- US Tech Solutions (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). ... and to coordinate with team, providers, and patient representatives regarding patient care . + Skill sets/qualities: Same as required skills listed in job… more
- 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
- 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
- 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 to join the LTSS...licensure and/or certification required ONLY if required by state contract , regulation or state board licensing mandates. If licensed,… 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
- Pfizer (Memphis, TN)
- **ROLE SUMMARY** The Contract Manager supports Pfizer by executing against contract strategies for the customer base which includes but is not limited to the ... to support Pfizer Business Unit Sales and Portfolio strategies.The Contract Manager will be accountable for having...channel from wholesaler to pharmacy to institutions and through managed care pharmaceutical benefit. + Able to… more
- St. Luke's University Health Network (Allentown, PA)
- …ability to pay for health care . The IT Vendor and Contracts Manager leads IT's Vendor/Contact Management Office (VCMO). Responsibilities include but ... and ensuring active governance across the vendor pool + Deliver a structured managed contract process from determining needs, assisting in vendor selection,… more
- Amgen (Washington, DC)
- …transform the lives of patients while transforming your career. Strategic Sourcing Senior Manager , Contract Manufacturing **What you will do** Let's do this. ... role you will serve as the Strategic Sourcing Senior Manager for Contract Manufacturing. Reporting to the...organization and is implemented effectively. + Ensure that all Contract Manufacturing procurement activities are managed in… more
- HCA Healthcare (Brentwood, TN)
- …Contract Pricing Advisor is responsible for the What-if modeling of the more advanced managed care contracts and performance of advanced ad hoc analyses ... recommendations to drive decision making + Model more advanced managed care contracts through the...Contract Pricing Advisor in completing retrospective review of contracts to analyze negotiated rate of reimbursement compared to… more
- UPMC (Pittsburgh, PA)
- The Care Manager Associate (CMA) position will...of those being served. No license is required. + Managed care experience preferred. + Ability to ... Paramedic Team. The team expands paramedic roles from emergency care to a focus on non-emergent and preventative health...goals. The CMA will begin their journey in mobile care management while helping resolve members' SDOH issues, develop… more