- Rush University Medical Center (Chicago, IL)
- …implement a process to produce monthly payer scorecards for all major managed care payers. Provides feedback and statistical analysis to Rush Health ... facilitating weekly Revenue and Receivable meetings between Revenue Cycle Leadership and Managed Care Contract Managers. Directs the creation and implementation… more
- Mount Sinai Health System (New York, NY)
- …transformation + Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- Organon & Co. (Dover, DE)
- …with analytical capabilities. + Highly developed Leadership Skills. + Working Knowledge: Managed Care Operations, Contracting Strategy, Healthcare Systems ... and Skills** + BA/BS. + Two plus years of managed care account manager or equivalent experience....MBA preferred. + Previous large/strategic account management role. + Contracting experience. + Health care trends and… more
- Centene Corporation (Raleigh, NC)
- …(AcariaHealth) group and learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects ... staff mentors and management + Build out processes and tools to enhance contracting process + Updating Salesforce with client and contracted program information +… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …necessary to comply with government and payer regulations and to support managed care agreements while developing pricing strategies. HOURS: Full-Time or 1.0 ... in Wausau, WI is seeking a MANAGER - PAYOR CONTRACTING to join our ANI team! The Manager -...Strategy and is responsible for supporting the negotiation of managed care contracts for all Aspirus Health… more
- 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
- 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 ... consulting experience is essential. + Demonstrated expertise in fee-for-service payer contracting and reimbursement, including Traditional ("Original") Medicare… more
- Insight Global (Fountain Valley, CA)
- …and building Enrollment File and Capitation R&R workflows. Knowledge of managed care operations and payer provider contracting Familiarity HL7, X12, XML, ... and/or other interface or Electronic Data Interchange (EDI) standards Strong understanding of HIPAA transaction sets High-level project management experience Minimum 5 years of experience in EDI operations within a healthcare environment. more
- Intermountain Health (Billings, MT)
- …Assist Practice Administrators and Intermountain Health (Coding and Payer Relations, Managed Care Contracting , Finance and Accounting, and Patient ... **Job Description:** Medical Group Medical Director of Specialty Care in Montana Market, Billings is a leadership...enhance open and effective communication among providers, management teams, Care Site, and Intermountain Health + Ensure that all… more
- Cardinal Health (Providence, RI)
- …business objectives + Gather, synthesize, and disseminate market intelligence related to managed care trends, payer policies, and competitor actions ... results related to negotiation, contracting strategies, and payer account management within the managed ...strategies, and payer account management within the managed care industry + Experience cultivating strategic… more