- 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
- CVS Health (Raleigh, NC)
- …+ Must reside in North Carolina or South Carolina + In-depth knowledge of the managed care industry and practices, as well as a strong understanding of ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- JPMorgan Chase (Columbus, OH)
- … contract and governance process; ownership of the bespoke/negotiated contracts , across our various investment products; information resource to legal, line ... the contract process + Maintain central records for all contracts and respective fee arrangements with financial intermediaries; includes accountability for data… more
- CVS Health (Springfield, IL)
- …+ Minimum 5 years related experience and comprehensive level of negotiating managed care contracts with individuals, complex provider systems, ... skills while executing national, regional, and market-level strategies + Experience in negotiating managed care (including vbc) contract terms across the… more
- Elevance Health (Cerritos, CA)
- …or related field and a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as well as in depth experience ... **Provider Contract Cost of Care Consult Senior...end results. + Works side by side with their manager . **Minimum Requirements:** Requires BA/BS degree in Mathematics, Statistics… more
- Elevance Health (Richmond, VA)
- …or related field and a minimum of 7 years of experience in broad-based analytical, managed care payor or provider environment as well as in depth experience in ... **Provider Contract /Cost of Care Consultant Senior** **Location:**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate for ... of ASD, as defined by the ACD. The **Telephonic Care Manager (Autism Care Navigator)**... care + Minimum of 1 year of managed care experience **OR** A current, valid,… more
- Houston Methodist (The Woodlands, 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
- 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
- Elevance Health (Durham, NC)
- …or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... **Provider Contract Cost of Care Analyst Senior**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more