- AdventHealth (Maitland, FL)
- …adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... for the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred ...contract data elements which are populated into the Managed Care database including addition of new… more
- AdventHealth (Maitland, FL)
- …partners, vendors and leadership after identifying and quantifying the issue. Supports the Managed Care Contract Administration, AH Central Denials team, and ... non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical...issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst. Contributes to the… more
- Cardinal Health (Salem, OR)
- …for all lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the ... within territory. + Support member pharmacies when there are specific managed care operations questions including contract questions and analysis related… more
- HCA Healthcare (Nashville, TN)
- …for clinical and non-clinical audiences + Comprehensive knowledge of formulary managed care systems, principles and practices **What qualifications you ... join an organization that invests in you as a Senior Pharmacy Benefit Account Manager ? At HealthTrust, you come first. HCA Healthcare has committed up to $300… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …new people to make a difference with. **The opportunity** **Position Summary:** The Senior Manager , Managed Care Rebates leads department staff in the ... to Gross to Net and Government Pricing. The Senior Manager , Managed Care Rebates reports...Contracts Team and Legal in development of complex contract terms and conditions impacting Claims Administration * Interprets… more
- Northwell Health (New Hyde Park, NY)
- …pharmacy experience post-licensure, with a significant portion (4+ years) directly in a managed care organization, Pharmacy benefit manager , or health plans ... to support P&T Committee decisions and ensure cost-effective, high-quality pharmaceutical care for plan members. **Job Responsibility** + Develops and monitors the… more
- State of Minnesota (St. Paul, MN)
- … Contracting and Rates teams to oversee the development, execution, and administration of managed care contracts and rates for all products, including ... / DHS Manager + **Division/Unit** : Health Care Administration / Managed Care ...and capitation rate setting with the Managed Care Organizations (MCOs) for multiple MCO contracts … more
- Beth Israel Lahey Health (Wakefield, MA)
- …Director, Contracting to manage key divisional initiatives that support Managed Care Contracting. The Contracting Program Manager will be responsible for ... managing projects, organizing and maintaining contract inventory, and understanding key timelines...contracts to serve as the operational backbone for Managed Care Contracting . This position is… more
- Organon & Co. (Dover, DE)
- …issues. **Required Education, Experience and Skills** + BA/BS. + Two plus years of managed care account manager or equivalent experience. + Customer ... analytical capabilities. + Highly developed Leadership Skills. + Working Knowledge: Managed Care Operations, Contracting Strategy, Healthcare Systems Structure… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more