- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review ... * Identify and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). *… more
- Molina Healthcare (West Union, IA)
- …until they are discharged from your service. The ideal candidate will have experience as a Care Manager within a managed care organization (MCO) like ... JOB DESCRIPTION Opportunity for an experienced Care Manager who is Bachelors or...licensure and/or certification required ONLY if required by state contract , regulation or state board licensing mandates. If licensed,… more
- Molina Healthcare (San Antonio, TX)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated… more
- Mount Sinai Health System (New York, NY)
- …and Amendments, financial performance for all contracts , and facility, ancillary related contract negotiations. The Managed Care Team is at the forefront ... Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as...the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play a critical… more
- Molina Healthcare (Miami, FL)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and… more
- Walgreens (Deerfield, IL)
- …in retail + Experience in pharmacy industry in areas such as Retail, PBM, Managed Care , Mail Service, and Specialty Pharmacy. We will consider employment of ... actual performance and business metrics. Works closely with peers within the Contracts & Pricing Department to facilitate contract implementation, monitoring,… more
- Molina Healthcare (Orem, UT)
- …field or an equivalent combination of education and experience **PREFERRED EXPERIENCE** : Managed Care experience To all current Molina employees: If you are ... and credentialing. **Job Duties** This role supports negotiations with assigned contracts and letters of agreements with non-complex provider community that result… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Under minimal supervision, the Network Contract Manager oversees the tracking and management of value-based contracts within the Clinically ... effective communication and cooperation. Routinely collaborates with corporate departments including Managed Care Contracting/ Revenue Cycle. . Collaborates with… more
- US Physical Therapy (Houston, TX)
- …within closed networks + Interprets managed care contracts and government reimbursement methodologies to create contract modeling calculation. ... a positive attitude to join our company as a ** Contract Manager /Analyst.** This is a dual role...This is a dual role that will support the ** Managed Care Operations Team** . The person… more
- Fresenius Medical Center (Franklin, TN)
- …(HMO, PPO, POS, etc.) for Payor Relations. Oversees contractual relationships with managed care organizations and other third party payors regarding rate ... and other large payors + Oversees contractual relationships with managed care organizations and other third party...to ensure a smooth and timely operationalizing of the contract . + Maintains existing contracts and implements… more