- CDM Smith (Miami, FL)
- …performed by the construction contractors. **Job Title:** Construction Representative 4 ( Contract Compliance Manager ) **Group:** CEI **Employment Type:** Regular ... Transportation and Public Works has awarded our team the contract to provide Construction Engineering and Inspection services for...Where it's a priority that the company takes good care of you and your family. Our employees are… more
- AdventHealth (Maitland, FL)
- …complex financial, operational, and analysis of managed care contracts , proposals, analyze fee schedules, and determine contract compliance. The Medical ... Medical Economics Manager will manage and mentor managed care staff for both the Florida...analyze data from various sources using knowledge of healthcare managed care contracts and healthcare… more
- Henry Ford Health System (Troy, MI)
- …contracting, provider relations or provider reimbursement experience. + Knowledge of managed care organizations and integrated health systems. + Comprehensive ... Reporting to Director or Manager , assist in the development of Contract...Excel. Additional Information + Organization: Corporate Services + Department: Managed Care Contracting + Shift: Day Job… more
- Elevance Health (Atlanta, GA)
- …or related field; minimum of 5 years of experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract /Cost of Care Consultant** **Location:** This...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Genentech (Portland, OR)
- …is preferred. + 3 years of reimbursement experience preferred. + Knowledge of the managed care industry, including government payers. + Proficient in all aspects ... job posting. In this role, applicants would be employed through Kelly, the Managed Service Provider for Genentech's Contingent Workforce, to work on a Genentech… more
- UPMC (Pittsburgh, PA)
- …and substance use disorder levels of care for all Community Care contracts . The Care Manager will also be responsible for crisis management and ... care Behavioral Health is hiring a full-time Precert Care Manager . This role will work 4...to in network facilities or coordinating with appropriate Community Care contracts regarding approval for out of… more
- Walgreens (Deerfield, IL)
- …Manages the tracking, approval, administration, and post-implementation process of all Managed Care contracts throughout the contract life cycle. + Works ... with Contracting Directors/Managers to review Third Party Managed Care Contracts to ensure operational requirements can be met and implemented. + Monitors… more
- Ascendis Pharma (Princeton, NJ)
- …Requirements Key Responsibilities: Rebate Management . Administer and oversee government, managed care , and commercial rebate programs. . Collaborate with ... skills. Ascendis Pharma is looking to hire a Senior Manager , Contract Operations to join our team....regulatory and contractual rebate requirements. . Collect and analyze managed care data for rebate payments, pricing,… more
- The Cigna Group (Richmond, VA)
- …Experience in developing and managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus + Team player ... the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports...Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. + Creates… more
- Houston Methodist (Cypress, TX)
- …services by communicating medical information required by all external review entities, managed care contracts , insurers, fiscal intermediaries, state, and ... At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse...language principles + Comprehensive knowledge of Medicare, Medicaid and Managed Care requirements + Comprehensive knowledge of… more
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