholders in the delivery of health care and support services in a way that a… more
- Henry Ford Health System (Bingham Farms, MI)
- …to seven (7) years of leadership experience within integrated health systems and/or managed care organizations. + Exemplary oral and written communication skills ... innovative pharmacy solutions with clinical excellence, affordability, and patient-centered care . The Vice President is accountable for transforming pharmacy benefit… more
- Abbott (CO)
- …Military background or family in Military + Service before self, mindset + Managed Care experience + Analytical ability, negotiation skills, and contract/legal ... you can do work that matters, grow, and learn, care for yourself and your family, be your true...of the quality system. + Assess business impact of contracting opportunities to include overall profitability and impact on… more
- Molina Healthcare (AZ)
- …experience, and at least 2 years as a medical director in managed care setting supporting utilization management/quality management initiatives, or equivalent ... of services provided to members - ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide… more
- Abbott (Abbott Park, IL)
- …and implementing pricing strategies across all ADC brands and customer channels, including Managed Care , Medicaid, Medicare, Retail, and Point of Care ... you can do work that matters, grow, and learn, care for yourself and your family, be your true...and risks for pricing strategy development + Collaborate with Contracting Teams to provide input into contract development, administration,… more