- Children's Hospital Los Angeles (Los Angeles, CA)
- …Statement/Position Summary:** This position is responsible for directing and coordinating the managed care policies, goals, and objectives related to contract ... Group leadership in working with Physician Organizations in the market regarding managed care contracts, strategies for improving market share and opportunities… more
- Humana (Tallahassee, FL)
- …**Required Qualifications** + 2+ years of experience in negotiating or servicing managed care contracts + Understanding of contract terms, payment structures ... community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital,...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Henry Ford Health System (Grand Rapids, MI)
- …of computer systems and personal computers. + Knowledge and experience of a managed care organization's operations are required. + Knowledge of physician ... for focused projects within the department relating to provider contracting . + Perform other related duties as assigned. HAP...preferred. + Minimum of two (2) years of health care experience required. + Minimum of two (2) years… more
- CVS Health (Minneapolis, MN)
- …Qualifications:** *10+ years of professional related experience *8+ years experience in managed care which may include PBM, Pharma, market access, account ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Bristol Myers Squibb (Madison, NJ)
- …the latest government contracting and reporting requirements, and ensure Managed Care government pricing calculation implications are identified and ... leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D...ability to think strategically about the impact of various contracting approaches and government regulations + Firm understanding of… more
- CVS Health (Northbrook, IL)
- …success in driving sophisticated contract negotiations and completion of contracts, PBM and managed care expertise, with a focus on the management of pharmacy ... CVS stores. **Required Qualifications:** -10+ years of professional work experience in healthcare, managed care , health plans, or PBM, preferably with a focus on… more
- Penn Medicine (Bala Cynwyd, PA)
- …group practices + Knowledge of the medical environment, physician group practice, managed care , physician compensation, healthcare contracting and ... Ensures practices are aligned with all standards. Supports implementation of managed care contracts and operational processes. Communicates performance targets… more
- Dignity Health (Bakersfield, CA)
- …shared goals. Responsibilities include: - Collaborate with the Chief Medical Officer, Managed Care and executive leadership to develop, implement, and oversee ... Leadership to ensure consistent physician/APP interactions and experience with all internal Managed Care operations such as enrollment, claims operations and… more
- Huron Consulting Group (Chicago, IL)
- …Huron offers a rewarding path forward. As the Healthcare Consulting Senior Director - Managed Care & Payment Strategy, you will: + Lead complex healthcare ... design, ACO development (eg, MSSP, ACO REACH, Commercial shared risks), Medicaid managed care participation. Experience with population health initiatives such… more
- Fairview Health Services (Shoreview, MN)
- …years in an executive-level role (VP or above) + Expertise in PBM operations, managed care , pharmacy claims, rebate contracting , clinical programs, and ... end-to-end PBM operations including claims adjudication, formulary management, rebate contracting , network development, and compliance. Ensure seamless integration of… more