- Option Care Health (Nashville, TN)
- …negotiations, preparation, financial analysis, business review, and implementation of assigned Managed Care clients, 340B, and Health System Partnership ... home and alternate site infusion services provided by Option Care . . Responsible for managed care...in order to facilitate clean claim billing. Initiate and lead meetings with health plans and corporate teams, including… more
- Baystate Health (Springfield, MA)
- Summary Description: The Sr. Managed Care Contract Manager will act as the catalyst between the contract, contract parties and the data. Supporting the ... language, evaluate validity in the data and support the Managed Care Contract Team at Baycare Health... Contract Manager this position will serve as team lead and technical expert related to manage care… more
- Dignity Health (Bakersfield, CA)
- …credentialing, contracting, provider relations, and care coordination. - Serve as the lead SME for the Managed Care Operations Hub, ensuring the ... high-level analysis to identify emerging trends and opportunities for improvement within Managed Care Operations. - Lead the creation and execution of… more
- Sedgwick (Birmingham, AL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Managed Care Client Services Director - Remote Are you looking for an ... opportunity to join a global industry leader where you can bring your big ideas to...ROLE** **:** To determine account management strategies related to managed care client service plans; to be… more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... within the Managed Care department by ensuring compliance with...Care experience preferred. **About Us** Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care… more
- AdventHealth (Maitland, FL)
- …government and non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical system and application ... and interim updates which may impact payers and products managed by other Managed Care ...and summarize data in a meaningful way Ability to lead and coordinate projects in circumstances of ambiguity and… more
- Bristol Myers Squibb (Tampa, FL)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as all aspects with evaluating implications of and reporting Managed Care data required for US and...Care rebate systems (REACT$ and vendor interfaces) + Lead and assist with special projects as required (IRA,… more
- Cedars-Sinai (Beverly Hills, CA)
- …for decision-makers. + Lead complex or special assignments related to managed care financial analysis. + Provide analytic support across various departments ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and… more
- HCA Healthcare (Campbell, CA)
- …and integrity. We care like family! Jump-start your career as a Managed Care Quality Improvement Specialist today with HCA Healthcare. **Benefits** HCA ... vary by location._** Come join our team as a Managed Care Quality Improvement Specialist. We ...experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent… more
- Hawaii Pacific Health (Honolulu, HI)
- …organizational and communication skills, you might be the ideal candidate to be our next Managed Care Representative. In this role, you will provide managed ... pediatric specialty hospital. It is well recognized as Hawai'i's leader in the care of women, infants...equivalent. One (1) year clerical experience in a health care setting. Experience with managed care… more