- 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
- Walmart (Bentonville, AR)
- …years of direct experience in contract negotiation within the PBM, pharmaceutical, or managed care environment. + Deep understanding of the pharmacy supply ... time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term and… more
- AbbVie (San Juan, PR)
- …limited to Specialty Pharmacy, PBM, or Health Insurance Provider. + Experience in managed care , and government channel experience is preferred. + Previous ... lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For… more
- Saint Francis Health System (Tulsa, OK)
- …performs on going analysis, which maintains the integrity of financial expectations of managed care contracts within the Epic system. Resolves programming issues ... 3 - 4 years related experience. Experience with health plan insurance contracting and reimbursement for providers and facilities. Experience with Microsoft Access,… more
- The Cigna Group (St. Louis, MO)
- …+ Proficiency in written and verbal communications + Strong career interest in Managed Care pharmacy **Required: Must upload/attach the following to Workday ... program fosters interaction with key departments such as Pharma Contracting , Sales, Clinical Oversight, and Finance, helping residents build...Explain why you are interested in our program and managed care ) + 2 Letters of Recommendations… more
- Metro Nashville Government (Nashville, TN)
- …Provide training to internal and external stakeholders + Serve as MPHD's liaison with managed care organizations and lead contracting processes + Assists ... with tasks related to audits Minimum Qualifications Bachelor's Degree in Accounting, Finance, Business Administration, Public Administration or closely related field required Preferred Experience, Knowledge, Skills, and Abilities Supervision… more
- Health Care Service Corporation (Philadelphia, PA)
- …+ Bachelor Degree and 5 years provider contracting experience OR 9 years managed care experience including 5 years provider contracting experience. + ... of strategies for provider HEDIS and STARS performance, recruitment and contracting of physicians, physician groups and facilities including large or complex… more
- Prime Therapeutics (Cheyenne, WY)
- …healthcare or other highly regulated industry; including 5 years of managed care experience in medical or pharmacy network contracting Must be eligible to ... kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of… more